LIFE CARE CENTER OF VALPARAISO - VALPARAISO, IN
United States hospital / nursing home:
LIFE CARE CENTER OF VALPARAISO - VALPARAISO, IN
LIFE CARE CENTER OF VALPARAISO
3405 N CAMPBELL RD
VALPARAISO, IN 46385
RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DISTINCT PART)
Services provided by LIFE CARE CENTER OF VALPARAISO:
- 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
- Mental health 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
- Physical therapy services are provided onsite to non residents
- Physical therapy services are provided onsite to residents
- Physician services are provided offsite 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 residents
- Therapeutic recreation specialist 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): 110
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 100
Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 70
Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 12.57
Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 5
Current fms survey date (Current fms survey date): Jun 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
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): 8.57
Beds - Medicare snf (Number of Medicare certified snf beds in a facility): 14
Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 16
Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 25.14
Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 2.57
Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.23
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): 6.86
Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 3.29
Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 5.71
Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 5.14
Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 2.14
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): 6.86
Medication aides/techs-Part time (The number of full-time equivalent medication aides/ technicians employed bya facility on a part time basis): 0.69
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 aide - Part time (The number of full-time equivalent occupational therapy aides employed by a facility on a part time basis): 0.57
Occup therapy asst - Part time (The number of full-time equivalent occupational therapy assistants employed by a facility on a part time basis): 0.14
Occupational therapist - Full time (The number of full-time equivalent occupational therapists employed by a facility on a full time basis): 1.14
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 physician - Contract (The number of full-time equivalent other physicians under contract to a facility): 0.86
Othr social serv staff-Full time (Number of full-time staff hours provided by other socia l services staff): 0.57
Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.11
Physical therapists - Full time (The number of full time equivalent physical therapists employed by a facility on a full time basis): 2.29
Physical therapy aide - Full time (The number of full-time equivalent physical therapy aide employed by a facility on a full time basis): 1.14
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
Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 1.20
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
Social worker - Part time (The number of full-time equivalent social workers employed by a facility on a part time basis): 0.57
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): Oct 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): Mar 1989