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Checotah Nursing Center - Checotah Nursing Home

General Information

UPDATE
Federal Provider Number
375140
Provider Name
CHECOTAH NURSING CENTER
Provider Address
321 SOUTHEAST 2ND STREET
CHECOTAH, OK 74426
Provider Phone Number
9184732251
Provider SSA County
450
Provider County Name
Mcintosh
Ownership Type
For profit - Corporation
Number of Certified Beds
82
Number of Residents in Certified Beds
38
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHECOTAH NURSING CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1993-08-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
2.27237
Reported LPN Staffing Hours per Resident per Day
0.74079
Reported RN Staffing Hours per Resident per Day
0.53947
Reported Licensed Staffing Hours per Resident per Day
1.28026
Reported Total Nurse Staffing Hours per Resident per Day
3.55263
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04474
Expected CNA Staffing Hours per Resident per Day
2.18802
Expected LPN Staffing Hours per Resident per Day
0.62880
Expected RN Staffing Hours per Resident per Day
0.81307
Expected Total Nurse Staffing Hours per Resident per Day
3.62989
Adjusted CNA Staffing Hours per Resident per Day
2.54829
Adjusted LPN Staffing Hours per Resident per Day
0.97783
Adjusted RN Staffing Hours per Resident per Day
0.49577
Adjusted Total Nurse Staffing Hours per Resident per Day
3.94511
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2015-02-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
112
Cycle 2 Standard Health Survey Date
2013-12-18
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
12
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
116
Cycle 3 Standard Health Survey Date
2013-01-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
116
Total Weighted Health Survey Score
88.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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