PROVIDENCE KODIAK MED LTC - KODIAK, AK

United States hospital / nursing home:
PROVIDENCE KODIAK MED LTC - KODIAK, AK

PROVIDENCE KODIAK MED LTC
1915 E. REZANOF DRIVE
KODIAK, AK 99615


RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DUALLY CERTIFIED)

Services provided by PROVIDENCE KODIAK MED LTC:

  • Activities services are provided onsite to nonresidents
  • Activities services are provided onsite 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 non 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 2 - Indicates other activity services provided by staff onsite to nonresidents
  • Field 1 - Indicates other activity services provided by staff onsite to residents
  • Other social services are provided onsite to nonresidents
  • Field 1 - Indicates services provided by social service s staff onsite to residents
  • Pharmacy services are provided onsite to non 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 offsite to residents
  • Social work services are provided onsite to non residents
  • Social work services are provided onsite to residents
  • Speech/language pathology 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): 44

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 19

Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 1.11

Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 2.36

Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 2

Current fms survey date (Current fms survey date): Jun 2000

Prior change of ownership (The date of a prior change of ownership): Apr 1997

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

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): 020013

Activity professional - Part time (The number of full-time equivalent activities professionals employed part time by a facility): 0.73

Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 19

Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 4.49

Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 6.01

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

Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 0.50

Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 1.90

Mental health services - Contract (The number of full-time equivalent mental health services personnel under contract to a facility): 0.11

Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): SISTERS OF PROVIDENCE IN WASHINGTON

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 - Part time (The number of full-time equivalent occupational therapists employed by a facility on a part time basis): 0.06

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 activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 0.69

Othr social serv staff-Contract (Number of contract staff hours provided by other social services staff): 0.11

Pharmacists - Part time (The number of full-time equivalent pharmacists employed by a facility on a part time basis): 0.11

Physical therapists - Part time (The number of full-time equivalent physical therapists employed by a facility on a part time basis): 0.11

Provider based facility (Indicates if a long term care facility is provider based): Yes

Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 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 - 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): 0.06

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): May 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): Sep 1994