EVERGREEN NURSING & REHAB CTR - OLYMPIA, WA
United States hospital / nursing home:
EVERGREEN NURSING & REHAB CTR - OLYMPIA, WA
EVERGREEN NURSING & REHAB CTR
430 LILLY ROAD NORTHEAST
OLYMPIA, WA 98506
RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DISTINCT PART)
Services provided by EVERGREEN NURSING & REHAB CTR:
- 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
- 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
- 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): 135
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 135
Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 121
Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 13.84
Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 7.71
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): Feb 1997
Prior change of ownership (The date of a prior change of ownership): Feb 1989
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): 1.14
Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 10.29
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): 45.41
Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 1.83
Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.57
Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 10.56
Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 0.57
Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 5.70
Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 1.57
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): EXTENDICARE
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): 6.50
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): 6.86
Occup therapy asst - Full time (The number of full-time equivalent occupational therapy assistants employed by a facility on a full time basis): 1.14
Occup therapy asst - Part time (The number of full-time equivalent occupational therapy assistants employed by a facility on a part time basis): 1.57
Occupational therapist - Full time (The number of full-time equivalent occupational therapists employed by a facility on a full time basis): 1.14
Occupational therapist - Part time (The number of full-time equivalent occupational therapists employed by a facility on a part time basis): 0.11
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 - Full time (The number of full-time equivalent persons not included in any other categories employed by the facility on a full-time basis): 5.46
Other activities staff-Full time (Number of full-time staff hours for other activities): 2.29
Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 0.54
Othr social serv staff-Part time (Number of part-time staff hours provided by other socia l services staff): 0.57
Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.11
Phys ther asst - Full time (Number of full-time staff hours for physical therapy as sistants): 1.14
Phys ther asst - Part time (Number of part-time staff hours for physical therapy as sistants): 1.37
Physical therapists - Full time (The number of full time equivalent physical therapists employed by a facility on a full time basis): 2.29
Physical therapists - Part time (The number of full-time equivalent physical therapists employed by a facility on a part time basis): 0.23
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): 2.29
Special care beds-Alzheimers (The number of beds in a unit identified and dedicated by the facility for residents with alzeheimers): 29
Speech pathologist - Part time (The number of full-time equivalent speech pathologists employed by a facility on a part time basis): 0.43
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 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 1976