Brookside Nursing Center - Madill Nursing Home
General Information
UPDATEFederal Provider Number
375235
Provider Name
BROOKSIDE NURSING CENTER
Provider Address
210 BROOKSIDE DRIVE
MADILL, OK 73446
MADILL, OK 73446
Provider Phone Number
5807952100
Provider SSA County
470
Provider County Name
Marshall
Ownership Type
Non profit - Corporation
Number of Certified Beds
140
Number of Residents in Certified Beds
83
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SCG MADILL BROOKSIDE LLC
Date First Approved to Provide Medicare and Medicaid services
1995-09-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
1.82590
Reported LPN Staffing Hours per Resident per Day
0.58373
Reported RN Staffing Hours per Resident per Day
0.44578
Reported Licensed Staffing Hours per Resident per Day
1.02952
Reported Total Nurse Staffing Hours per Resident per Day
2.85541
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06867
Expected CNA Staffing Hours per Resident per Day
2.00939
Expected LPN Staffing Hours per Resident per Day
0.56167
Expected RN Staffing Hours per Resident per Day
0.84172
Expected Total Nurse Staffing Hours per Resident per Day
3.41278
Adjusted CNA Staffing Hours per Resident per Day
2.22964
Adjusted LPN Staffing Hours per Resident per Day
0.86260
Adjusted RN Staffing Hours per Resident per Day
0.39572
Adjusted Total Nurse Staffing Hours per Resident per Day
3.37258
Cycle 1 Total Number of Health Deficiencies
34
Cycle 1 Number of Standard Health Deficiencies
27
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
572
Cycle 1 Standard Survey Health Date
2014-07-17
Cycle 1 Number of Health Revisits
3
Cycle 1 Health Revisit Score
400
Cycle 1 Total Health Score
972
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
100
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
10
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-04-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
531.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
11
Number of Fines
1
Total Amount of Fines in Dollars
53761
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Family Care Center Of Kingston
701 Highway 32 |
KINGSTON OK 73439 | 6.2 miles away
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