ITASCA MEDICAL CENTER & C&NC - GRAND RAPIDS, MN
United States hospital / nursing home:
ITASCA MEDICAL CENTER & C&NC - GRAND RAPIDS, MN
ITASCA MEDICAL CENTER & C&NC
126 FIRST AVENUE SOUTHEAST
GRAND RAPIDS, MN 55744
RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DUALLY CERTIFIED)
Services provided by ITASCA MEDICAL CENTER & C&NC:
- Activities services are provided onsite to residents
- Administration and storage of blood services are provided offsite to residents
- Administration and storage of blood services are provided onsite to nonresidents
- Clinical laboratory services are provided onsite to non residents
- Clinical laboratory services are provided onsite to residents
- Dental services are provided offsite 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 offsite 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
- Pharmacy services are provided onsite to residents
- Physical therapy services are provided onsite to residents
- Physician services are provided onsite to residents
- Social work services are provided onsite to residents
- Speech/language pathology services are provided onsite to residents
- Therapeutic recreation specialist services are provided onsite to residents
- Diagnostic xray services are provided onsite to non 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): 35
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 35
Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 2.63
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): 240064
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): 4.57
Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 35
Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 5.83
Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 8.80
Dietitians - Full time (The number of full-time equivalent dietitians employed by a facility on a full time basis): 0.50
Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 2
Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 2
Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 1.14
Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 1.14
Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 9.03
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): 1.14
Occup therapy asst - Full time (The number of full-time equivalent occupational therapy assistants employed by a facility on a full time basis): 0.29
Occupational therapist - Full time (The number of full-time equivalent occupational therapists employed by a facility on a full time basis): 0.54
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): 1.14
Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 0.11
Pharmacists - Full time (The number of full-time equivalent pharmacists employed by a facility on a full time basis): 1.14
Phys ther asst - Full time (Number of full-time staff hours for physical therapy as sistants): 1.14
Physical therapists - Full time (The number of full time equivalent physical therapists employed by a facility on a full time basis): 1.14
Physical therapy aide - Full time (The number of full-time equivalent physical therapy aide employed by a facility on a full time basis): 2.29
Physical therapy aide - Part time (The number of full-time equivalent physical therapy aide employed by a facility on a part time basis): 0.57
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): 3.09
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
Speech pathologist - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 0.23
Ther rec spec - Full time (Number of full-time staff hours provided by therapeutic recreation specialist): 1.14
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): Aug 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): Aug 1970