Senior Village Nursing Home - Blanchard Nursing Home
General Information
UPDATEFederal Provider Number
370000000000000000000000000000
Provider Name
SENIOR VILLAGE NURSING HOME
Provider Address
1100 NORTH MADISON
BLANCHARD, OK 73010
BLANCHARD, OK 73010
Provider Phone Number
4054853315
Provider SSA County
430
Provider County Name
Mcclain
Ownership Type
For profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
31
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1975-06-01
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
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.61774
Reported LPN Staffing Hours per Resident per Day
0.95806
Reported RN Staffing Hours per Resident per Day
0.63226
Reported Licensed Staffing Hours per Resident per Day
1.59032
Reported Total Nurse Staffing Hours per Resident per Day
4.20806
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.06609
Expected LPN Staffing Hours per Resident per Day
0.58937
Expected RN Staffing Hours per Resident per Day
0.74471
Expected Total Nurse Staffing Hours per Resident per Day
3.40017
Adjusted CNA Staffing Hours per Resident per Day
3.10884
Adjusted LPN Staffing Hours per Resident per Day
1.34921
Adjusted RN Staffing Hours per Resident per Day
0.63438
Adjusted Total Nurse Staffing Hours per Resident per Day
4.98865
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-04-09
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
13
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
11
Cycle 2 Health Deficiency Score
159
Cycle 2 Standard Health Survey Date
2013-01-10
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
80
Cycle 2 Total Health Score
80
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2011-10-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
119.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
9
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
Sunset Estates Of Purcell
915 North 7th Avenue |
PURCELL OK 73080 | 18.6 miles away
Wadley Care Center
801 North 6th Street |
PURCELL OK 73080 | 18.7 miles away
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