Elmwood Manor Nursing Home - Wewoka Nursing Home
General Information
UPDATEFederal Provider Number
375423
Provider Name
ELMWOOD MANOR NURSING HOME
Provider Address
300 SOUTH SEMINOLE
WEWOKA, OK 74884
WEWOKA, OK 74884
Provider Phone Number
4052576621
Provider SSA County
660
Provider County Name
Seminole
Ownership Type
For profit - Corporation
Number of Certified Beds
46
Number of Residents in Certified Beds
45
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ELMWOOD MANOR NURSING HOME LLC
Date First Approved to Provide Medicare and Medicaid services
2003-01-14
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.22222
Reported LPN Staffing Hours per Resident per Day
0.66000
Reported RN Staffing Hours per Resident per Day
0.17778
Reported Licensed Staffing Hours per Resident per Day
0.83778
Reported Total Nurse Staffing Hours per Resident per Day
3.06000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01222
Expected CNA Staffing Hours per Resident per Day
1.97641
Expected LPN Staffing Hours per Resident per Day
0.54796
Expected RN Staffing Hours per Resident per Day
0.73187
Expected Total Nurse Staffing Hours per Resident per Day
3.25624
Adjusted CNA Staffing Hours per Resident per Day
2.75887
Adjusted LPN Staffing Hours per Resident per Day
0.99971
Adjusted RN Staffing Hours per Resident per Day
0.18150
Adjusted Total Nurse Staffing Hours per Resident per Day
3.78797
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2014-03-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2013-05-08
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
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-09-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
80.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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
Wewoka Healthcare Center
1400 West First Street |
WEWOKA OK 74884 | 0.4 mile away
Seminole Care And Rehabilitation Center
1200 Wrangler Blvd |
SEMINOLE OK 74868 | 12.3 miles away
Seminole Pioneer Nursing Home
1705 Boren Blvd |
SEMINOLE OK 74868 | 12.5 miles away
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