EVERGREEN NURSING HOME - EVERGREEN, AL

United States hospital / nursing home:
EVERGREEN NURSING HOME - EVERGREEN, AL

EVERGREEN NURSING HOME
100 SANDERS DRIVE
EVERGREEN, AL 36401


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

Services provided by EVERGREEN NURSING HOME:

  • Activities services are provided onsite to residents
  • Clinical laboratory 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
  • 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
  • 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
  • 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): 61

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 61

Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 37

Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 12.77

Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 3.46

Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 2

Prior change of ownership (The date of a prior change of ownership): Apr 1988

Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE AND MEDICAID

Regional override #1 (number beds) (This field is set to "y" when the regional office has to ok a pending record in the special fields screen. this field only applies to categories in the odie data entry system): Yes

Regional override #2 (staffing) (This field is set to "y" when the regional office has to ok a pending record in the special fields screen. this field only applies to categories in the odie data entry system): Yes

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): 3.59

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): 31.37

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): 8.71

Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 13.26

Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 0.24

Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): CROWNE INVESTMENTS, INC.

Multi-Facility organization owned (Indicates if a facility is owned by an organization that owns (or leases) two or more nursing facilities): 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): 1.11

Other activities staff-Full time (Number of full-time staff hours for other activities): 0.91

Other physician - Part time (The number of full-time equivalent other physicians employed by a facility on a part time basis): 0.03

Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.11

Social worker - Full time (The number of full-time equivalent social workers employed by a facility on a full time basis): 1.14

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): Jul 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): Oct 1967