Corn Heritage Village Of Weatherford - Weatherford Nursing Home
General Information
UPDATEFederal Provider Number
375530
Provider Name
CORN HERITAGE VILLAGE OF WEATHERFORD
Provider Address
801 NORTH WASHINGTON
WEATHERFORD, OK 73096
WEATHERFORD, OK 73096
Provider Phone Number
5807723993
Provider SSA County
190
Provider County Name
Custer
Ownership Type
Non profit - Church related
Number of Certified Beds
81
Number of Residents in Certified Beds
42
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CORN HERITAGE VILLAGE OF WEATHERFORD INC
Date First Approved to Provide Medicare and Medicaid services
2009-07-01
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
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.45119
Reported LPN Staffing Hours per Resident per Day
0.37262
Reported RN Staffing Hours per Resident per Day
0.95952
Reported Licensed Staffing Hours per Resident per Day
1.33214
Reported Total Nurse Staffing Hours per Resident per Day
4.78333
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06310
Expected CNA Staffing Hours per Resident per Day
2.28423
Expected LPN Staffing Hours per Resident per Day
0.56457
Expected RN Staffing Hours per Resident per Day
0.84534
Expected Total Nurse Staffing Hours per Resident per Day
3.69414
Adjusted CNA Staffing Hours per Resident per Day
3.70723
Adjusted LPN Staffing Hours per Resident per Day
0.54781
Adjusted RN Staffing Hours per Resident per Day
0.84813
Adjusted Total Nurse Staffing Hours per Resident per Day
5.21938
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-08-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-07-10
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
15
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2012-06-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
50.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
12
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
Weatherford Living Center
2200 North Lyle Road |
WEATHERFORD OK 73096 | 1.3 miles away
United Methodist Health Care Center, Inc
2316 Modelle |
CLINTON OK 73601 | 16.7 miles away
Grace Living Center-clinton
2400 West Modelle |
CLINTON OK 73601 | 16.7 miles away
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