VICTORIAN MANOR HLTHCR & REHAB - LA GRANGE, IL
United States hospital / nursing home:
VICTORIAN MANOR HLTHCR & REHAB - LA GRANGE, IL
VICTORIAN MANOR HLTHCR & REHAB
339 SOUTH 9TH AVENUE
LA GRANGE, IL 60525
RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DISTINCT PART)
Services provided by VICTORIAN MANOR HLTHCR & REHAB:
- Activities services are provided onsite to residents
- Administration and storage of blood services are provided offsite to residents
- Clinical laboratory services are provided offsite to residents
- Dental services are provided offsite 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 offsite 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 offsite to residents
- Pharmacy services are provided onsite to residents
- Physical therapy services are provided onsite to residents
- Physician services are provided offsite 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
- Vocational services are provided offsite to residents
- Diagnostic xray services are provided offsite 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): 203
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 203
Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 163
Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 15.99
Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 7.80
Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 6
Prior change of ownership (The date of a prior change of ownership): Jul 2000
Compliance: life safety code (Indicates if a waiver of the life safety code has been recommended for a provider): WAIVER RECOMMENDED
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): 1.03
Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 9.23
Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 40
Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 30.47
Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 21.90
Dentists - Contract (The number of full-time equivalent dentists under contract to a facility): 0.07
Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.46
Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 10.40
Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 3.76
Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 10.84
Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 0.60
Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 4.94
Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.34
Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): BALLANTRAE HEALTHCARE LLC
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): 2.79
Occup therapy asst - Full time (The number of full-time equivalent occupational therapy assistants employed by a facility on a full time basis): 0.81
Occupational therapist - Full time (The number of full-time equivalent occupational therapists employed by a facility on a full time basis): 1.03
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): 16.51
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): 2.47
Other activities staff-Full time (Number of full-time staff hours for other activities): 3.10
Othr social serv staff-Full time (Number of full-time staff hours provided by other socia l services staff): 1.60
Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.23
Physical therapists - Full time (The number of full time equivalent physical therapists employed by a facility on a full time basis): 2.74
Physical therapy aide - Full time (The number of full-time equivalent physical therapy aide employed by a facility on a full time basis): 0.99
Podiatrists - Contract (The number of full time equivalent podiatrists under contract to a facility): 0.09
Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 0.23
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): 10.29
Social worker - Full time (The number of full-time equivalent social workers employed by a facility on a full time basis): 1.03
Special care beds-Alzheimers (The number of beds in a unit identified and dedicated by the facility for residents with alzeheimers): 42
Speech pathologist - Full time (The number of full-time equivalent sppech pathologists employed by a facility on a full time basis): 0.70
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): Jun 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): Jun 1967