Oklahoma Nursing Homes >> Tishomingo Nursing Homes >> Blue River Healthcare, Inc

Blue River Healthcare, Inc - Tishomingo Nursing Home

General Information

UPDATE
Federal Provider Number
375302
Provider Name
BLUE RIVER HEALTHCARE, INC
Provider Address
1105 EAST MAIN
TISHOMINGO, OK 73460
Provider Phone Number
5803712636
Provider SSA County
340
Provider County Name
Johnston
Ownership Type
For profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
56
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BLUE RIVER HEALTHCARE INC.
Date First Approved to Provide Medicare and Medicaid services
1997-05-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
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
2.21429
Reported LPN Staffing Hours per Resident per Day
0.23839
Reported RN Staffing Hours per Resident per Day
0.55714
Reported Licensed Staffing Hours per Resident per Day
0.79554
Reported Total Nurse Staffing Hours per Resident per Day
3.00982
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00357
Expected CNA Staffing Hours per Resident per Day
2.30878
Expected LPN Staffing Hours per Resident per Day
0.62917
Expected RN Staffing Hours per Resident per Day
0.86987
Expected Total Nurse Staffing Hours per Resident per Day
3.80781
Adjusted CNA Staffing Hours per Resident per Day
2.35328
Adjusted LPN Staffing Hours per Resident per Day
0.31448
Adjusted RN Staffing Hours per Resident per Day
0.47857
Adjusted Total Nurse Staffing Hours per Resident per Day
3.18616
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2014-05-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
116
Cycle 2 Standard Health Survey Date
2013-07-11
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-05-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
84.66700
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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