Beaver County Nursing Home - Beaver Nursing Home
General Information
UPDATEFederal Provider Number
375559
Provider Name
BEAVER COUNTY NURSING HOME
Provider Address
200 EAST 8TH STREET
BEAVER, OK 73932
BEAVER, OK 73932
Provider Phone Number
5806254571
Provider SSA County
30
Provider County Name
Beaver
Ownership Type
Government - County
Number of Certified Beds
62
Number of Residents in Certified Beds
32
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BEAVER COUNTY NURSING HOME
Date First Approved to Provide Medicare and Medicaid services
2014-02-12
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.77656
Reported LPN Staffing Hours per Resident per Day
0.35781
Reported RN Staffing Hours per Resident per Day
0.65781
Reported Licensed Staffing Hours per Resident per Day
1.01563
Reported Total Nurse Staffing Hours per Resident per Day
3.79218
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
1.87253
Expected LPN Staffing Hours per Resident per Day
0.54040
Expected RN Staffing Hours per Resident per Day
0.75207
Expected Total Nurse Staffing Hours per Resident per Day
3.16500
Adjusted CNA Staffing Hours per Resident per Day
3.63831
Adjusted LPN Staffing Hours per Resident per Day
0.54956
Adjusted RN Staffing Hours per Resident per Day
0.65355
Adjusted Total Nurse Staffing Hours per Resident per Day
4.82967
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-10-09
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
28
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-11-21
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
-0001-11-30
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
58.40000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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