PROVENA ST ANNE CENTER - ROCKFORD, IL
United States hospital / nursing home:
PROVENA ST ANNE CENTER - ROCKFORD, IL
PROVENA ST ANNE CENTER
4405 HIGHCREST RD
ROCKFORD, IL 61107
RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DISTINCT PART)
Services provided by PROVENA ST ANNE CENTER:
- Activities services are provided onsite to residents
- Administration and storage of blood services are provided offsite 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 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 onsite to residents
- Physician extender 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 non 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
- Vocational 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): 179
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 179
Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 120
Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 14.33
Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 6.06
Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 2
Prior change of ownership (The date of a prior change of ownership): Jun 1996
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): 0.06
Activity professional - Full time (The number of full-time equivalent activities professionals employed full time by a facility): 1.14
Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 7.97
Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 2.99
Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 59
Cert nurse aides - Contract (The number of full-time equivalent certified nurse aides under contract to a facility): 5.43
Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 34.43
Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 18.66
Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.17
Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 7.67
Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 9.81
Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 9.14
Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 2.99
Lpn/lvn - Contract (The number of full-time equivalent licensed practical/ vocational nurses under contract to a facility): 0.46
Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 5.64
Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): PROVENA HEALTH
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): 8.23
Occup therapy asst - Contract (The number of full time equivalent occupational therapy assistants under contrcat to a facility): 1.23
Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 0.97
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): 6.41
Other - Part time (The number of full-time equivalent persons not included in any other categories employed by the facility on a part-time basis): 0.57
Other activities staff-Full time (Number of full-time staff hours for other activities): 2.31
Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 1.20
Othr social serv staff-Full time (Number of full-time staff hours provided by other socia l services staff): 2.30
Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.26
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): 0.61
Physical therapy aide - Contract (The number of full-time equivalent physical therapy aide under contract to a facility): 0.80
Registered nurse - Contract (The number of full-time equivalent registered nurses under contract to a facility): 0.11
Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 3.51
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): 0.09
Social worker - Full time (The number of full-time equivalent social workers employed by a facility on a full time basis): 1.14
Speech pathologist - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 0.11
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): 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): Oct 1986