MONTCLAIR COMMUNITY HOSPITAL
120 HARRISON AVE
MONTCLAIR, NJ 07042

SHORT TERM HOSPITALS

Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 117

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 117

Accreditation effective date (The effective date of the current period of accreditation by the joint commission on accreditation of health care organizations (jcaho) or the american osteopathic association (aoa)): Jul 1992

Accreditation expiration date (The expiration date of the current period of accreditation by the joint committee on accreditation of health care organizations (jcaho) or the american osteopathic association (aoa)): Jun 1995

Accreditation indicator (Indicates the organization that is responsible for the accreditation of the provider): JCAHO

Clia - Hosp lab id #1 (Number assigned to a hospital laboratory licensed in accordance with the clinical laboratory improvement act (clia)): 31D0004218

Current survey ever accredited (Indicates if this provider was an accredited hospital anytime during the current survey): Yes

Current survey ever non-Accred (Indicates if this provider was a non-Accredited hospital anytine during the current survey): No

Current survey ever swingbed (Indicates if this provider was a swingbed hospital anytime during the current survey): No

Date of validation survey (Date a validation survey is performed by the state agency in a jcah or aoa accredited hospital): Jul 1992

Dieticians (Number of full-time equivalent dieticians employed by a facility): 2

Inhalation therapists (Number of fulltime equivalent inhalation therapists employed by a hospital): 5

Licensed pract/vocat nurses (Number of full-time equivalent licensed practical or vocational nurses employed by a facility): 27.10

Medical school affiliation (The type of affiliation that a hospital may have with a medical school): NO AFFILIATION

Other personnel (The number of full-time equivalent other salaried personnel employed by a facility): 136.10

Participating code (y,n) (This code indicates whether a provider is participating in the Medicaid or Medicare program): Yes

Physical therapists (The number of full-time equivalent physical therapists employed by a provider): 1

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

Registered nurses (The number of full-time equivalent registered professional nurses employed by a provider): 49.40

Registered pharmacists (The number of full-time equivalent registered pharmacists employed by a provider): 3.20

Resident program approved by ada (Indicates if the resident program at a hospital is approved by the american dental association): No

Resident program approved by ama (Indicates if the resident program at a hospital is approved by the american medical association): No

Resident program approved by aoa (Indicates if the resident program at a hospital is approved by the american osteopathic association): No

Resident program approved by other (Indicates if the resident program at a hospital is approved by other professional organizations): No

Srv: anesthesia (Indicates how anesthesia services are provided by a hospital): PROVIDED BY STAFF

Srv: blood bank (Indiciates how blood bank services are provided by a hospital): 1

Srv: coronary care unit (Indicates how coronary care unit services are provided by a hospital): PROVIDED BY STAFF

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

Srv: emergency services(organized) (Indicates how organized emergency services are provided by a hospital): PROVIDED BY STAFF

Srv: hospice (Indicates how hospice services are provided by a hospital): PROVIDED UNDER ARRANGEMENT

Srv: inpatient surgical (Indicates how inpatient surgical services are provided by a hospital): PROVIDED BY STAFF

Srv: intensive care unit (Indicates how intensive care unit services are provided by a hospital): PROVIDED BY STAFF

Srv: laboratory (anatomical) (Indicates how anatomical laboratory services are provided in a hospital): PROVIDED BY STAFF

Srv: laboratory (clinical) (Indicates how clinical laboratory services are provided in a hospital): PROVIDED BY STAFF

Srv: nuclear medicine (Indicates how nuclear medicine services are provided by a hospital): PROVIDED BY STAFF

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

Srv: operating rooms (Indicates how operating room services are provided by a hospital): PROVIDED BY STAFF

Srv: outpatient (Indicates how outpatient services are provided by a hospital): PROVIDED UNDER ARRANGEMENT

Srv: outpatient surgery unit (Indicates how outpatient surgery unit services are provided by a hospital): PROVIDED BY STAFF

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

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

Srv: postoperative recovery room (Indicates how postoperative recovery room services are provided by a hospital): PROVIDED BY STAFF

Srv: radiology (diagnostic) (Indicates how diagnostic radiology services are provided by a hospital): PROVIDED BY STAFF

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

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

Swing bed indicator (Indicates if a hospital provides swing bed services - Beds can be used for either hospital or long term care services): No

Type of facility (Indicates the category which represents the type of facility): SHORT - TERM

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

Medical social workers (Number of full-time equivalent medical social workers employed by a hospital or hospice): 2

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): May 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): Jul 1966