EVERGREEN HOSPITAL MEDICAL CEN - KIRKLAND, WA
United States hospital / nursing home:
EVERGREEN HOSPITAL MEDICAL CEN - KIRKLAND, WA
EVERGREEN HOSPITAL MEDICAL CEN
12040 NORTHEAST 128TH STREET
KIRKLAND, WA 98034
RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DUALLY CERTIFIED)
Services provided by EVERGREEN HOSPITAL MEDICAL CEN:
- Activities services are provided onsite to residents
- Administration and storage of blood 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
- Pharmacy 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
- Therapeutic recreation specialist services are provided onsite to residents
- Vocational 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): 17
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 17
Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 1.11
Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE AND MEDICAID
Related provider number (This field is used when a provider's facility contains more than one distinct provider,such as a hospital with distinct part long term care. the number in this field will be the provider nmbr of the highest level of care): 500124
Activity professional - Part time (The number of full-time equivalent activities professionals employed part time by a facility): 0.44
Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 1.94
Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 17
Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 3.46
Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 3.13
Dietitians - Part time (The number of full-time equivalent dietitians employed by a facility on a part time basis): 0.16
Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 0.86
Medical director - Part time (The number of full-time equivalent medical directors employed by a facility on a part time basis): 0.09
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): 1.94
Occupational therapist - Full time (The number of full-time equivalent occupational therapists employed by a facility on a full time basis): 1.91
Occupational therapist - Part time (The number of full-time equivalent occupational therapists employed by a facility on a part time basis): 0.11
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): 1.94
Pharmacists - Part time (The number of full-time equivalent pharmacists employed by a facility on a part time basis): 0.17
Phys ther asst - Part time (Number of part-time staff hours for physical therapy as sistants): 1.07
Physical therapists - Part time (The number of full-time equivalent physical therapists employed by a facility on a part time basis): 1.37
Provider based facility (Indicates if a long term care facility is provider based): Yes
Registered nurse - Contract (The number of full-time equivalent registered nurses under contract to a facility): 0.17
Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 4.60
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): 1.94
Social worker - Part time (The number of full-time equivalent social workers employed by a facility on a part time basis): 0.57
Speech pathologist - Part time (The number of full-time equivalent speech pathologists employed by a facility on a part time basis): 0.06
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): Aug 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): Jul 1995