Elmbrook Home - Ardmore Nursing Home
General Information
UPDATEFederal Provider Number
375160
Provider Name
ELMBROOK HOME
Provider Address
1811 9TH STREET NORTHWEST
ARDMORE, OK 73401
ARDMORE, OK 73401
Provider Phone Number
5802233303
Provider SSA County
90
Provider County Name
Carter
Ownership Type
For profit - Corporation
Number of Certified Beds
126
Number of Residents in Certified Beds
67
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ELMBROOK HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
1994-03-14
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
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.23657
Reported LPN Staffing Hours per Resident per Day
0.65000
Reported RN Staffing Hours per Resident per Day
0.61866
Reported Licensed Staffing Hours per Resident per Day
1.26866
Reported Total Nurse Staffing Hours per Resident per Day
3.50523
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01045
Expected CNA Staffing Hours per Resident per Day
2.18830
Expected LPN Staffing Hours per Resident per Day
0.59758
Expected RN Staffing Hours per Resident per Day
0.81931
Expected Total Nurse Staffing Hours per Resident per Day
3.60519
Adjusted CNA Staffing Hours per Resident per Day
2.50783
Adjusted LPN Staffing Hours per Resident per Day
0.90281
Adjusted RN Staffing Hours per Resident per Day
0.56421
Adjusted Total Nurse Staffing Hours per Resident per Day
3.91914
Cycle 1 Total Number of Health Deficiencies
19
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
156
Cycle 1 Standard Survey Health Date
2015-04-16
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
156
Cycle 2 Total Number of Health Deficiencies
25
Cycle 2 Number of Standard Health Deficiencies
25
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
176
Cycle 2 Standard Health Survey Date
2014-02-14
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
31
Cycle 3 Number of Standard Health Deficiencies
20
Cycle 3 Number of Complaint Health Deficiencies
13
Cycle 3 Health Deficiency Score
172
Cycle 3 Standard Health Survey Date
2013-04-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
172
Total Weighted Health Survey Score
165.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
16
Number of Fines
1
Total Amount of Fines in Dollars
12800
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Whispering Oaks
111 13th Avenue Northwest |
ARDMORE OK 73401 | 1.4 miles away
Southbrook Healthcare, Inc
832 Isabel Southwest |
ARDMORE OK 73401 | 1.6 miles away
Lakeland Manor, Inc
604 Lake Murray Drive |
ARDMORE OK 73401 | 2.4 miles away
Woodview Home, Inc.
1630 3rd Avenue Northeast |
ARDMORE OK 73401 | 2.7 miles away
Wilson Nursing Center
867 Us Highway 70a |
WILSON OK 73463 | 15.4 miles away
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