HEALTH CARE CTR AT THE FORUM - CUPERTINO, CA
United States hospital / nursing home:
HEALTH CARE CTR AT THE FORUM - CUPERTINO, CA
HEALTH CARE CTR AT THE FORUM
23600 VIA ESPLENDOR
CUPERTINO, CA 95014
SHORT TERM SKILLED NURSING FACILITIES
Services provided by HEALTH CARE CTR AT THE FORUM:
- Administration and storage of blood services are provided offsite to residents
- Clinical laboratory services are provided offsite to residents
- Dietary services are provided onsite to residents
- Housekeeping services are provided onsite to non residents
- Housekeeping services are provided onsite to residents
- Nursing services are provided onsite to residents
- Occupational therapy services are provided offsite to residents
- Field 2 - Indicates other activity services provided by staff onsite to nonresidents
- 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 offsite to residents
- Physical therapy services are provided offsite to residents
- Physician services are provided onsite to residents
- Social work services are provided onsite to residents
- Speech/language pathology services are provided offsite 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): 48
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 48
Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 3.74
Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 3.90
Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 2
Prior change of ownership (The date of a prior change of ownership): May 1994
Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE ONLY
Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 12.01
Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 1.06
Beds - Medicare snf (Number of Medicare certified snf beds in a facility): 48
Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 9.73
Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 1.30
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): 14.51
Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 2.14
Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 11.79
Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 1.03
Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.06
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): 0.81
Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 0.59
Organized family group (Indicates if the facility has an organized group of family members of residents): Yes
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): 2.86
Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 1.26
Othr social serv staff-Full time (Number of full-time staff hours provided by other socia l services staff): 1.14
Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.11
Phys ther asst - Contract (Number of contract staff hours for physical therapy ass istants): 0.99
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): 0.89
Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 1.43
Social worker - Contract (The number of full-time equivalent social workers under contract to a facility): 0.06
Speech pathologist - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 0.04
Ther rec spec - Part time (Number of part-time staff hours provided by therapeutic recreation specialist): 0.11
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): Sep 1992