SURREY PLACE CONVAL CTR - LIVE OAK, FL
United States hospital / nursing home:
SURREY PLACE CONVAL CTR - LIVE OAK, FL
SURREY PLACE CONVAL CTR
110 SE LEE AVE
LIVE OAK, FL 32060
RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DISTINCT PART)
Services provided by SURREY PLACE CONVAL CTR:
- Activities 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
- 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 non 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 non residents
- Speech/language pathology services are provided onsite to residents
Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 60
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 60
Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 45
Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 8.74
Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 3.79
Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 5
Change of ownership date (Effective date of a change of ownership): Oct 2002
Current fms survey date (Current fms survey date): Jun 2001
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): 6.71
Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 0.17
Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 15
Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 20.86
Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 2.11
Dietitians - Full time (The number of full-time equivalent dietitians employed by a facility on a full time basis): 6.36
Dietitians - Part time (The number of full-time equivalent dietitians employed by a facility on a part time basis): 1.50
Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 4.86
Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 1.21
Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 0.21
Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): HOME QUALITY MANAGEMENT
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
Occup therapy asst - Full time (The number of full-time equivalent occupational therapy assistants employed by a facility on a full time basis): 1.14
Occupational therapist - Full time (The number of full-time equivalent occupational therapists employed by a facility on a full time basis): 0.64
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): 4.43
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): 1.46
Other activities staff-Full time (Number of full-time staff hours for other activities): 1.14
Othr social serv staff-Full time (Number of full-time staff hours provided by other socia l services staff): 1.14
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): 1.14
Physical therapy aide - Full time (The number of full-time equivalent physical therapy aide employed by a facility on a full time basis): 0.14
Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 0.14
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): 1.21
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): Aug 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): Jan 1988