Companions Specialized Care Center - Tulsa Nursing Home
General Information
UPDATEFederal Provider Number
375438
Provider Name
COMPANIONS SPECIALIZED CARE CENTER
Provider Address
6201 EAST 36TH STREET
TULSA, OK 74135
TULSA, OK 74135
Provider Phone Number
(918) 622-3430
Provider SSA County
710
Provider County Name
Tulsa
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
121
Number of Residents in Certified Beds
70
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CSCC NURSING, LLC
Date First Approved to Provide Medicare and Medicaid services
2003-06-15
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
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
2.27857
Reported LPN Staffing Hours per Resident per Day
1.10500
Reported RN Staffing Hours per Resident per Day
0.36071
Reported Licensed Staffing Hours per Resident per Day
1.46571
Reported Total Nurse Staffing Hours per Resident per Day
3.74428
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00286
Expected CNA Staffing Hours per Resident per Day
2.14174
Expected LPN Staffing Hours per Resident per Day
0.58456
Expected RN Staffing Hours per Resident per Day
0.86925
Expected Total Nurse Staffing Hours per Resident per Day
3.59555
Adjusted CNA Staffing Hours per Resident per Day
2.61046
Adjusted LPN Staffing Hours per Resident per Day
1.56896
Adjusted RN Staffing Hours per Resident per Day
0.31006
Adjusted Total Nurse Staffing Hours per Resident per Day
4.19764
Cycle 1 Total Number of Health Deficiencies
32
Cycle 1 Number of Standard Health Deficiencies
19
Cycle 1 Number of Complaint Health Deficiencies
13
Cycle 1 Health Deficiency Score
349
Cycle 1 Standard Survey Health Date
2014-10-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
349
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
104
Cycle 2 Standard Health Survey Date
2013-08-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
104
Cycle 3 Total Number of Health Deficiencies
21
Cycle 3 Number of Standard Health Deficiencies
19
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
152
Cycle 3 Standard Health Survey Date
2012-07-12
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
76
Cycle 3 Total Health Score
228
Total Weighted Health Survey Score
247.16700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
Number of Fines
2
Total Amount of Fines in Dollars
71500
Number of Payment Denials
2
Total Number of Penalties
4
Location
Processing Date
2015-06-01
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