Cherokee Manor - Cherokee Nursing Home
General Information
UPDATEFederal Provider Number
375475
Provider Name
CHEROKEE MANOR
Provider Address
1100 MEMORIAL DRIVE
CHEROKEE, OK 73728
CHEROKEE, OK 73728
Provider Phone Number
5805962141
Provider SSA County
10
Provider County Name
Alfalfa
Ownership Type
For profit - Corporation
Number of Certified Beds
54
Number of Residents in Certified Beds
32
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LIGHTNING CREEK INVESTMENT GROUP,INC
Date First Approved to Provide Medicare and Medicaid services
2005-04-22
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.14219
Reported LPN Staffing Hours per Resident per Day
0.79531
Reported RN Staffing Hours per Resident per Day
0.71406
Reported Licensed Staffing Hours per Resident per Day
1.50938
Reported Total Nurse Staffing Hours per Resident per Day
3.65156
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01719
Expected CNA Staffing Hours per Resident per Day
2.01100
Expected LPN Staffing Hours per Resident per Day
0.56157
Expected RN Staffing Hours per Resident per Day
0.76871
Expected Total Nurse Staffing Hours per Resident per Day
3.34129
Adjusted CNA Staffing Hours per Resident per Day
2.61377
Adjusted LPN Staffing Hours per Resident per Day
1.17546
Adjusted RN Staffing Hours per Resident per Day
0.69408
Adjusted Total Nurse Staffing Hours per Resident per Day
4.40521
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2015-03-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2014-01-30
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
16
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
112
Cycle 3 Standard Health Survey Date
2013-03-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
112
Total Weighted Health Survey Score
72.66700
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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