Broken Bow Nursing Home - Broken Bow Nursing Home
General Information
UPDATEFederal Provider Number
375165
Provider Name
BROKEN BOW NURSING HOME
Provider Address
700 WEST JONES
BROKEN BOW, OK 74728
BROKEN BOW, OK 74728
Provider Phone Number
5805846433
Provider SSA County
440
Provider County Name
Mccurtain
Ownership Type
For profit - Corporation
Number of Certified Beds
105
Number of Residents in Certified Beds
61
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BROKEN BOW HEALTH AND REHAB LLC
Date First Approved to Provide Medicare and Medicaid services
1994-04-01
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
1
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
2.75246
Reported LPN Staffing Hours per Resident per Day
1.07295
Reported RN Staffing Hours per Resident per Day
0.36557
Reported Licensed Staffing Hours per Resident per Day
1.43852
Reported Total Nurse Staffing Hours per Resident per Day
4.19098
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00902
Expected CNA Staffing Hours per Resident per Day
2.21579
Expected LPN Staffing Hours per Resident per Day
0.64658
Expected RN Staffing Hours per Resident per Day
0.90378
Expected Total Nurse Staffing Hours per Resident per Day
3.76615
Adjusted CNA Staffing Hours per Resident per Day
3.04799
Adjusted LPN Staffing Hours per Resident per Day
1.37733
Adjusted RN Staffing Hours per Resident per Day
0.30224
Adjusted Total Nurse Staffing Hours per Resident per Day
4.48559
Cycle 1 Total Number of Health Deficiencies
27
Cycle 1 Number of Standard Health Deficiencies
25
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
220
Cycle 1 Standard Survey Health Date
2014-08-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
220
Cycle 2 Total Number of Health Deficiencies
25
Cycle 2 Number of Standard Health Deficiencies
19
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
224
Cycle 2 Standard Health Survey Date
2013-06-27
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
13
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
124
Cycle 3 Standard Health Survey Date
2012-09-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
124
Total Weighted Health Survey Score
205.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
Number of Fines
2
Total Amount of Fines in Dollars
20838
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Mccurtain Manor Nursing Home
1201 Dierks Street |
BROKEN BOW OK 74728 | 1.1 miles away
Memorial Heights Nursing Center
1305 Southeast Adams |
IDABEL OK 74745 | 9.7 miles away
Hill Nursing Home, Inc.
808 Northwest M L King Avenue |
IDABEL OK 74745 | 10.2 miles away
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