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Wagoner Care Center - Wagoner Nursing Home

General Information

UPDATE
Federal Provider Number
375369
Provider Name
WAGONER CARE CENTER
Provider Address
205 NORTH LINCOLN AVENUE
WAGONER, OK 74467
Provider Phone Number
9184852203
Provider SSA County
720
Provider County Name
Wagoner
Ownership Type
For profit - Partnership
Number of Certified Beds
117
Number of Residents in Certified Beds
42
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WAGONER CARE CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1999-02-22
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
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
2.41786
Reported LPN Staffing Hours per Resident per Day
0.78810
Reported RN Staffing Hours per Resident per Day
0.43095
Reported Licensed Staffing Hours per Resident per Day
1.21905
Reported Total Nurse Staffing Hours per Resident per Day
3.63691
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01071
Expected CNA Staffing Hours per Resident per Day
2.27715
Expected LPN Staffing Hours per Resident per Day
0.60949
Expected RN Staffing Hours per Resident per Day
0.88789
Expected Total Nurse Staffing Hours per Resident per Day
3.77453
Adjusted CNA Staffing Hours per Resident per Day
2.60531
Adjusted LPN Staffing Hours per Resident per Day
1.07323
Adjusted RN Staffing Hours per Resident per Day
0.36266
Adjusted Total Nurse Staffing Hours per Resident per Day
3.88393
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
265
Cycle 1 Standard Survey Health Date
2015-03-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
265
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
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
9
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
9
Cycle 3 Health Deficiency Score
213
Cycle 3 Standard Health Survey Date
2012-10-25
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
213
Total Weighted Health Survey Score
174.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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

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