English Village Manor - Altus Nursing Home
General Information
UPDATEFederal Provider Number
375404
Provider Name
ENGLISH VILLAGE MANOR
Provider Address
1515 CANTERBURY BLVD
ALTUS, OK 73521
ALTUS, OK 73521
Provider Phone Number
5804771133
Provider SSA County
320
Provider County Name
Jackson
Ownership Type
For profit - Corporation
Number of Certified Beds
128
Number of Residents in Certified Beds
100
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WCR ENTERPRISES INC
Date First Approved to Provide Medicare and Medicaid services
2001-12-19
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
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
2.71100
Reported LPN Staffing Hours per Resident per Day
0.52500
Reported RN Staffing Hours per Resident per Day
0.62950
Reported Licensed Staffing Hours per Resident per Day
1.15450
Reported Total Nurse Staffing Hours per Resident per Day
3.86550
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.49210
Expected LPN Staffing Hours per Resident per Day
0.62225
Expected RN Staffing Hours per Resident per Day
0.89473
Expected Total Nurse Staffing Hours per Resident per Day
4.00908
Adjusted CNA Staffing Hours per Resident per Day
2.66923
Adjusted LPN Staffing Hours per Resident per Day
0.70028
Adjusted RN Staffing Hours per Resident per Day
0.52570
Adjusted Total Nurse Staffing Hours per Resident per Day
3.88654
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-03-13
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2014-01-30
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
12
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
92
Cycle 3 Standard Health Survey Date
2013-03-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
92
Total Weighted Health Survey Score
40.66700
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
Plantation Village Nursing Center
2610 Cedar Creek Drive |
ALTUS OK 73521 | 1 mile away
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