COUNTRY VILLA SOUTH CONVALESCENT CTR - LOS ANGELES, CA
United States hospital / nursing home:
COUNTRY VILLA SOUTH CONVALESCENT CTR - LOS ANGELES, CA
COUNTRY VILLA SOUTH CONVALESCENT CTR
3515 OVERLAND AVENUE
LOS ANGELES, CA 90034
RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DISTINCT PART)
Services provided by COUNTRY VILLA SOUTH CONVALESCENT CTR:
- Activities services are provided onsite to residents
- Clinical laboratory services are provided onsite to residents
- Dental services are provided offsite to residents
- Dental services are provided onsite to residents
- Dietary services are provided onsite to residents
- Housekeeping services are provided onsite to non residents
- Housekeeping services are provided onsite to residents
- Mental health services are provided offsite to residents
- Mental health services are provided onsite to residents
- Nursing services are provided onsite to residents
- Occupational therapy services are provided onsite to residents
- Field 1 - Indicates other activity services provided by staff onsite to residents
- Other social services are provided onsite to nonresidents
- Field 1 - Indicates services provided by social service s staff onsite to residents
- Pharmacy services are provided onsite to residents
- Physician extender services are provided onsite to residents
- Physical therapy services are provided onsite to residents
- Physician services are provided offsite to residents
- Physician services are provided onsite to non residents
- Physician services are provided onsite to residents
- Podiatry services are provided offsite to residents
- Podiatry services are provided onsite to residents
- Speech/language pathology services are provided onsite to residents
- Diagnostic xray services are provided onsite to residents
Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 87
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 87
Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 48
Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 9.90
Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 7.64
Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 2
Current fms survey date (Current fms survey date): Jun 1997
Prior change of ownership (The date of a prior change of ownership): Oct 1984
Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE AND MEDICAID
Activity professional - Full time (The number of full-time equivalent activities professionals employed full time by a facility): 1.16
Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 8.84
Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 39
Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 31.40
Dentists - Contract (The number of full-time equivalent dentists under contract to a facility): 0.01
Dietitians - Full time (The number of full-time equivalent dietitians employed by a facility on a full time basis): 1.14
Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 8.14
Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 11.66
Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.14
Mental health services - Contract (The number of full-time equivalent mental health services personnel under contract to a facility): 0.03
Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): COUNTRY VILLA HEALTH SERVICES
Multi-Facility organization owned (Indicates if a facility is owned by an organization that owns (or leases) two or more nursing facilities): Yes
Nurse aides in trng-Full time (The number of full-time equivalent nurse aides in training employed by a facility on a full time basis): 1.07
Occupational therapist - Full time (The number of full-time equivalent occupational therapists employed by a facility on a full time basis): 1.23
Occupational therapist - Part time (The number of full-time equivalent occupational therapists employed by a facility on a part time basis): 0.16
Organized family group (Indicates if the facility has an organized group of family members of residents): Yes
Organized resident group (Indicates if the facility has an organized residents group): Yes
Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 0.93
Other physician - Contract (The number of full-time equivalent other physicians under contract to a facility): 0.06
Othr social serv staff-Full time (Number of full-time staff hours provided by other socia l services staff): 1.84
Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.17
Phys ther asst - Part time (Number of part-time staff hours for physical therapy as sistants): 0.21
Physical therapists - Full time (The number of full time equivalent physical therapists employed by a facility on a full time basis): 1.57
Physical therapists - Part time (The number of full-time equivalent physical therapists employed by a facility on a part time basis): 0.26
Physician extender - Contract (The number of full-time equivalent physician extenders under contract to the facility): 0.17
Podiatrists - Contract (The number of full time equivalent podiatrists under contract to a facility): 0.03
Rn director of nursing - Full time (The number of full-time equivalent rn director of nursing employed by a facility on a full time basis): 8.84
Speech pathologist - Part time (The number of full-time equivalent speech pathologists employed by a facility on a part time basis): 0.60
Compliance: plan of correction (Indicates if a provider is in compliance with program requirements based on an acceptable plan for correction of deficiencies): COMPLIANCE BASED ON ACCEPTABLE POC
Compliance: status (Indicates if a provider or supplier is in compliance with program requirements): IN COMPLIANCE
Eligibility code (Indicates if a facility is eligible to participate in the Medicare and/or Medicaid programs): ELIGIBLE TO PARTICIPATE
Participation date (The date a facility is first approved to provide Medicare and/or Medicaid services): Jan 1967