Antlers Manor, Llc - Antlers Nursing Home
General Information
UPDATEFederal Provider Number
375313
Provider Name
ANTLERS MANOR, LLC
Provider Address
511 EAST MAIN
ANTLERS, OK 74523
ANTLERS, OK 74523
Provider Phone Number
5802983294
Provider SSA County
630
Provider County Name
Pushmataha
Ownership Type
For profit - Corporation
Number of Certified Beds
133
Number of Residents in Certified Beds
34
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GREEN & MITCHELL
Date First Approved to Provide Medicare and Medicaid services
1997-07-07
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.35294
Reported LPN Staffing Hours per Resident per Day
0.77353
Reported RN Staffing Hours per Resident per Day
0.43676
Reported Licensed Staffing Hours per Resident per Day
1.21029
Reported Total Nurse Staffing Hours per Resident per Day
3.56323
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00441
Expected CNA Staffing Hours per Resident per Day
2.30743
Expected LPN Staffing Hours per Resident per Day
0.62900
Expected RN Staffing Hours per Resident per Day
0.87063
Expected Total Nurse Staffing Hours per Resident per Day
3.80706
Adjusted CNA Staffing Hours per Resident per Day
2.50209
Adjusted LPN Staffing Hours per Resident per Day
1.02072
Adjusted RN Staffing Hours per Resident per Day
0.37484
Adjusted Total Nurse Staffing Hours per Resident per Day
3.77273
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
88
Cycle 1 Standard Survey Health Date
2014-08-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
88
Cycle 2 Total Number of Health Deficiencies
19
Cycle 2 Number of Standard Health Deficiencies
19
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
144
Cycle 2 Standard Health Survey Date
2013-09-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
23
Cycle 3 Number of Standard Health Deficiencies
23
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
184
Cycle 3 Standard Health Survey Date
2012-08-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
184
Total Weighted Health Survey Score
122.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Choctaw Nation Nursing Home
400 Southwest O Street |
ANTLERS OK 74523 | 1.5 miles away
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