Cleveland Manor Nursing Home - Cleveland Nursing Home
General Information
UPDATEFederal Provider Number
375443
Provider Name
CLEVELAND MANOR NURSING HOME
Provider Address
900 NORTH DIVISION
CLEVELAND, OK 74020
CLEVELAND, OK 74020
Provider Phone Number
9183583135
Provider SSA County
580
Provider County Name
Pawnee
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
53
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SWEET TOWN, LLC
Date First Approved to Provide Medicare and Medicaid services
2003-10-24
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
2.38491
Reported LPN Staffing Hours per Resident per Day
0.80849
Reported RN Staffing Hours per Resident per Day
0.28019
Reported Licensed Staffing Hours per Resident per Day
1.08868
Reported Total Nurse Staffing Hours per Resident per Day
3.47359
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09717
Expected CNA Staffing Hours per Resident per Day
2.04109
Expected LPN Staffing Hours per Resident per Day
0.64554
Expected RN Staffing Hours per Resident per Day
1.01450
Expected Total Nurse Staffing Hours per Resident per Day
3.70114
Adjusted CNA Staffing Hours per Resident per Day
2.86702
Adjusted LPN Staffing Hours per Resident per Day
1.03951
Adjusted RN Staffing Hours per Resident per Day
0.20637
Adjusted Total Nurse Staffing Hours per Resident per Day
3.78308
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
44
Cycle 1 Standard Survey Health Date
2014-08-20
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
19
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
108
Cycle 2 Standard Health Survey Date
2013-10-10
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
37
Cycle 3 Number of Standard Health Deficiencies
37
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
489
Cycle 3 Standard Health Survey Date
2012-08-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
489
Total Weighted Health Survey Score
139.50000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
10
Number of Fines
1
Total Amount of Fines in Dollars
26910
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Southern Oaks Care Center
1401 4th Street |
PAWNEE OK 74058 | 18.6 miles away
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