GIBSON COMMUNITY HSP ANNEX - GIBSON CITY, IL
United States hospital / nursing home:
GIBSON COMMUNITY HSP ANNEX - GIBSON CITY, IL
GIBSON COMMUNITY HSP ANNEX
430 EAST 19TH
GIBSON CITY, IL 60936
RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DISTINCT PART)
Services provided by GIBSON COMMUNITY HSP ANNEX:
- Activities 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 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
- Physical therapy services are provided onsite to residents
- Physician services are provided onsite to residents
- Podiatry services are provided offsite to residents
- Social work services are provided onsite to residents
- Speech/language pathology 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): 42
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 42
Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 37
Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 2.91
Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 3.43
Current fms survey date (Current fms survey date): May 2002
Compliance: life safety code (Indicates if a waiver of the life safety code has been recommended for a provider): WAIVER RECOMMENDED
Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE AND MEDICAID
Related provider number (This field is used when a provider's facility contains more than one distinct provider,such as a hospital with distinct part long term care. the number in this field will be the provider nmbr of the highest level of care): 141317
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): 1.14
Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 5
Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 10.57
Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 6.86
Dietitians - Full time (The number of full-time equivalent dietitians employed by a facility on a full time basis): 1.14
Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 10.29
Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 1.37
Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 4.57
Medical director - Full time (The number of full-time equivalent medical directors employed by a facility on a full time basis): 0.03
Nurse aides in trng-Part time (The number of full-time equivalent nurse aides in training employed by a facility on a part time basis): 1.17
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): 1.03
Occup therapy aide - Part time (The number of full-time equivalent occupational therapy aides employed by a facility on a part time basis): 0.29
Occup therapy asst - Part time (The number of full-time equivalent occupational therapy assistants employed by a facility on a part time basis): 0.23
Occupational therapist - Full time (The number of full-time equivalent occupational therapists employed by a facility on a full time basis): 1.14
Organized resident group (Indicates if the facility has an organized residents group): Yes
Othr social serv staff-Part time (Number of part-time staff hours provided by other socia l services staff): 1.03
Pharmacists - Full time (The number of full-time equivalent pharmacists employed by a facility on a full time basis): 2.29
Physical therapists - Full time (The number of full time equivalent physical therapists employed by a facility on a full time basis): 0.14
Provider based facility (Indicates if a long term care facility is provider based): Yes
Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 1.14
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): 0.06
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 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): May 1999