Summit Healthcare, Llc - Okeene Nursing Home

General Information

UPDATE
Federal Provider Number
375478
Provider Name
SUMMIT HEALTHCARE, LLC
Provider Address
119 NORTH 6TH STREET
OKEENE, OK 73763
Provider Phone Number
5808224441
Provider SSA County
50
Provider County Name
Blaine
Ownership Type
For profit - Corporation
Number of Certified Beds
48
Number of Residents in Certified Beds
33
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SUMMIT HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid services
2004-01-22
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
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.70303
Reported LPN Staffing Hours per Resident per Day
1.09091
Reported RN Staffing Hours per Resident per Day
0.46515
Reported Licensed Staffing Hours per Resident per Day
1.55606
Reported Total Nurse Staffing Hours per Resident per Day
4.25909
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.40096
Expected LPN Staffing Hours per Resident per Day
0.74208
Expected RN Staffing Hours per Resident per Day
0.99038
Expected Total Nurse Staffing Hours per Resident per Day
4.13343
Adjusted CNA Staffing Hours per Resident per Day
2.76241
Adjusted LPN Staffing Hours per Resident per Day
1.22015
Adjusted RN Staffing Hours per Resident per Day
0.35093
Adjusted Total Nurse Staffing Hours per Resident per Day
4.15345
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-11-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
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
11
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2013-02-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
38.66700
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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