TABLE ROCK RETIREMENT VILLAGE - KIMBERLING CITY, MO
United States hospital / nursing home:
TABLE ROCK RETIREMENT VILLAGE - KIMBERLING CITY, MO
TABLE ROCK RETIREMENT VILLAGE
276 FOUNTAIN LANE
KIMBERLING CITY, MO 65686
RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DUALLY CERTIFIED)
Services provided by TABLE ROCK RETIREMENT VILLAGE:
- 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 non 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 non residents
- Occupational therapy services are provided onsite to residents
- Field 1 - Indicates other activity services provided by 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
- 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): 120
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 120
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): 3.43
Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 8
Current fms survey date (Current fms survey date): Nov 1998
Prior change of ownership (The date of a prior change of ownership): Jul 1998
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): 4.57
Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 0.57
Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 120
Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 25.14
Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.23
Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 7
Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 1.29
Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 5.93
Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 0.43
Medication aides/techs-Full time (The number of full-time equivalent medication aides/ technicians employed by a facility on a full time basis): 1.14
Mental health services - Contract (The number of full-time equivalent mental health services personnel under contract to a facility): 0.09
Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): KINDRED HEALTHCARE
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-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): 3.43
Occupational therapist - Full time (The number of full-time equivalent occupational therapists employed by a facility on a full time basis): 1.14
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): 2.29
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): 0.57
Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 0.57
Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.11
Phys ther asst - Part time (Number of part-time staff hours for physical therapy as sistants): 0.69
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 - Part time (The number of full-time equivalent physical therapy aide employed by a facility on a part time basis): 0.57
Podiatrists - Contract (The number of full time equivalent podiatrists under contract to a facility): 0.11
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): 26
Speech pathologist - Part time (The number of full-time equivalent speech pathologists employed by a facility on a part time basis): 1.79
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): Oct 1984