Cherokee County Nursing Center - Tahlequah Nursing Home
General Information
UPDATEFederal Provider Number
375324
Provider Name
CHEROKEE COUNTY NURSING CENTER
Provider Address
1504 NORTH CEDAR AVENUE
TAHLEQUAH, OK 74464
TAHLEQUAH, OK 74464
Provider Phone Number
9184563456
Provider SSA County
100
Provider County Name
Cherokee
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
93
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHEROKEE COUNTY NURSING CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1998-01-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.60376
Reported LPN Staffing Hours per Resident per Day
1.15215
Reported RN Staffing Hours per Resident per Day
0.42634
Reported Licensed Staffing Hours per Resident per Day
1.57849
Reported Total Nurse Staffing Hours per Resident per Day
4.18225
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05914
Expected CNA Staffing Hours per Resident per Day
2.31427
Expected LPN Staffing Hours per Resident per Day
0.58148
Expected RN Staffing Hours per Resident per Day
0.91928
Expected Total Nurse Staffing Hours per Resident per Day
3.81503
Adjusted CNA Staffing Hours per Resident per Day
2.76064
Adjusted LPN Staffing Hours per Resident per Day
1.64456
Adjusted RN Staffing Hours per Resident per Day
0.34653
Adjusted Total Nurse Staffing Hours per Resident per Day
4.41890
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-08-20
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
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
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
91
Cycle 3 Standard Health Survey Date
2012-03-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
91
Total Weighted Health Survey Score
20.50000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
9653
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Grace Living Center-tahlequah University Northwest
1201 North Vinita Avenue |
TAHLEQUAH OK 74464 | 1 mile away
Grace Living Center-tahlequah East Shawnee
614 Cherry Street |
TAHLEQUAH OK 74465 | 3.5 miles away
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