SIOUX VALLEY CANBY CAMPUS - CANBY, MN
United States hospital / nursing home:
SIOUX VALLEY CANBY CAMPUS - CANBY, MN
SIOUX VALLEY CANBY CAMPUS
112 ST OLAF AVE S
CANBY, MN 56220
RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DUALLY CERTIFIED)
Services provided by SIOUX VALLEY CANBY CAMPUS:
- Activities services are provided onsite 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 non 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 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): 75
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 75
Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 6.86
Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 2.29
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): Jul 1987
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): 240077
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): 3.20
Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 75
Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 14.29
Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 15.71
Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.26
Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 5.71
Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 8.91
Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 2.29
Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 1.29
Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 1
Medication aides/techs-Full time (The number of full-time equivalent medication aides/ technicians employed by a facility on a full time basis): 2.43
Medication aides/techs-Part time (The number of full-time equivalent medication aides/ technicians employed bya facility on a part time basis): 3.29
Mental health services - Full time (The number of full-time equivalent mental health services personnel employed by a facility on a full time basis): 0.14
Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): SIOUX VALLEY REGIONAL HEALTH SERVICES
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): 2.29
Occupational therapist - Full time (The number of full-time equivalent occupational therapists employed by a facility on a full time basis): 0.14
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): 11.57
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): 4.29
Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 3
Other physician - Contract (The number of full-time equivalent other physicians under contract to a facility): 0.06
Othr social serv staff-Full time (Number of full-time staff hours provided by other socia l services staff): 1.14
Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.06
Physical therapists - Full time (The number of full time equivalent physical therapists employed by a facility on a full time basis): 0.14
Physician extender - Contract (The number of full-time equivalent physician extenders under contract to the facility): 0.06
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): 1.37
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
Special care beds-Alzheimers (The number of beds in a unit identified and dedicated by the facility for residents with alzeheimers): 16
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): Mar 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): Feb 1987