POLK CITY MANOR - POLK CITY, IA

United States hospital / nursing home:
POLK CITY MANOR - POLK CITY, IA

POLK CITY MANOR
1002 NW 114TH STREET
POLK CITY, IA 50226


LONG TERM NURSING FACILITIES

Services provided by POLK CITY MANOR:

  • 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
  • Mental health services are provided onsite to residents
  • Nursing services are provided onsite to residents
  • Occupational therapy services are provided onsite to residents
  • Pharmacy services are provided onsite to residents
  • Physical therapy services are provided onsite to residents
  • Physician 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 onsite to residents
  • Vocational 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): 68

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 68

Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 68

Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 2.25

Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 3.75

Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 3

Prior change of ownership (The date of a prior change of ownership): Jan 1990

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

Activity professional - Full time (The number of full-time equivalent activities professionals employed full time by a facility): 1

Activity professional - Part time (The number of full-time equivalent activities professionals employed part time by a facility): 0.50

Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 1.25

Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 0.75

Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 17

Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 5.50

Dietitians - Full time (The number of full-time equivalent dietitians employed by a facility on a full time basis): 0.25

Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 6.50

Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 2.25

Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 3.50

Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.25

Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): NATIONAL HERITAGE INC

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

Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 0.25

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

Phys ther asst - Full time (Number of full-time staff hours for physical therapy as sistants): 0.63

Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 0.25

Physical therapy aide - Full time (The number of full-time equivalent physical therapy aide employed by a facility on a full time basis): 0.63

Podiatrists - Contract (The number of full time equivalent podiatrists under contract to a facility): 0.25

Social worker - Contract (The number of full-time equivalent social workers under contract to a facility): 0.25

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): Feb 1992

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): Mar 1976