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