Cedarcrest Care Center - Broken Arrow Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
375233
Provider Name
CEDARCREST CARE CENTER
Provider Address
1306 EAST COLLEGE
BROKEN ARROW, OK 74012
BROKEN ARROW, OK 74012
Provider Phone Number
(918) 251-3200
Provider SSA County
710
Provider County Name
Tulsa
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
89
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SENIOR CITIZENS NURSING CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1995-07-01
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
3
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
2.66774
Reported LPN Staffing Hours per Resident per Day
0.82581
Reported RN Staffing Hours per Resident per Day
0.24839
Reported Licensed Staffing Hours per Resident per Day
1.07419
Reported Total Nurse Staffing Hours per Resident per Day
3.74194
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03468
Expected CNA Staffing Hours per Resident per Day
2.20939
Expected LPN Staffing Hours per Resident per Day
0.52701
Expected RN Staffing Hours per Resident per Day
0.67683
Expected Total Nurse Staffing Hours per Resident per Day
3.41323
Adjusted CNA Staffing Hours per Resident per Day
2.96273
Adjusted LPN Staffing Hours per Resident per Day
1.30058
Adjusted RN Staffing Hours per Resident per Day
0.27422
Adjusted Total Nurse Staffing Hours per Resident per Day
4.41910
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
48
Cycle 1 Standard Survey Health Date
2015-02-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-11-21
Cycle 2 Number of Health Revisits
0
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
4
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-09-27
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
29.33300
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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