GOOD SAMARITAN RG HLTH CTR HHS - MOUNT VERNON, IL

United States hospital / nursing home:
GOOD SAMARITAN RG HLTH CTR HHS - MOUNT VERNON, IL

GOOD SAMARITAN RG HLTH CTR HHS
605 NORTH 12TH STREET
MOUNT VERNON, IL 62864

SHORT TERM HOME HEALTH AGENCIES

Services provided by GOOD SAMARITAN RG HLTH CTR HHS:

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

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

Dieticians (Number of full-time equivalent dieticians employed by a facility): 0.05

Occupational therapists (The number of full time equivalent occupational therapists employed by a provider): 0.20

Other personnel (The number of full-time equivalent other salaried personnel employed by a facility): 8.01

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): 26.73

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

Srv: physical therapy (Indicates how physical therapy services are provided): COMBINATION

Type of facility (Indicates the category which represents the type of facility): REHABILITATION

Speech pathologists, audiologists (The number of full-time equivalent speech pathologists or audiologists employed by a provider): 0.80

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): Yes

Branches (The number of branches operated by the agency): 1

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): 3.80

Hospice indicator (Indicates if the home health agency also participates in the Medicare program as a hospice): Yes

Medicare hospice provider number (If the agency also participates in the Medicare program as a hospice, the hospice provider number): 141530

Medicare/Medicaid provider number (If the agency is based in another Medicare or Medicaid facility, the provider number of that facility): 140046

Social workers (The number of full time equivalent social workers employed by the agency): 0.12

Srv: home health aide/homemaker (Indicates how home health aide services are provided by a home health agency): PROVIDED BY AGENCY STAFF

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: nutritional guidance (Indicates how nutritional guidance services are provided): PROVIDED BY STAFF

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

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

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

Physical therapists on staff (The number of full-time equivalent physical therapists employed by an outpatient physical therapy provider or a home health agency provider): 4.60

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 1968