Eastwood Manor - Commerce Nursing Home

General Information

UPDATE
Federal Provider Number
375529
Provider Name
EASTWOOD MANOR
Provider Address
6TH AND HIGHWAY 69
COMMERCE, OK 74339
Provider Phone Number
9186754455
Provider SSA County
570
Provider County Name
Ottawa
Ownership Type
For profit - Individual
Number of Certified Beds
80
Number of Residents in Certified Beds
66
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EASTWOOD MANOR, LLC
Date First Approved to Provide Medicare and Medicaid services
2008-07-25
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
3
Overall Rating Footnote
Health Inspection Rating
4
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
3.10076
Reported LPN Staffing Hours per Resident per Day
0.88636
Reported RN Staffing Hours per Resident per Day
0.35379
Reported Licensed Staffing Hours per Resident per Day
1.24015
Reported Total Nurse Staffing Hours per Resident per Day
4.34091
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01439
Expected CNA Staffing Hours per Resident per Day
2.29326
Expected LPN Staffing Hours per Resident per Day
0.67714
Expected RN Staffing Hours per Resident per Day
1.15701
Expected Total Nurse Staffing Hours per Resident per Day
4.12741
Adjusted CNA Staffing Hours per Resident per Day
3.31769
Adjusted LPN Staffing Hours per Resident per Day
1.08645
Adjusted RN Staffing Hours per Resident per Day
0.22848
Adjusted Total Nurse Staffing Hours per Resident per Day
4.23940
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-07-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-09-26
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-11-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
44.00000
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

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