MISSION SKILLED AND SUBACUTE - SANTA CLARA, CA
United States hospital / nursing home:
MISSION SKILLED AND SUBACUTE - SANTA CLARA, CA
MISSION SKILLED AND SUBACUTE
410 NORTH WINCHESTER BLVD.
SANTA CLARA, CA 95050
RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DUALLY CERTIFIED)
Services provided by MISSION SKILLED AND SUBACUTE:
- Clinical laboratory services are provided offsite 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
- Field 1 - Indicates services provided by social service s staff onsite to residents
- Pharmacy services are provided offsite to residents
- Pharmacy services are provided onsite to 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 offsite to residents
Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 134
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 134
Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 9.66
Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 9.46
Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 4
Current fms survey date (Current fms survey date): Jan 1998
Prior change of ownership (The date of a prior change of ownership): Mar 1996
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
Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 12.71
Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 0.43
Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 134
Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 55.89
Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 2.71
Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.57
Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 12.10
Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 1.74
Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 12.71
Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 1.16
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): 0.06
Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): COVENANT CARE INC.
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): 4.29
Occup therapy asst - Contract (The number of full time equivalent occupational therapy assistants under contrcat to a facility): 1.14
Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 1.14
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): 3.37
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): 0.57
Other activities staff-Full time (Number of full-time staff hours for other activities): 4.13
Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 0.91
Othr social serv staff-Full time (Number of full-time staff hours provided by other socia l services staff): 1.41
Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.06
Phys ther asst - Contract (Number of contract staff hours for physical therapy ass istants): 1.14
Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 1.14
Registered nurse - Contract (The number of full-time equivalent registered nurses under contract to a facility): 6.43
Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 1.86
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): 1.26
Social worker - Full time (The number of full-time equivalent social workers employed by a facility on a full time basis): 1.37
Speech pathologist - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 0.57
Ther rec spec - Full time (Number of full-time staff hours provided by therapeutic recreation specialist): 1.14
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): Jun 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): Oct 1969