PRAIRIE VILLAGE HEALTHCARE CTR - JACKSONVILLE, IL

United States hospital / nursing home:
PRAIRIE VILLAGE HEALTHCARE CTR - JACKSONVILLE, IL

PRAIRIE VILLAGE HEALTHCARE CTR
1024 WEST WALNUT
JACKSONVILLE, IL 62650


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

Services provided by PRAIRIE VILLAGE HEALTHCARE CTR:

  • 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 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 3 - Indicates other activity services provided by staff offsite to residents
  • 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
  • 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 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
  • Therapeutic recreation specialist 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): 126

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 126

Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 102

Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 5.90

Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 3.66

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): May 1997

Compliance: life safety code (Indicates if a waiver of the life safety code has been recommended for a provider): WAIVER RECOMMENDED

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

Activity professional - Contract (The number of full time equivalent activities professionals under contract to a facility): 0.11

Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 4.46

Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 24

Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 17.89

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): 7.20

Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 6.91

Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 0.90

Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.06

Mental health services - Contract (The number of full-time equivalent mental health services personnel under contract to a facility): 0.06

Nurse aides in trng-Full time (The number of full-time equivalent nurse aides in training employed by a facility on a full time basis): 0.57

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

Occup therapy asst - Full time (The number of full-time equivalent occupational therapy assistants employed by a facility on a full time basis): 1.14

Occupational therapist - Full time (The number of full-time equivalent occupational therapists 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 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 - Full time (The number of full-time equivalent persons not included in any other categories employed by the facility on a full-time basis): 4.93

Other activities staff-Full time (Number of full-time staff hours for other activities): 2.71

Othr social serv staff-Full time (Number of full-time staff hours provided by other socia l services staff): 1.20

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

Physical therapists - Full time (The number of full time equivalent physical therapists employed by a facility on a full time basis): 0.97

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

Physical therapy aide - Full time (The number of full-time equivalent physical therapy aide employed by a facility on a full time basis): 1.96

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

Speech pathologist - Part time (The number of full-time equivalent speech pathologists employed by a facility on a part time basis): 0.06

Ther rec spec - Contract (Number of contract staff hours provided by therapeutic recreation specialist): 0.11

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

Participation date (The date a facility is first approved to provide Medicare and/or Medicaid services): Jul 1975