G.S. COLONIAL CONV. HOSP. - NORTH HOLLYWOOD, CA

United States hospital / nursing home:
G.S. COLONIAL CONV. HOSP. - NORTH HOLLYWOOD, CA

G.S. COLONIAL CONV. HOSP.
10830 OXNARD ST.
NORTH HOLLYWOOD, CA 91606


RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DUALLY CERTIFIED)

Services provided by G.S. COLONIAL CONV. HOSP.:

  • 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 offsite 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 offsite 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 onsite to residents

Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 49

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 49

Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 3.97

Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 3

Change of ownership date (Effective date of a change of ownership): Apr 2001

Current fms survey date (Current fms survey date): Feb 2002

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

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

Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 3.43

Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 0.51

Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 49

Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 16.09

Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 4.96

Dentists - Contract (The number of full-time equivalent dentists under contract to a facility): 0.03

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

Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 4.93

Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 1.86

Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 4.50

Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 0.91

Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 0.91

Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.09

Mental health services - Contract (The number of full-time equivalent mental health services personnel under contract to a facility): 0.11

Nurses with admin duties-Part time (Number of full-time equivalent nurses with administrative duties employed by a facility on a part time basis): 1.14

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

Other activities staff-Full time (Number of full-time staff hours for other activities): 0.57

Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 0.81

Othr social serv staff-Full time (Number of full-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

Podiatrists - Contract (The number of full time equivalent podiatrists under contract to a facility): 0.06

Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 1.17

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

Ther rec spec - Contract (Number of contract staff hours provided by therapeutic recreation specialist): 0.04

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): Feb 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): Nov 1976