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