Broadway Manor Nursing Home - Muskogee Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
375146
Provider Name
BROADWAY MANOR NURSING HOME
Provider Address
1622 EAST BROADWAY
MUSKOGEE, OK 74403
MUSKOGEE, OK 74403
Provider Phone Number
(918) 683-2851
Provider SSA County
500
Provider County Name
Muskogee
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
105
Number of Residents in Certified Beds
93
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BROADWAY MANOR MANAGEMENT L.L.C
Date First Approved to Provide Medicare and Medicaid services
1993-12-06
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
3.12581
Reported LPN Staffing Hours per Resident per Day
0.61290
Reported RN Staffing Hours per Resident per Day
0.51935
Reported Licensed Staffing Hours per Resident per Day
1.13226
Reported Total Nurse Staffing Hours per Resident per Day
4.25806
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01613
Expected CNA Staffing Hours per Resident per Day
2.25000
Expected LPN Staffing Hours per Resident per Day
0.62915
Expected RN Staffing Hours per Resident per Day
0.97750
Expected Total Nurse Staffing Hours per Resident per Day
3.85666
Adjusted CNA Staffing Hours per Resident per Day
3.40879
Adjusted LPN Staffing Hours per Resident per Day
0.80856
Adjusted RN Staffing Hours per Resident per Day
0.39699
Adjusted Total Nurse Staffing Hours per Resident per Day
4.45044
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-05-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-04-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-03-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
62.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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