HERITAGE PARK - FORT WAYNE, IN

United States hospital / nursing home:
HERITAGE PARK - FORT WAYNE, IN

HERITAGE PARK
2001 HOBSON ROAD
FORT WAYNE, IN 46805


RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DISTINCT PART)

Services provided by HERITAGE PARK:

  • 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
  • Nursing services are provided onsite to residents
  • Occupational therapy services are provided onsite to non 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 non residents
  • Physical therapy services are provided onsite to residents
  • Physician services are provided onsite 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 non 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): 147

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 147

Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 109

Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 23.91

Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 1.93

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

Current fms survey date (Current fms survey date): Jun 1997

Prior change of ownership (The date of a prior change of ownership): Apr 1997

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

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): 6.86

Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 38

Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 34.79

Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 8.23

Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.20

Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 9.66

Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 6.17

Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 9.23

Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 2.23

Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 0.51

Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.23

Medication aides/techs-Full time (The number of full-time equivalent medication aides/ technicians employed by a facility on a full time basis): 1.09

Medication aides/techs-Part time (The number of full-time equivalent medication aides/ technicians employed bya facility on a part time basis): 0.10

Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): EAGLECARE INC

Multi-Facility organization owned (Indicates if a facility is owned by an organization that owns (or leases) two or more nursing facilities): Yes

Nurse aides in trng-Full time (The number of full-time equivalent nurse aides in training employed by a facility on a full time basis): 1.89

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): 4.57

Occup therapy asst - Full time (The number of full-time equivalent occupational therapy assistants employed by a facility on a full time basis): 2.43

Occupational therapist - Full time (The number of full-time equivalent occupational therapists employed by a facility on a full time basis): 2.23

Occupational therapist - Part time (The number of full-time equivalent occupational therapists employed by a facility on a part time basis): 0.20

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 - Full time (The number of full-time equivalent persons not included in any other categories employed by the facility on a full-time basis): 11.51

Other - Part time (The number of full-time equivalent persons not included in any other categories employed by the facility on a part-time basis): 2.03

Other activities staff-Full time (Number of full-time staff hours for other activities): 2.91

Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 0.37

Othr social serv staff-Full time (Number of full-time staff hours provided by other socia l services staff): 1.14

Phys ther asst - Full time (Number of full-time staff hours for physical therapy as sistants): 3.26

Physical therapists - Full time (The number of full time equivalent physical therapists employed by a facility on a full time basis): 1.14

Physician extender - Contract (The number of full-time equivalent physician extenders under contract to the facility): 0.60

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 - Full time (The number of full-time equivalent social workers employed by a facility on a full time basis): 1.14

Special care beds-Alzheimers (The number of beds in a unit identified and dedicated by the facility for residents with alzeheimers): 41

Speech pathologist - Part time (The number of full-time equivalent speech pathologists employed by a facility on a part time basis): 0.59

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): Apr 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): Jun 1969