Stilwell Nursing Home, Llc - Stilwell Nursing Home
General Information
UPDATEFederal Provider Number
375333
Provider Name
STILWELL NURSING HOME, LLC
Provider Address
422 WEST LOCUST STREET
STILWELL, OK 74960
STILWELL, OK 74960
Provider Phone Number
9186967715
Provider SSA County
0
Provider County Name
Adair
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
77
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
STILWELL NURSING HOME, LLC
Date First Approved to Provide Medicare and Medicaid services
1998-02-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.80260
Reported LPN Staffing Hours per Resident per Day
0.78377
Reported RN Staffing Hours per Resident per Day
0.52532
Reported Licensed Staffing Hours per Resident per Day
1.30909
Reported Total Nurse Staffing Hours per Resident per Day
4.11169
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05455
Expected CNA Staffing Hours per Resident per Day
2.12605
Expected LPN Staffing Hours per Resident per Day
0.59471
Expected RN Staffing Hours per Resident per Day
0.90980
Expected Total Nurse Staffing Hours per Resident per Day
3.63056
Adjusted CNA Staffing Hours per Resident per Day
3.23452
Adjusted LPN Staffing Hours per Resident per Day
1.09385
Adjusted RN Staffing Hours per Resident per Day
0.43144
Adjusted Total Nurse Staffing Hours per Resident per Day
4.56508
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-01-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-10-24
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-12-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
23.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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