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