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