COUNTRYSIDE HEALTHCARE CENTER - SPENCER, IN

United States hospital / nursing home:
COUNTRYSIDE HEALTHCARE CENTER - SPENCER, IN

COUNTRYSIDE HEALTHCARE CENTER
RR 2, BOX 77
SPENCER, IN 47460


RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DISTINCT PART)

Services provided by COUNTRYSIDE HEALTHCARE CENTER:

  • Activities services are provided onsite to residents
  • Clinical laboratory services are provided offsite 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 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 offsite to residents
  • Occupational therapy services are provided onsite to residents
  • Pharmacy services are provided onsite to residents
  • Physician extender services are provided onsite to residents
  • Physical therapy services are provided offsite to residents
  • Physical therapy services are provided onsite to residents
  • Physician services are provided onsite to residents
  • Podiatry services are provided offsite to residents
  • Podiatry services are provided onsite to residents
  • Social work services are provided onsite to residents
  • Speech/language pathology services are provided onsite to residents
  • Vocational services are provided onsite to residents
  • Diagnostic xray services are provided offsite 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): 46

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 46

Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 32

Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 4.80

Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 1.14

Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 1

Change of ownership date (Effective date of a change of ownership): Aug 1995

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): 0.86

Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 1.14

Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 14

Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 7.50

Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 0.80

Compliance: patient room size (Indicates if a waiver of patient room size has been recommended for a facility): WAIVER RECOMMENDED

Dentists - Contract (The number of full-time equivalent dentists under contract to a facility): 0.01

Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.06

Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 3.94

Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 2.64

Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 0.46

Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 0.40

Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.06

Mental health services - Contract (The number of full-time equivalent mental health services personnel under contract to a facility): 0.01

Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 0.01

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

Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.01

Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 0.01

Physician extender - Contract (The number of full-time equivalent physician extenders under contract to the facility): 0.06

Podiatrists - Contract (The number of full time equivalent podiatrists under contract to a facility): 0.01

Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 0.46

Social worker - Full time (The number of full-time equivalent social workers employed by a facility on a full time basis): 0.86

Speech pathologist - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 0.01

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

Current survey date (The date of the health or life safety code survey, whichever is later. the "official" survey date for the provider): Sep 1994

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): Feb 1995