EVERGREEN FULLERTON - FULLERTON, CA

United States hospital / nursing home:
EVERGREEN FULLERTON - FULLERTON, CA

EVERGREEN FULLERTON
2222 N. HARBOR BLVD.
FULLERTON, CA 92835


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

Services provided by EVERGREEN FULLERTON:

  • Activities services are provided onsite to residents
  • Clinical laboratory services are provided onsite 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 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
  • 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 onsite 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
  • 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): 300

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 228

Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 204

Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 19.43

Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 3.47

Current fms survey date (Current fms survey date): Mar 2002

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): 1.03

Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 6.54

Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 0.46

Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 24

Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 52.73

Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 5.17

Dentists - Contract (The number of full-time equivalent dentists under contract to a facility): 0.09

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): 9.06

Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 2.76

Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 8.89

Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 2.51

Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 2.66

Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.11

Mental health services - Contract (The number of full-time equivalent mental health services personnel under contract to a facility): 0.79

Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): EVERGREEN HEALTHCARE LLC

Multi-Facility organization owned (Indicates if a facility is owned by an organization that owns (or leases) two or more nursing facilities): Yes

Nurses with admin duties-Full time (The number of full-time equivalent nurses with administrative duties employed by a facility on a full time basis): 4.81

Occup therapy aide - Contract (The number of full-time equivalent occupational therapy aides under contract to a facility): 0.54

Occup therapy asst - Contract (The number of full time equivalent occupational therapy assistants under contrcat to a facility): 3.11

Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 0.76

Organized resident group (Indicates if the facility has an organized residents group): Yes

Other - Full time (The number of full-time equivalent persons not included in any other categories employed by the facility on a full-time basis): 2.09

Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 1.60

Othr social serv staff-Full time (Number of full-time staff hours provided by other socia l services staff): 1.03

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

Phys ther asst - Contract (Number of contract staff hours for physical therapy ass istants): 3.01

Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 1.86

Physical therapy aide - Contract (The number of full-time equivalent physical therapy aide under contract to a facility): 0.67

Physician extender - Contract (The number of full-time equivalent physician extenders under contract to the facility): 0.57

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

Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 0.24

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): 1.14

Social worker - Full time (The number of full-time equivalent social workers employed by a facility on a full time basis): 1.04

Speech pathologist - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 1.39

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): Mar 2002

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 1999