Baptist Village Of Owasso - Owasso Nursing Home
General Information
UPDATEFederal Provider Number
375382
Provider Name
BAPTIST VILLAGE OF OWASSO
Provider Address
12600 EAST 73RD STREET NORTH
OWASSO, OK 74055
OWASSO, OK 74055
Provider Phone Number
(918) 272-8007
Provider SSA County
710
Provider County Name
Tulsa
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
104
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BAPTIST VILLAGE RETIREMENT COMMUNITIES OF OKLAHOMA, INC
Date First Approved to Provide Medicare and Medicaid services
2000-05-09
Continuing Care Retirement Community
Y
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
5
Health Inspection Rating Footnote
QM Rating
1
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
3.02740
Reported LPN Staffing Hours per Resident per Day
1.24375
Reported RN Staffing Hours per Resident per Day
0.48173
Reported Licensed Staffing Hours per Resident per Day
1.72548
Reported Total Nurse Staffing Hours per Resident per Day
4.75288
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00529
Expected CNA Staffing Hours per Resident per Day
2.24230
Expected LPN Staffing Hours per Resident per Day
0.56474
Expected RN Staffing Hours per Resident per Day
0.87188
Expected Total Nurse Staffing Hours per Resident per Day
3.67891
Adjusted CNA Staffing Hours per Resident per Day
3.31282
Adjusted LPN Staffing Hours per Resident per Day
1.82795
Adjusted RN Staffing Hours per Resident per Day
0.41284
Adjusted Total Nurse Staffing Hours per Resident per Day
5.20762
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-05-08
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-04-11
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-02-29
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
0.00000
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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