PINE LAKE MANOR - CHANDLER, IN

United States hospital / nursing home:
PINE LAKE MANOR - CHANDLER, IN

PINE LAKE MANOR
6324 GARDNER RD
CHANDLER, IN 47610


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

Services provided by PINE LAKE MANOR:

  • Activities services are provided offsite to residents
  • Activities services are provided onsite to nonresidents
  • Activities services are provided onsite to residents
  • Clinical laboratory 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 non 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
  • Mental health services are provided onsite to non residents
  • Mental health services are provided onsite to residents
  • Nursing services are provided offsite to residents
  • Nursing services are provided onsite to non residents
  • Nursing services are provided onsite to residents
  • Occupational therapy services are provided offsite to residents
  • Occupational therapy services are provided onsite to non residents
  • Occupational therapy services are provided onsite to residents
  • Field 3 - Indicates other activity services provided by staff offsite to residents
  • Field 2 - Indicates other activity services provided by staff onsite to nonresidents
  • Field 1 - Indicates other activity services provided by staff onsite to residents
  • Field 3 - Indicates services provided by other social s ervices staff offsite to residents
  • Other social services are provided onsite to nonresidents
  • 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 offsite to residents
  • Physical therapy services are provided onsite to non 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 non residents
  • Podiatry services are provided onsite to residents
  • Social work services are provided onsite to residents
  • Speech/language pathology services are provided offsite to residents
  • Speech/language pathology services are provided onsite to non 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): 55

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 55

Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 6.23

Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 0.69

Current fms survey date (Current fms survey date): Nov 2000

Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE AND MEDICAID

Activity professional - Full time (The number of full-time equivalent activities professionals employed full time by a facility): 1.07

Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 3.19

Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 55

Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 9.97

Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 1.37

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

Dietitians - Full time (The number of full-time equivalent dietitians employed by a facility on a full time basis): 0.86

Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 6.01

Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 7.74

Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 0.71

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

Medication aides/techs-Full time (The number of full-time equivalent medication aides/ technicians employed by a facility on a full time basis): 3.74

Medication aides/techs-Part time (The number of full-time equivalent medication aides/ technicians employed bya facility on a part time basis): 0.69

Mental health services - Contract (The number of full-time equivalent mental health services personnel under contract to a facility): 0.11

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): 1.14

Occupational therapist - Part time (The number of full-time equivalent occupational therapists employed by a facility on a part time basis): 0.14

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): 1.07

Othr social serv staff-Contract (Number of contract staff hours provided by other social services staff): 0.11

Pharmacists - Part time (The number of full-time equivalent pharmacists employed by a facility on a part time basis): 0.11

Physical therapists - Part time (The number of full-time equivalent physical therapists employed by a facility on a part time basis): 0.16

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

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

Special care beds-Alzheimers (The number of beds in a unit identified and dedicated by the facility for residents with alzeheimers): 12

Speech pathologist - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 0.11

Compliance: status (Indicates if a provider or supplier is in compliance with program requirements): NOT 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 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): May 1993