Bell Avenue Nursing Center - Elk City Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
375399
Provider Name
BELL AVENUE NURSING CENTER
Provider Address
2301 BELL AVENUE
ELK CITY, OK 73644
ELK CITY, OK 73644
Provider Phone Number
(580) 225-3335
Provider SSA County
40
Provider County Name
Beckham
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
73
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FARWEST HEALTHCARE INC.
Date First Approved to Provide Medicare and Medicaid services
2001-09-17
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.84795
Reported LPN Staffing Hours per Resident per Day
0.88973
Reported RN Staffing Hours per Resident per Day
0.31370
Reported Licensed Staffing Hours per Resident per Day
1.20342
Reported Total Nurse Staffing Hours per Resident per Day
3.05138
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01644
Expected CNA Staffing Hours per Resident per Day
2.20134
Expected LPN Staffing Hours per Resident per Day
0.61515
Expected RN Staffing Hours per Resident per Day
0.96442
Expected Total Nurse Staffing Hours per Resident per Day
3.78091
Adjusted CNA Staffing Hours per Resident per Day
2.05980
Adjusted LPN Staffing Hours per Resident per Day
1.20048
Adjusted RN Staffing Hours per Resident per Day
0.24304
Adjusted Total Nurse Staffing Hours per Resident per Day
3.25314
Cycle 1 Total Number of Health Deficiencies
21
Cycle 1 Number of Standard Health Deficiencies
18
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
148
Cycle 1 Standard Survey Health Date
2014-06-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
148
Cycle 2 Total Number of Health Deficiencies
19
Cycle 2 Number of Standard Health Deficiencies
17
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
108
Cycle 2 Standard Health Survey Date
2013-05-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
108
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2012-05-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
124.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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