ST DOMINIC JACKSON MEM HO - JACKSON, MS
United States hospital / nursing home:
ST DOMINIC JACKSON MEM HO - JACKSON, MS
ST DOMINIC JACKSON MEM HO
969 LAKELAND DRIVE
JACKSON, MS 39216
SHORT TERM SKILLED NURSING FACILITIES
Services provided by ST DOMINIC JACKSON MEM HO:
- Activities services are provided onsite to residents
- Administration and storage of blood services are provided onsite to residents
- Clinical laboratory services are provided onsite to residents
- Dietary services are provided onsite to residents
- Housekeeping 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
- Social work services are provided onsite to residents
- Speech/language pathology services are provided onsite to residents
- Therapeutic recreation specialist 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): 21
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 21
Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 8
Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 11.43
Current fms survey date (Current fms survey date): Oct 1999
Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE ONLY
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): 250048
Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 1.14
Beds - Medicare snf (Number of Medicare certified snf beds in a facility): 21
Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 11.43
Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 0.86
Dietitians - Full time (The number of full-time equivalent dietitians employed by a facility on a full time basis): 1.14
Dietitians - Part time (The number of full-time equivalent dietitians employed by a facility on a part time basis): 0.23
Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 0.86
Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full 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): 0.69
Medical director - Part time (The number of full-time equivalent medical directors employed by a facility on a part time basis): 0.46
Nurse aides in trng-Full time (The number of full-time equivalent nurse aides in training employed by a facility on a full time basis): 1.14
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): 4.57
Occupational therapist - Part time (The number of full-time equivalent occupational therapists employed by a facility on a part time basis): 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): 0.23
Pharmacists - Full time (The number of full-time equivalent pharmacists employed by a facility on a full time basis): 1.40
Phys ther asst - Full time (Number of full-time staff hours for physical therapy as sistants): 1.14
Physical therapists - Full time (The number of full time equivalent physical therapists employed by a facility on a full time basis): 4.57
Physical therapy aide - Full time (The number of full-time equivalent physical therapy aide employed by a facility on a full time basis): 2.29
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): 2.14
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
Speech pathologist - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 0.86
Ther rec spec - Full time (Number of full-time staff hours provided by therapeutic recreation specialist): 1.14
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): Oct 2000
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): Jan 1995