PROVENA HOME CARE - WAUKEGAN, IL

United States hospital / nursing home:
PROVENA HOME CARE - WAUKEGAN, IL

PROVENA HOME CARE
2615 WASHINGTON STREET
WAUKEGAN, IL 60085

SHORT TERM HOME HEALTH AGENCIES

Services provided by PROVENA HOME CARE:

Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 5

Dieticians (Number of full-time equivalent dieticians employed by a facility): 0.25

Occupational therapists (The number of full time equivalent occupational therapists employed by a provider): 0.50

Other personnel (The number of full-time equivalent other salaried personnel employed by a facility): 3.25

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

Registered nurses (The number of full-time equivalent registered professional nurses employed by a provider): 8.25

Srv: occupational therapy (Indicates how occupational therapy services are provided): COMBINATION

Srv: physical therapy (Indicates how physical therapy services are provided): PROVIDED BY STAFF

Type of facility (Indicates the category which represents the type of facility): ALCOHOL AND/OR DRUG HOSPITAL

Speech pathologists, audiologists (The number of full-time equivalent speech pathologists or audiologists employed by a provider): 0.50

Aide training/competency programs (Indicates how the agency provides home health aide training and competency evaluation programs): AIDE TRAINING

Branch operation indicator (Indicates if the agency operates any branches): No

Change of ownership indicator (Indicates if a home health agency has undergone a change of ownership since the last survey): No

Hha qualified for opt (Indicates if a home health agency is qualified to provide outpatient physical therapy/speech services): No

Home health aides (Number of full-time equivalent home health aides employed by a home health agency or hospice): 3

Hospice indicator (Indicates if the home health agency also participates in the Medicare program as a hospice): No

Social workers (The number of full time equivalent social workers employed by the agency): 1

Srv: home health aide/homemaker (Indicates how home health aide services are provided by a home health agency): PROVIDED BY AGENCY STAFF

Srv: medical social (Indicates how medical social services are provided): PROVIDED BY STAFF

Srv: nursing (Indicates how nursing services are provided): PROVIDED BY STAFF

Srv: nutritional guidance (Indicates how nutritional guidance services are provided): PROVIDED BY STAFF

Srv: speech therapy (Indicates how speech therapy services are provided): 3

Subunit indicator (Indicates if the agency is a subunit of another agency): No

Subunit operation indicator (Indicates if the agency operates any subunits): No

Physical therapists on staff (The number of full-time equivalent physical therapists employed by an outpatient physical therapy provider or a home health agency provider): 3.60

Srv: laboratory (Indicates how laboratory services are provided): PROVIDED UNDER ARRANGEMENT

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): Jun 2001

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 1982