LITTLE CO OF MARY PAVILION - SAN PEDRO, CA
United States hospital / nursing home:
LITTLE CO OF MARY PAVILION - SAN PEDRO, CA
LITTLE CO OF MARY PAVILION
1322 WEST SIXTH STREET
SAN PEDRO, CA 90732
RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DISTINCT PART)
Services provided by LITTLE CO OF MARY PAVILION:
- 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
- Mental health 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
- 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 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): 128
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 128
Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 69
Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 15.03
Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 9.70
Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 4
Prior change of ownership (The date of a prior change of ownership): Apr 1982
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): 050353
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): 3.43
Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 1.69
Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 59
Cert nurse aides - Contract (The number of full-time equivalent certified nurse aides under contract to a facility): 2.63
Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 39.13
Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 4.19
Dentists - Contract (The number of full-time equivalent dentists under contract to a facility): 0.03
Dietitians - Part time (The number of full-time equivalent dietitians employed by a facility on a part time basis): 0.67
Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 0.67
Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 3.99
Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 2.41
Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 1.87
Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.21
Medication aides/techs-Full time (The number of full-time equivalent medication aides/ technicians employed by a facility on a full time basis): 2.31
Medication aides/techs-Part time (The number of full-time equivalent medication aides/ technicians employed bya facility on a part time basis): 0.47
Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): PROVIDENCE HEALTH SYSTEMS
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): 2.29
Nurses with admin duties-Part time (Number of full-time equivalent nurses with administrative duties employed by a facility on a part time basis): 1.14
Occup therapy asst - Part time (The number of full-time equivalent occupational therapy assistants employed by a facility on a part time basis): 1.37
Occupational therapist - Full time (The number of full-time equivalent occupational therapists employed by a facility on a full time basis): 1.14
Occupational therapist - Part time (The number of full-time equivalent occupational therapists employed by a facility on a part time basis): 1.20
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): 8.10
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): 3.11
Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 1.19
Phys ther asst - Full time (Number of full-time staff hours for physical therapy as sistants): 2.24
Phys ther asst - Part time (Number of part-time staff hours for physical therapy as sistants): 0.26
Physical therapists - Full time (The number of full time equivalent physical therapists employed by a facility on a full time basis): 3.67
Physical therapists - Part time (The number of full-time equivalent physical therapists employed by a facility on a part time basis): 1.31
Physical therapy aide - Full time (The number of full-time equivalent physical therapy aide employed by a facility on a full time basis): 1.10
Podiatrists - Contract (The number of full time equivalent podiatrists under contract to a facility): 0.01
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): 10.57
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 - Part time (The number of full-time equivalent social workers employed by a facility on a part time basis): 1.14
Speech pathologist - Part time (The number of full-time equivalent speech pathologists employed by a facility on a part time basis): 0.81
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): Nov 1971