PEMBERTON MANOR INC - GREENWOOD, MS

United States hospital / nursing home:
PEMBERTON MANOR INC - GREENWOOD, MS

PEMBERTON MANOR INC
1600 WEST CLAIBORNE EXTENSION
GREENWOOD, MS 38935


RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DUALLY CERTIFIED)

Services provided by PEMBERTON MANOR INC:

  • Activities services are provided onsite to residents
  • Clinical laboratory services are provided offsite to residents
  • Dental services are provided offsite to residents
  • Dietary services are provided onsite to non residents
  • Dietary services are provided onsite to residents
  • Housekeeping services are provided onsite to residents
  • Mental health services are provided offsite to residents
  • Mental health 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
  • 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 offsite 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

Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 120

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 120

Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 20.57

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

Regional override #1 (number beds) (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

Activity professional - Full time (The number of full-time equivalent activities professionals employed full time by a facility): 1.14

Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 1.14

Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 120

Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 46.43

Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 0.71

Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.11

Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 13

Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 0.57

Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 12.54

Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 0.57

Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.11

Mental health services - Contract (The number of full-time equivalent mental health services personnel under contract to a facility): 0.14

Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): FOUNDATION HEALTHCARE, 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): 2.29

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): 0.57

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): 5.14

Other activities staff-Full time (Number of full-time staff hours for other activities): 1.14

Other physician - Contract (The number of full-time equivalent other physicians under contract to a facility): 0.11

Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.11

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): 0.29

Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 0.23

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 - Full time (The number of full-time equivalent social workers 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

Current survey date (The date of the health or life safety code survey, whichever is later. the "official" survey date for the provider): Mar 2002

Eligibility code (Indicates if a facility is eligible to participate in the Medicare and/or Medicaid programs): ELIGIBLE TO PARTICIPATE