NORTHWEST SUBURBAN COMMUNITY HOSPITAL - BELVIDERE, IL
United States hospital / nursing home:
NORTHWEST SUBURBAN COMMUNITY HOSPITAL - BELVIDERE, IL
NORTHWEST SUBURBAN COMMUNITY HOSPITAL
1625 S STATE ST
BELVIDERE, IL 61008
SHORT TERM SKILLED NURSING FACILITIES
Services provided by NORTHWEST SUBURBAN COMMUNITY HOSPITAL:
- 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
- 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
- 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
- Therapeutic recreation specialist 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): 30
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 30
Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 1.14
Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 5.71
Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 2
Prior change of ownership (The date of a prior change of ownership): Oct 1997
Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE ONLY
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
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): 140205
Activity professional - Contract (The number of full time equivalent activities professionals under contract to a facility): 0.03
Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 2.29
Beds - Medicare snf (Number of Medicare certified snf beds in a facility): 30
Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 3.43
Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 0.91
Dentists - Contract (The number of full-time equivalent dentists under contract to a facility): 0.01
Dietitians - Full time (The number of full-time equivalent dietitians employed by a facility on a full time basis): 1.14
Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 1.14
Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 0.91
Housekeeping - Contract (The number of full-time equivalent housekeeping personnel under contract to a facility): 0.07
Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 1.14
Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 0.29
Medical director - Full time (The number of full-time equivalent medical directors employed by a facility on a full time basis): 0.03
Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 0.86
Organized resident group (Indicates if the facility has an organized residents group): Yes
Other activities staff-Full time (Number of full-time staff hours for other activities): 1.14
Other physician - Full time (The number of full-time equivalent other physicians employed by a facility on a full time basis): 0.04
Othr social serv staff-Full time (Number of full-time staff hours provided by other socia l services staff): 1.14
Pharmacists - Full time (The number of full-time equivalent pharmacists employed by a facility on a full time basis): 1.14
Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 0.86
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): 2.06
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 - Contract (The number of full-time equivalent social workers under contract to a facility): 0.57
Speech pathologist - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 0.03
Ther rec spec - Contract (Number of contract staff hours provided by therapeutic recreation specialist): 0.03
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): Aug 1998
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 1991