Bradford Village - Edmond Nursing Home
General Information
UPDATEFederal Provider Number
375498
Provider Name
BRADFORD VILLAGE
Provider Address
906 NORTH BLVD
EDMOND, OK 73034
EDMOND, OK 73034
Provider Phone Number
4053410810
Provider SSA County
540
Provider County Name
Oklahoma
Ownership Type
For profit - Corporation
Number of Certified Beds
122
Number of Residents in Certified Beds
84
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BKD BRADFORD VILLAGE OPCO LLC
Date First Approved to Provide Medicare and Medicaid services
2006-03-01
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
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
2.81548
Reported LPN Staffing Hours per Resident per Day
1.36310
Reported RN Staffing Hours per Resident per Day
0.50952
Reported Licensed Staffing Hours per Resident per Day
1.87262
Reported Total Nurse Staffing Hours per Resident per Day
4.68810
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10119
Expected CNA Staffing Hours per Resident per Day
2.38695
Expected LPN Staffing Hours per Resident per Day
0.62497
Expected RN Staffing Hours per Resident per Day
1.02356
Expected Total Nurse Staffing Hours per Resident per Day
4.03548
Adjusted CNA Staffing Hours per Resident per Day
2.89422
Adjusted LPN Staffing Hours per Resident per Day
1.81028
Adjusted RN Staffing Hours per Resident per Day
0.37195
Adjusted Total Nurse Staffing Hours per Resident per Day
4.68278
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
242
Cycle 1 Standard Survey Health Date
2014-04-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
242
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2013-05-23
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
14
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
132
Cycle 3 Standard Health Survey Date
2012-07-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
132
Total Weighted Health Survey Score
171.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
15
Number of Fines
1
Total Amount of Fines in Dollars
6000
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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