PLEASANT CARE CONVALESCENT-PETALUMA - PETALUMA, CA

United States hospital / nursing home:
PLEASANT CARE CONVALESCENT-PETALUMA - PETALUMA, CA

PLEASANT CARE CONVALESCENT-PETALUMA
523 HAYES LANE
PETALUMA, CA 94952


RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DISTINCT PART)

Services provided by PLEASANT CARE CONVALESCENT-PETALUMA:

  • Activities 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
  • 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
  • Field 1 - Indicates services provided by social service s 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 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 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): 90

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 90

Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 77

Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 6

Prior change of ownership (The date of a prior change of ownership): Jun 1993

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

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

Activity professional - Contract (The number of full time equivalent activities professionals under contract to a facility): 1.14

Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 0.91

Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 13

Cert nurse aides - Contract (The number of full-time equivalent certified nurse aides under contract to a facility): 21.27

Dentists - Contract (The number of full-time equivalent dentists under contract to a facility): 0.06

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

Food service - Contract (The number of full-time equivalent food service personnel under contract to a facility): 9.76

Housekeeping - Contract (The number of full-time equivalent housekeeping personnel under contract to a facility): 6.17

Lpn/lvn - Contract (The number of full-time equivalent licensed practical/ vocational nurses under contract to a facility): 3.09

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): 0.17

Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): PLEASANT CARE CORP

Multi-Facility organization owned (Indicates if a facility is owned by an organization that owns (or leases) two or more nursing facilities): Yes

Nurse aides in trng - Contract (Number of full time equivalent nurse aides in training under contract to a facility): 6.80

Nurses with admin duties-Contract (The number of full-time equivalent nurses with administrative duties under contract to a facility): 1.14

Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 0.14

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 - Contract (The number of full-time equivalent persons not included in any other categories under contract to the facility): 5.60

Other activities staff-Contract (Number of contract staff hours for other activities): 1.94

Othr social serv staff-Contract (Number of contract staff hours provided by other social services staff): 2.29

Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.09

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

Podiatrists - Contract (The number of full time equivalent podiatrists under contract to a facility): 0.06

Registered nurse - Contract (The number of full-time equivalent registered nurses under contract to a facility): 6.51

Rn director of nursing - Contract (The number of full time equivalent rn director of nursi ng under contract to a facility): 1.14

Social worker - Contract (The number of full-time equivalent social workers under contract to a facility): 0.11

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

Ther rec spec - Contract (Number of contract staff hours provided by therapeutic recreation specialist): 0.06

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 1996

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): Sep 1968