KEEFE MEMORIAL HOSPITAL - CHEYENNE WELLS, CO

United States hospital / nursing home:
KEEFE MEMORIAL HOSPITAL - CHEYENNE WELLS, CO

KEEFE MEMORIAL HOSPITAL
602 N 6TH W ST PO BOX 578
CHEYENNE WELLS, CO 80810

SHORT TERM HOSPITALS

Services provided by KEEFE MEMORIAL HOSPITAL:

Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 32

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 32

Physicians (The number of full-time equivalent physicians employed by a provider): 2

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): Jan 1988

Clia - Hosp lab id #1 (Number assigned to a hospital laboratory licensed in accordance with the clinical laboratory improvement act (clia)): 06D0516925

Current survey ever accredited (Indicates if this provider was an accredited hospital anytime during the current survey): No

Current survey ever non-Accred (Indicates if this provider was a non-Accredited hospital anytine during the current survey): Yes

Current survey ever swingbed (Indicates if this provider was a swingbed hospital anytime during the current survey): Yes

Licensed pract/vocat nurses (Number of full-time equivalent licensed practical or vocational nurses employed by a facility): 0.78

Medical school affiliation (The type of affiliation that a hospital may have with a medical school): NO AFFILIATION

Other personnel (The number of full-time equivalent other salaried personnel employed by a facility): 28.01

Participating code (y,n) (This code indicates whether a provider is participating in the Medicaid or Medicare program): Yes

Physical therapists (The number of full-time equivalent physical therapists employed by a provider): 1

Physician assistants (The number of full-time equivalent physician assistants employed by a hospital or rural health clinic): 1

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

Regional override #2 (staffing) (This field is set to "y" when the regional office has to ok a pending record in the special fields screen. this field only applies to categories in the odie data entry system): Yes

Registered nurses (The number of full-time equivalent registered professional nurses employed by a provider): 5.18

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): 060043

Resident program approved by ada (Indicates if the resident program at a hospital is approved by the american dental association): No

Resident program approved by ama (Indicates if the resident program at a hospital is approved by the american medical association): No

Resident program approved by aoa (Indicates if the resident program at a hospital is approved by the american osteopathic association): No

Resident program approved by other (Indicates if the resident program at a hospital is approved by other professional organizations): Yes

Srv: blood bank (Indiciates how blood bank services are provided by a hospital): 1

Srv: dietary (Indicates how dietary services are provided): PROVIDED UNDER ARRANGEMENT

Srv: emergency services(organized) (Indicates how organized emergency services are provided by a hospital): PROVIDED BY STAFF

Srv: home care unit (Indicates how home care services are provided by a hospital): PROVIDED BY STAFF

Srv: laboratory (anatomical) (Indicates how anatomical laboratory services are provided in a hospital): PROVIDED UNDER ARRANGEMENT

Srv: laboratory (clinical) (Indicates how clinical laboratory services are provided in a hospital): PROVIDED BY STAFF

Srv: long term care unit (Indicates how long term care unit services are provided in a hospital): PROVIDED BY STAFF

Srv: nuclear medicine (Indicates how nuclear medicine services are provided by a hospital): PROVIDED UNDER ARRANGEMENT

Srv: outpatient (Indicates how outpatient services are provided by a hospital): PROVIDED BY STAFF

Srv: outpatient surgery unit (Indicates how outpatient surgery unit services are provided by a hospital): PROVIDED BY STAFF

Srv: pharmacy (Indicates how pharmacy services are provided): PROVIDED UNDER ARRANGEMENT

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

Srv: radiology (diagnostic) (Indicates how diagnostic radiology services are provided by a hospital): PROVIDED BY STAFF AND UNDER ARRANGEMENT

Srv: radiology (therapeutic) (Indicates how therapeutic radiology services are provided by a hospital): 2

Srv: social (Indicates how social services are provided): PROVIDED UNDER ARRANGEMENT

Swing bed indicator (Indicates if a hospital provides swing bed services - Beds can be used for either hospital or long term care services): Yes

Swing bed size code (Indicates the size of a hospital providing swing bed services): 49 OR FEWER BEDS

Type of facility (Indicates the category which represents the type of facility): SHORT - TERM

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): Sep 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): Jul 1966

Quality Measure Score