PROVIDENCE SEASIDE EXTENDED CA - SEASIDE, OR
United States hospital / nursing home:
PROVIDENCE SEASIDE EXTENDED CA - SEASIDE, OR
PROVIDENCE SEASIDE EXTENDED CA
725 S WAHANNA RD
SEASIDE, OR 97138
RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DISTINCT PART)
Services provided by PROVIDENCE SEASIDE EXTENDED CA:
- Activities services are provided onsite to nonresidents
- Activities services are provided onsite to residents
- Administration and storage of blood 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 residents
- Housekeeping services are provided onsite 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
- 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): 22
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 22
Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 12
Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 1.14
Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 1.94
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): 381303
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): 0.51
Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 10
Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 6.09
Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 4.74
Dietitians - Part time (The number of full-time equivalent dietitians employed by a facility on a part time basis): 0.17
Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 1.94
Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 1.46
Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 1.03
Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 1.94
Medical director - Part time (The number of full-time equivalent medical directors employed by a facility on a part time basis): 0.09
Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): SISTERS OF PROVIDENCE HEALTH SYSTEM
Multi-Facility organization owned (Indicates if a facility is owned by an organization that owns (or leases) two or more nursing facilities): Yes
Nurse aides in trng-Part time (The number of full-time equivalent nurse aides in training employed by a facility on a part time basis): 2.17
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): 2.17
Occup therapy asst - Full time (The number of full-time equivalent occupational therapy assistants employed by a facility on a full time basis): 0.97
Occupational therapist - Full time (The number of full-time equivalent occupational therapists employed by a facility on a full time basis): 0.40
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): 1.23
Pharmacists - Full time (The number of full-time equivalent pharmacists employed by a facility on a full time basis): 0.36
Physical therapists - Full time (The number of full time equivalent physical therapists employed by a facility on a full time basis): 1
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): 2.17
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): 0.51
Social worker - Full time (The number of full-time equivalent social workers employed by a facility on a full time basis): 0.86
Speech pathologist - Part time (The number of full-time equivalent speech pathologists employed by a facility on a part time basis): 0.07
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
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): Jul 1996