SOUTH SHORE CONV HOSP - ALAMEDA, CA

United States hospital / nursing home:
SOUTH SHORE CONV HOSP - ALAMEDA, CA

SOUTH SHORE CONV HOSP
625 WILLOW ST.
ALAMEDA, CA 94501


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

Services provided by SOUTH SHORE CONV HOSP:

  • Activities services are provided onsite to residents
  • Clinical laboratory services are provided onsite to residents
  • Dental services are provided onsite 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
  • 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
  • Physical therapy services are provided onsite to residents
  • Physician services are provided onsite 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 onsite to residents

Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 26

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 26

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): 0.23

Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 1

Prior change of ownership (The date of a prior change of ownership): May 1987

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

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): 1.14

Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 0.29

Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 26

Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 8

Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 0.46

Dentists - Contract (The number of full-time equivalent dentists under contract to a facility): 0.06

Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 1.14

Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 0.46

Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 0.46

Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.06

Mental health services - Contract (The number of full-time equivalent mental health services personnel under contract to a facility): 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 - 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 - Part time (The number of full-time equivalent persons not included in any other categories employed by the facility on a part-time basis): 0.46

Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 0.46

Othr social serv staff-Part time (Number of part-time staff hours provided by other socia l services staff): 0.06

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

Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 0.43

Physical therapy aide - Part time (The number of full-time equivalent physical therapy aide employed by a facility on a part time basis): 0.74

Podiatrists - Contract (The number of full time equivalent podiatrists under contract to a facility): 0.06

Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 0.46

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

Rn director of nursing - Part time (The number of full-time equivalent rn director of nursing employed by a facility on a part time basis): 0.46

Social worker - Contract (The number of full-time equivalent social workers under contract to a facility): 0.06

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): Jul 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): May 1989