WILLOW GLEN CONV. HOSPITAL - SAN JOSE, CA
United States hospital / nursing home:
WILLOW GLEN CONV. HOSPITAL - SAN JOSE, CA
WILLOW GLEN CONV. HOSPITAL
1267 MERIDIAN AVE.
SAN JOSE, CA 95125
RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DUALLY CERTIFIED)
Services provided by WILLOW GLEN CONV. HOSPITAL:
- 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 residents
- Housekeeping 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 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
- 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): 152
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 152
Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 7.26
Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 3.09
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
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): 4.81
Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 152
Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 67.31
Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 1.19
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): 14.40
Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 2.41
Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 9.41
Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 1.26
Lpn/lvn - Contract (The number of full-time equivalent licensed practical/ vocational nurses under contract to a facility): 6.06
Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 1.83
Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.14
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): 3.83
Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 1.01
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): 9.87
Other activities staff-Full time (Number of full-time staff hours for other activities): 4.26
Othr social serv staff-Full time (Number of full-time staff hours provided by other socia l services staff): 0.69
Othr social serv staff-Part time (Number of part-time staff hours provided by other socia l services staff): 0.11
Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.34
Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 0.59
Registered nurse - Contract (The number of full-time equivalent registered nurses under contract to a facility): 3.31
Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 1.13
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 - Contract (The number of full-time equivalent social workers under contract to a facility): 0.06
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): 0.19
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): Jul 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): May 1970