FREEPORT MANOR NURSING CENTER - FREEPORT, IL

United States hospital / nursing home:
FREEPORT MANOR NURSING CENTER - FREEPORT, IL

FREEPORT MANOR NURSING CENTER
900 SOUTH KIWANIS DRIVE
FREEPORT, IL 61032


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

Services provided by FREEPORT MANOR NURSING CENTER:

  • Activities services are provided onsite to residents
  • Clinical laboratory services are provided onsite to residents
  • Dental 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
  • 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 offsite 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
  • Diagnostic xray services are provided offsite to residents

Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 143

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 143

Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 20

Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 10.53

Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 1.31

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): Nov 1998

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

Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 2.29

Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 123

Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 28.77

Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 2.04

Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 9.99

Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 5.44

Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.11

Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): MIDAMERICA FOUNDATION

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): 0.97

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): 4.06

Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 1.14

Organized resident group (Indicates if the facility has an organized residents group): Yes

Other - Contract (The number of full-time equivalent persons not included in any other categories under contract to the facility): 0.11

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): 4

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): 0.86

Other activities staff-Full time (Number of full-time staff hours for other activities): 2.81

Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 0.29

Other physician - Contract (The number of full-time equivalent other physicians under contract to a facility): 0.14

Othr social serv staff-Full time (Number of full-time staff hours provided by other socia l services staff): 1.43

Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.23

Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 0.57

Physical therapy aide - Contract (The number of full-time equivalent physical therapy aide under contract to a facility): 1.14

Physician extender - Contract (The number of full-time equivalent physician extenders under contract to the facility): 0.06

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): 1.39

Speech pathologist - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 0.36

Ther rec spec - Contract (Number of contract staff hours provided by therapeutic recreation specialist): 0.11

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): Jan 1972