Heritage Village Nursing Home - Holdenville Nursing Home

General Information

UPDATE
Federal Provider Number
375199
Provider Name
HERITAGE VILLAGE NURSING HOME
Provider Address
801 HWY 48 NORTH
HOLDENVILLE, OK 74848
Provider Phone Number
4053796671
Provider SSA County
310
Provider County Name
Hughes
Ownership Type
For profit - Corporation
Number of Certified Beds
118
Number of Residents in Certified Beds
77
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HERITAGE VILLAGE NURSING CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1995-02-16
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
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
3.08701
Reported LPN Staffing Hours per Resident per Day
0.78701
Reported RN Staffing Hours per Resident per Day
0.19286
Reported Licensed Staffing Hours per Resident per Day
0.97987
Reported Total Nurse Staffing Hours per Resident per Day
4.06688
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05195
Expected CNA Staffing Hours per Resident per Day
2.39052
Expected LPN Staffing Hours per Resident per Day
0.54010
Expected RN Staffing Hours per Resident per Day
0.76177
Expected Total Nurse Staffing Hours per Resident per Day
3.69240
Adjusted CNA Staffing Hours per Resident per Day
3.16860
Adjusted LPN Staffing Hours per Resident per Day
1.20943
Adjusted RN Staffing Hours per Resident per Day
0.18917
Adjusted Total Nurse Staffing Hours per Resident per Day
4.43972
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-10-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
17
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2013-11-20
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
16
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2013-01-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
71.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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

Boyce Manor Nursing Home

1600 East Highway | HOLDENVILLE OK 74848 | 1.1 miles away

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