FAIRFAX NURSING HOME - BERWYN, IL
United States hospital / nursing home:
FAIRFAX NURSING HOME - BERWYN, IL
FAIRFAX NURSING HOME
3601 SOUTH HARLEM AVENUE
BERWYN, IL 60402
RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DISTINCT PART)
Services provided by FAIRFAX NURSING HOME:
- 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 non 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
- 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): 160
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 153
Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 74
Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 7.81
Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 8.99
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 1993
Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE AND MEDICAID
Activity professional - Contract (The number of full time equivalent activities professionals under contract to a facility): 0.06
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): 6.86
Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 0.57
Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 79
Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 39.37
Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 4.74
Compliance: patient room size (Indicates if a waiver of patient room size has been recommended for a facility): WAIVER RECOMMENDED
Dentists - Contract (The number of full-time equivalent dentists under contract to a facility): 0.03
Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 11.46
Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 0.43
Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 3.80
Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.57
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): 5.71
Nurses with admin duties-Part time (Number of full-time equivalent nurses with administrative duties employed by a facility on a part time basis): 3.01
Occup therapy aide - Full time (The number of full-time equivalent occupational therapy aides employed by a facility on a full time basis): 3.40
Occup therapy asst - Contract (The number of full time equivalent occupational therapy assistants under contrcat to a facility): 1.14
Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 0.57
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): 9.57
Other - Part time (The number of full-time equivalent persons not included in any other categories employed by the facility on a part-time basis): 4.01
Other activities staff-Full time (Number of full-time staff hours for other activities): 4.01
Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 0.86
Othr social serv staff-Full time (Number of full-time staff hours provided by other socia l services staff): 2.26
Othr social serv staff-Part time (Number of part-time staff hours provided by other socia l services staff): 0.30
Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.06
Pharmacists - Full time (The number of full-time equivalent pharmacists employed by a facility on a full time basis): 9.31
Pharmacists - Part time (The number of full-time equivalent pharmacists employed by a facility on a part time basis): 0.91
Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 0.57
Physician extender - Contract (The number of full-time equivalent physician extenders under contract to the facility): 0.29
Podiatrists - Contract (The number of full time equivalent podiatrists under contract to a facility): 0.11
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): 1.14
Ther rec spec - Contract (Number of contract staff hours provided by therapeutic recreation specialist): 0.26
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): Apr 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 1967