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