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Coweta Manor Nursing Home - Coweta Nursing Home

General Information

UPDATE
Federal Provider Number
375304
Provider Name
COWETA MANOR NURSING HOME
Provider Address
30049 EAST 151ST STREET SOUTH
COWETA, OK 74429
Provider Phone Number
9184862166
Provider SSA County
720
Provider County Name
Wagoner
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1997-05-01
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
4
QM Rating Footnote
Staffing Rating
3
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
3.86944
Reported LPN Staffing Hours per Resident per Day
1.15833
Reported RN Staffing Hours per Resident per Day
0.36019
Reported Licensed Staffing Hours per Resident per Day
1.51852
Reported Total Nurse Staffing Hours per Resident per Day
5.38796
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05556
Expected CNA Staffing Hours per Resident per Day
2.18258
Expected LPN Staffing Hours per Resident per Day
0.62529
Expected RN Staffing Hours per Resident per Day
0.96114
Expected Total Nurse Staffing Hours per Resident per Day
3.76901
Adjusted CNA Staffing Hours per Resident per Day
4.35010
Adjusted LPN Staffing Hours per Resident per Day
1.53756
Adjusted RN Staffing Hours per Resident per Day
0.28001
Adjusted Total Nurse Staffing Hours per Resident per Day
5.76234
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-11-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-09-05
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
3
Cycle 3 Number of Complaint Health Deficiencies
9
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-10-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
52.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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

Wagoner Care Center

205 North Lincoln Avenue | WAGONER OK 74467 | 14.1 miles away

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