PROVENA COVENANT MEDICAL CENTER - URBANA, IL
United States hospital / nursing home:
PROVENA COVENANT MEDICAL CENTER - URBANA, IL
PROVENA COVENANT MEDICAL CENTER
1400 WEST PARK AVENUE
URBANA, IL 61801
SHORT TERM SKILLED NURSING FACILITIES
Services provided by PROVENA COVENANT MEDICAL CENTER:
- 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
- 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 onsite 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 onsite to residents
Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 12
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 12
Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 2.57
Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 4
Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 1
Change of ownership date (Effective date of a change of ownership): Nov 1997
Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE ONLY
Related provider number (This field is used when a provider's facility contains more than one distinct provider,such as a hospital with distinct part long term care. the number in this field will be the provider nmbr of the highest level of care): 140113
Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 0.21
Beds - Medicare snf (Number of Medicare certified snf beds in a facility): 12
Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 3.04
Dietitians - Full time (The number of full-time equivalent dietitians employed by a facility on a full time basis): 0.43
Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 0.20
Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 0.14
Medical director - Full time (The number of full-time equivalent medical directors employed by a facility on a full time basis): 0.21
Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): PROVENA HOSPITALS
Multi-Facility organization owned (Indicates if a facility is owned by an organization that owns (or leases) two or more nursing facilities): Yes
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): 1.03
Occup therapy asst - Full time (The number of full-time equivalent occupational therapy assistants employed by a facility on a full time basis): 1.67
Occupational therapist - Full time (The number of full-time equivalent occupational therapists employed by a facility on a full time basis): 2.89
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): 1.30
Phys ther asst - Full time (Number of full-time staff hours for physical therapy as sistants): 3.40
Physical therapists - Full time (The number of full time equivalent physical therapists employed by a facility on a full time basis): 3.39
Provider based facility (Indicates if a long term care facility is provider based): Yes
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): 0.34
Social worker - Full time (The number of full-time equivalent social workers employed by a facility on a full time basis): 0.57
Speech pathologist - Full time (The number of full-time equivalent sppech pathologists employed by a facility on a full time basis): 2.29
Ther rec spec - Part time (Number of part-time staff hours provided by therapeutic recreation specialist): 0.46
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 2000
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): Jun 1997