Carnegie Nursing Home, Inc. - Carnegie Nursing Home

General Information

UPDATE
Federal Provider Number
37000000000000000000000000
Provider Name
CARNEGIE NURSING HOME, INC.
Provider Address
225 NORTH BROADWAY
CARNEGIE, OK 73015
Provider Phone Number
5806541439
Provider SSA County
70
Provider County Name
Caddo
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
38
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1975-09-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
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
1.88289
Reported LPN Staffing Hours per Resident per Day
0.91316
Reported RN Staffing Hours per Resident per Day
0.24868
Reported Licensed Staffing Hours per Resident per Day
1.16184
Reported Total Nurse Staffing Hours per Resident per Day
3.04473
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.02212
Expected LPN Staffing Hours per Resident per Day
0.52929
Expected RN Staffing Hours per Resident per Day
0.68606
Expected Total Nurse Staffing Hours per Resident per Day
3.23747
Adjusted CNA Staffing Hours per Resident per Day
2.28475
Adjusted LPN Staffing Hours per Resident per Day
1.43195
Adjusted RN Staffing Hours per Resident per Day
0.27084
Adjusted Total Nurse Staffing Hours per Resident per Day
3.79092
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2015-02-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-12-03
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
103
Cycle 3 Standard Health Survey Date
2012-11-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
103
Total Weighted Health Survey Score
47.16700
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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