PROVIDENCE RETIREMENT HOME - NEW ALBANY, IN
United States hospital / nursing home:
PROVIDENCE RETIREMENT HOME - NEW ALBANY, IN
PROVIDENCE RETIREMENT HOME
4915 CHARLESTOWN ROAD
NEW ALBANY, IN 47150
RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DISTINCT PART)
Services provided by PROVIDENCE RETIREMENT HOME:
- 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
- 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
- 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 offsite 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 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
- 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): 124
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 124
Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 20
Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 27.71
Current fms survey date (Current fms survey date): Oct 2002
Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE AND MEDICAID
Regional override #1 (number beds) (This field is set to "y" when the regional office has to ok a pending record in the special fields screen. this field only applies to categories in the odie data entry system): Yes
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): 9.14
Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 1.71
Beds - Medicare snf (Number of Medicare certified snf beds in a facility): 48
Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 56
Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 48.57
Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 3.43
Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.46
Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 14.86
Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 5.37
Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 19.43
Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 1.14
Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 2.86
Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.04
Medication aides/techs-Full time (The number of full-time equivalent medication aides/ technicians employed by a facility on a full time basis): 10.86
Medication aides/techs-Part time (The number of full-time equivalent medication aides/ technicians employed bya facility on a part time basis): 0.29
Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): CATHOLIC HEALTHCARE PARTNERS
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): 10.29
Occup therapy asst - Contract (The number of full time equivalent occupational therapy assistants under contrcat to a facility): 0.86
Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 0.57
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): 1.14
Other activities staff-Full time (Number of full-time staff hours for other activities): 2.29
Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 1.71
Othr social serv staff-Full time (Number of full-time staff hours provided by other socia l services staff): 1.14
Othr social serv staff-Part time (Number of part-time staff hours provided by other socia l services staff): 0.86
Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.03
Phys ther asst - Contract (Number of contract staff hours for physical therapy ass istants): 0.91
Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 0.91
Physical therapy aide - Contract (The number of full-time equivalent physical therapy aide under contract to a facility): 0.57
Physician extender - Contract (The number of full-time equivalent physician extenders under contract to the facility): 0.40
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): 2.29
Social worker - Part time (The number of full-time equivalent social workers employed by a facility on a part time basis): 0.86
Special care beds-Alzheimers (The number of beds in a unit identified and dedicated by the facility for residents with alzeheimers): 20
Speech pathologist - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 0.09
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): Nov 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): Nov 1999