Corn Heritage Village - Corn Nursing Home
General Information
UPDATEFederal Provider Number
375409
Provider Name
CORN HERITAGE VILLAGE
Provider Address
106 WEST ADAMS
CORN, OK 73024
CORN, OK 73024
Provider Phone Number
5803432295
Provider SSA County
740
Provider County Name
Washita
Ownership Type
Non profit - Corporation
Number of Certified Beds
104
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CORN HERITAGE VILLAGE OF CORN INC
Date First Approved to Provide Medicare and Medicaid services
2002-05-14
Continuing Care Retirement Community
Y
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
4
Overall Rating Footnote
Health Inspection Rating
4
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
3.09600
Reported LPN Staffing Hours per Resident per Day
0.84067
Reported RN Staffing Hours per Resident per Day
0.31933
Reported Licensed Staffing Hours per Resident per Day
1.16000
Reported Total Nurse Staffing Hours per Resident per Day
4.25600
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00200
Expected CNA Staffing Hours per Resident per Day
2.26117
Expected LPN Staffing Hours per Resident per Day
0.53669
Expected RN Staffing Hours per Resident per Day
0.69117
Expected Total Nurse Staffing Hours per Resident per Day
3.48904
Adjusted CNA Staffing Hours per Resident per Day
3.35961
Adjusted LPN Staffing Hours per Resident per Day
1.30011
Adjusted RN Staffing Hours per Resident per Day
0.34521
Adjusted Total Nurse Staffing Hours per Resident per Day
4.91697
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-12-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
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
9
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-11-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
30.00000
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
Nursiong Homes Nearby
Cordell Christian Home
1400 North College |
CORDELL OK 73632 | 12.6 miles away
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