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