Inola Health & Rehabilitation - Inola Nursing Home

General Information

UPDATE
Federal Provider Number
375449
Provider Name
INOLA HEALTH & REHABILITATION
Provider Address
400 NORTH BROADWAY
INOLA, OK 74036
Provider Phone Number
9185438800
Provider SSA County
650
Provider County Name
Rogers
Ownership Type
For profit - Corporation
Number of Certified Beds
65
Number of Residents in Certified Beds
56
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
INOLA HEALTH & REHABILITATION LLC
Date First Approved to Provide Medicare and Medicaid services
2003-07-15
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
2
Health Inspection Rating Footnote
QM Rating
2
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
2.81607
Reported LPN Staffing Hours per Resident per Day
0.42857
Reported RN Staffing Hours per Resident per Day
0.34732
Reported Licensed Staffing Hours per Resident per Day
0.77589
Reported Total Nurse Staffing Hours per Resident per Day
3.59196
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.43265
Expected LPN Staffing Hours per Resident per Day
0.79692
Expected RN Staffing Hours per Resident per Day
1.10962
Expected Total Nurse Staffing Hours per Resident per Day
4.33919
Adjusted CNA Staffing Hours per Resident per Day
2.84044
Adjusted LPN Staffing Hours per Resident per Day
0.44636
Adjusted RN Staffing Hours per Resident per Day
0.23388
Adjusted Total Nurse Staffing Hours per Resident per Day
3.33676
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
2014-11-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
24
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
16
Cycle 2 Health Deficiency Score
227
Cycle 2 Standard Health Survey Date
2013-12-04
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
20
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
15
Cycle 3 Health Deficiency Score
188
Cycle 3 Standard Health Survey Date
2012-09-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
188
Total Weighted Health Survey Score
115.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
10
Number of Fines
1
Total Amount of Fines in Dollars
4154
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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