Choctaw Nation Nursing Home - Antlers Nursing Home
General Information
UPDATEFederal Provider Number
375372
Provider Name
CHOCTAW NATION NURSING HOME
Provider Address
400 SOUTHWEST O STREET
ANTLERS, OK 74523
ANTLERS, OK 74523
Provider Phone Number
5802985528
Provider SSA County
630
Provider County Name
Pushmataha
Ownership Type
For profit - Corporation
Number of Certified Beds
72
Number of Residents in Certified Beds
47
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHOCTAW NATION CARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1999-09-20
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
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
1.35000
Reported LPN Staffing Hours per Resident per Day
0.36383
Reported RN Staffing Hours per Resident per Day
0.38830
Reported Licensed Staffing Hours per Resident per Day
0.75213
Reported Total Nurse Staffing Hours per Resident per Day
2.10213
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00638
Expected CNA Staffing Hours per Resident per Day
1.98733
Expected LPN Staffing Hours per Resident per Day
0.56351
Expected RN Staffing Hours per Resident per Day
0.84342
Expected Total Nurse Staffing Hours per Resident per Day
3.39427
Adjusted CNA Staffing Hours per Resident per Day
1.66681
Adjusted LPN Staffing Hours per Resident per Day
0.53589
Adjusted RN Staffing Hours per Resident per Day
0.34400
Adjusted Total Nurse Staffing Hours per Resident per Day
2.49641
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-11-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
17
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
132
Cycle 2 Standard Health Survey Date
2013-10-24
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
18
Cycle 3 Number of Standard Health Deficiencies
17
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
112
Cycle 3 Standard Health Survey Date
2012-12-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
112
Total Weighted Health Survey Score
90.66700
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
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Antlers Manor, Llc
511 East Main |
ANTLERS OK 74523 | 1.5 miles away
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