Colonial Manor Nursing Home, Inc - Tulsa Nursing Home

General Information

UPDATE
Federal Provider Number
375465
Provider Name
COLONIAL MANOR NURSING HOME, INC
Provider Address
1815 EAST SKELLY DRIVE
TULSA, OK 74105
Provider Phone Number
9187437838
Provider SSA County
710
Provider County Name
Tulsa
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
78
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COLONIAL MANOR MANAGEMENT COMPANY, L.L.C.
Date First Approved to Provide Medicare and Medicaid services
2004-04-16
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
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
2.46795
Reported LPN Staffing Hours per Resident per Day
1.16090
Reported RN Staffing Hours per Resident per Day
0.24423
Reported Licensed Staffing Hours per Resident per Day
1.40513
Reported Total Nurse Staffing Hours per Resident per Day
3.87308
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00897
Expected CNA Staffing Hours per Resident per Day
2.27598
Expected LPN Staffing Hours per Resident per Day
0.55286
Expected RN Staffing Hours per Resident per Day
0.86455
Expected Total Nurse Staffing Hours per Resident per Day
3.69339
Adjusted CNA Staffing Hours per Resident per Day
2.66066
Adjusted LPN Staffing Hours per Resident per Day
1.74283
Adjusted RN Staffing Hours per Resident per Day
0.21108
Adjusted Total Nurse Staffing Hours per Resident per Day
4.22701
Cycle 1 Total Number of Health Deficiencies
33
Cycle 1 Number of Standard Health Deficiencies
28
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
484
Cycle 1 Standard Survey Health Date
2014-08-04
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
242
Cycle 1 Total Health Score
726
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
11
Cycle 2 Health Deficiency Score
219
Cycle 2 Standard Health Survey Date
2013-06-28
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
110
Cycle 2 Total Health Score
110
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
124
Cycle 3 Standard Health Survey Date
2012-04-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
124
Total Weighted Health Survey Score
493.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
16
Number of Fines
3
Total Amount of Fines in Dollars
73094
Number of Payment Denials
1
Total Number of Penalties
4
Location
Processing Date
2015-06-01

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