GENTIVA HEALTH SERVICES - CHICAGO, IL

United States hospital / nursing home:
GENTIVA HEALTH SERVICES - CHICAGO, IL

GENTIVA HEALTH SERVICES
4401 WEST LAWRENCE
CHICAGO, IL 60630

SHORT TERM HOME HEALTH AGENCIES

Services provided by GENTIVA HEALTH SERVICES:

Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 4

Prior change of ownership (The date of a prior change of ownership): Jan 1996

Licensed pract/vocat nurses (Number of full-time equivalent licensed practical or vocational nurses employed by a facility): 3

Other personnel (The number of full-time equivalent other salaried personnel employed by a facility): 10

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

Registered nurses (The number of full-time equivalent registered professional nurses employed by a provider): 9

Srv: occupational therapy (Indicates how occupational therapy services are provided): PROVIDED UNDER ARRANGEMENT

Srv: physical therapy (Indicates how physical therapy services are provided): PROVIDED UNDER ARRANGEMENT

Type of facility (Indicates the category which represents the type of facility): ALCOHOL AND/OR DRUG HOSPITAL

Aide training/competency programs (Indicates how the agency provides home health aide training and competency evaluation programs): COMPETENCY EVALUATION PROG.

Branch operation indicator (Indicates if the agency operates any branches): No

Change of ownership indicator (Indicates if a home health agency has undergone a change of ownership since the last survey): No

Hha qualified for opt (Indicates if a home health agency is qualified to provide outpatient physical therapy/speech services): No

Home health aides (Number of full-time equivalent home health aides employed by a home health agency or hospice): 3.25

Hospice indicator (Indicates if the home health agency also participates in the Medicare program as a hospice): No

Social workers (The number of full time equivalent social workers employed by the agency): 0.25

Srv: home health aide/homemaker (Indicates how home health aide services are provided by a home health agency): COMBINATION

Srv: medical social (Indicates how medical social services are provided): PROVIDED BY STAFF

Srv: nursing (Indicates how nursing services are provided): PROVIDED BY STAFF

Srv: other (Indicates how other (not specified) services are provided): COMBINATION

Srv: speech therapy (Indicates how speech therapy services are provided): PROVIDED UNDER ARRANGEMENT

Subunit indicator (Indicates if the agency is a subunit of another agency): No

Subunit operation indicator (Indicates if the agency operates any subunits): No

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): May 1999

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): Sep 1975