TENET HOME CARE AT FOUNTAIN VALLEY - FOUNTAIN VALLEY, CA

United States hospital / nursing home:
TENET HOME CARE AT FOUNTAIN VALLEY - FOUNTAIN VALLEY, CA

TENET HOME CARE AT FOUNTAIN VALLEY
11160 WARNER AVE, STE 211
FOUNTAIN VALLEY, CA 92708

SHORT TERM HOME HEALTH AGENCIES

Services provided by TENET HOME CARE AT FOUNTAIN VALLEY:

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): Jan 1995

Licensed pract/vocat nurses (Number of full-time equivalent licensed practical or vocational nurses employed by a facility): 1

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

Regional override #2 (staffing) (This field is set to "y" when the regional office has to ok a pending record in the special fields screen. this field only applies to categories in the odie data entry system): Yes

Registered nurses (The number of full-time equivalent registered professional nurses employed by a provider): 10.75

Srv: occupational therapy (Indicates how occupational therapy services are provided): PROVIDED UNDER ARRANGEMENT

Srv: physical therapy (Indicates how physical therapy services are provided): COMBINATION

Type of facility (Indicates the category which represents the type of facility): REHABILITATION

Aide training/competency programs (Indicates how the agency provides home health aide training and competency evaluation programs): NEITHER

Branch operation indicator (Indicates if the agency operates any branches): No

Change of ownership indicator (Indicates if a home health agency has undergone a change of ownership since the last survey): Yes

Hha qualified for opt (Indicates if a home health agency is qualified to provide outpatient physical therapy/speech services): Yes

Home health aides (Number of full-time equivalent home health aides employed by a home health agency or hospice): 4

Hospice indicator (Indicates if the home health agency also participates in the Medicare program as a hospice): No

Medicare/Medicaid provider number (If the agency is based in another Medicare or Medicaid facility, the provider number of that facility): 050570

Social workers (The number of full time equivalent social workers employed by the agency): 0.25

Srv: home health aide/homemaker (Indicates how home health aide services are provided by a home health agency): PROVIDED BY AGENCY STAFF

Srv: medical social (Indicates how medical social services are provided): PROVIDED BY STAFF

Srv: nursing (Indicates how nursing services are provided): PROVIDED BY STAFF

Srv: speech therapy (Indicates how speech therapy services are provided): PROVIDED UNDER ARRANGEMENT

Subunit indicator (Indicates if the agency is a subunit of another agency): No

Subunit operation indicator (Indicates if the agency operates any subunits): No

Physical therapists on staff (The number of full-time equivalent physical therapists employed by an outpatient physical therapy provider or a home health agency provider): 2

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): Sep 1995

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 1993