MOUNT VERNON COUNTRYSIDE MANOR - MOUNT VERNON, IL
United States hospital / nursing home:
MOUNT VERNON COUNTRYSIDE MANOR - MOUNT VERNON, IL
MOUNT VERNON COUNTRYSIDE MANOR
606 NEW FAIRFIELD ROAD
MOUNT VERNON, IL 62864
RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DISTINCT PART)
Services provided by MOUNT VERNON COUNTRYSIDE MANOR:
- Activities services are provided onsite to residents
- Administration and storage of blood services are provided offsite to residents
- Clinical laboratory services are provided onsite to residents
- Dental services are provided offsite 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 offsite 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 onsite to residents
- Physician extender 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 offsite 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): 101
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 101
Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 24
Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 10.29
Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 4.57
Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE AND MEDICAID
Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 3.43
Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 77
Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 27.14
Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 7.86
Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.23
Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 6
Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 2.71
Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 7.94
Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 1.29
Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 2.40
Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): KING MANAGEMENT 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): 3.43
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): 0.29
Organized family group (Indicates if the facility has an organized group of family members of residents): Yes
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): 3.20
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): 1.50
Other activities staff-Full time (Number of full-time staff hours for other activities): 2.29
Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 0.46
Othr social serv staff-Full time (Number of full-time staff hours provided by other socia l services staff): 2.29
Phys ther asst - Contract (Number of contract staff hours for physical therapy ass istants): 2.29
Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 0.11
Physical therapy aide - Full time (The number of full-time equivalent physical therapy aide employed by a facility on a full time basis): 2.29
Physical therapy aide - Part time (The number of full-time equivalent physical therapy aide employed by a facility on a part time basis): 1.06
Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 1.60
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
Speech pathologist - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 1.14
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
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): Jun 1990