MID AMERICA CONVALESCENT CENTER INC - CHICAGO, IL

United States hospital / nursing home:
MID AMERICA CONVALESCENT CENTER INC - CHICAGO, IL

MID AMERICA CONVALESCENT CENTER INC
4920 N KENMORE
CHICAGO, IL 60640


RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DISTINCT PART)

Services provided by MID AMERICA CONVALESCENT CENTER INC:

  • Activities services are provided offsite to residents
  • Administration and storage of blood services are provided offsite to residents
  • Clinical laboratory services are provided offsite to residents
  • Dental services are provided offsite to residents
  • Dietary services are provided onsite to residents
  • Housekeeping services are provided onsite to residents
  • Mental health services are provided offsite to residents
  • Nursing services are provided onsite to residents
  • Occupational therapy services are provided offsite to residents
  • Pharmacy services are provided offsite to residents
  • Physical therapy services are provided offsite to residents
  • Physician services are provided onsite to residents
  • Podiatry services are provided offsite to residents
  • Social work services are provided offsite to residents
  • Speech/language pathology services are provided offsite to residents
  • Vocational services are provided offsite to residents
  • Diagnostic xray services are provided offsite to residents

Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 310

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 310

Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 248

Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 1.05

Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 4.50

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

Activity professional - Contract (The number of full time equivalent activities professionals under contract to a facility): 0.25

Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 3.50

Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 62

Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 5.45

Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 14

Dentists - Contract (The number of full-time equivalent dentists under contract to a facility): 0.25

Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.25

Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 27

Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 8

Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 23

Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 7

Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.50

Mental health services - Full time (The number of full-time equivalent mental health services personnel employed by a facility on a full time basis): 6

Mental health services - Part time (The number of full time equivalent mental health services personnel employed by a facility on a part time basis): 0.25

Occup therapy aide - Full time (The number of full-time equivalent occupational therapy aides employed by a facility on a full time basis): 5

Occup therapy aide - Part time (The number of full-time equivalent occupational therapy aides employed by a facility on a part time basis): 1.50

Occup therapy asst - Full time (The number of full-time equivalent occupational therapy assistants employed by a facility on a full time basis): 5

Occup therapy asst - Part time (The number of full-time equivalent occupational therapy assistants employed by a facility on a part time basis): 1.50

Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 0.25

Organized resident group (Indicates if the facility has an organized residents group): Yes

Other physician - Contract (The number of full-time equivalent other physicians under contract to a facility): 0.25

Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.25

Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 0.25

Podiatrists - Contract (The number of full time equivalent podiatrists under contract to a facility): 0.25

Registered nurse - Contract (The number of full-time equivalent registered nurses under contract to a facility): 7.25

Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 1

Social worker - Contract (The number of full-time equivalent social workers under contract to a facility): 0.25

Social worker - Full time (The number of full-time equivalent social workers employed by a facility on a full time basis): 1

Speech pathologist - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 0.25

Compliance: status (Indicates if a provider or supplier is in compliance with program requirements): NOT 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): Feb 1991

Eligibility code (Indicates if a facility is eligible to participate in the Medicare and/or Medicaid programs): NOT ELIGIBLE TO PARTICIPATE

Participation date (The date a facility is first approved to provide Medicare and/or Medicaid services): Apr 1989