Grace Living Center-mangum - Mangum Nursing Home
General Information
UPDATEFederal Provider Number
375207
Provider Name
GRACE LIVING CENTER-MANGUM
Provider Address
320 CAREY STREET
MANGUM, OK 73554
MANGUM, OK 73554
Provider Phone Number
5807823346
Provider SSA County
270
Provider County Name
Greer
Ownership Type
For profit - Corporation
Number of Certified Beds
140
Number of Residents in Certified Beds
47
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANGUM NURSING CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1995-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
1
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
1.78723
Reported LPN Staffing Hours per Resident per Day
1.30106
Reported RN Staffing Hours per Resident per Day
0.31383
Reported Licensed Staffing Hours per Resident per Day
1.61489
Reported Total Nurse Staffing Hours per Resident per Day
3.40212
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.39232
Expected LPN Staffing Hours per Resident per Day
0.58942
Expected RN Staffing Hours per Resident per Day
0.86487
Expected Total Nurse Staffing Hours per Resident per Day
3.84660
Adjusted CNA Staffing Hours per Resident per Day
1.83309
Adjusted LPN Staffing Hours per Resident per Day
1.83211
Adjusted RN Staffing Hours per Resident per Day
0.27113
Adjusted Total Nurse Staffing Hours per Resident per Day
3.56512
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-04-10
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-05-21
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-06-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
13.33300
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
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