LASSEN COMM HOSP INC. D P SNF - SUSANVILLE, CA
United States hospital / nursing home:
LASSEN COMM HOSP INC. D P SNF - SUSANVILLE, CA
LASSEN COMM HOSP INC. D P SNF
560 HOSPITAL LANE
SUSANVILLE, CA 96130
RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DUALLY CERTIFIED)
Services provided by LASSEN COMM HOSP INC. D P SNF:
- Activities services are provided onsite to residents
- Administration and storage of blood 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 residents
- Field 1 - Indicates other activity services provided by 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 residents
- Physician services are provided onsite to residents
- Podiatry 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): 59
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 31
Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 12.34
Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 1.14
Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 6
Current fms survey date (Current fms survey date): Oct 1999
Prior change of ownership (The date of a prior change of ownership): Jan 1999
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
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): 050251
Activity professional - Full time (The number of full-time equivalent activities professionals employed full time by a facility): 1.07
Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 31
Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 2.40
Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 0.86
Dentists - Full time (The number of full-time equivalent dentists employed by a facility on a full time basis): 0.14
Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.09
Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 3.71
Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 1.80
Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 0.34
Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 0.80
Medical director - Full time (The number of full-time equivalent medical directors employed by a facility on a full time basis): 1.14
Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): BANNER HEALTH SYSTEM
Multi-Facility organization owned (Indicates if a facility is owned by an organization that owns (or leases) two or more nursing facilities): Yes
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): 10
Occupational therapist - Full time (The number of full-time equivalent occupational therapists employed by a facility on a full time basis): 0.71
Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 0.51
Pharmacists - Full time (The number of full-time equivalent pharmacists employed by a facility on a full time basis): 0.57
Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 0.57
Podiatrists - Contract (The number of full time equivalent podiatrists under contract to a facility): 0.03
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): 0.23
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): 0.86
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): Jul 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): Jan 1967