First Shamrock Care Center - Kingfisher Nursing Home

General Information

UPDATE
Federal Provider Number
375416
Provider Name
FIRST SHAMROCK CARE CENTER
Provider Address
1415 SOUTH MAIN STREET
KINGFISHER, OK 73750
Provider Phone Number
4053753157
Provider SSA County
360
Provider County Name
Kingfisher
Ownership Type
For profit - Partnership
Number of Certified Beds
55
Number of Residents in Certified Beds
37
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SHAMROCK CARE CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
2002-06-05
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
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
2.12432
Reported LPN Staffing Hours per Resident per Day
0.35270
Reported RN Staffing Hours per Resident per Day
0.56622
Reported Licensed Staffing Hours per Resident per Day
0.91892
Reported Total Nurse Staffing Hours per Resident per Day
3.04324
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00135
Expected CNA Staffing Hours per Resident per Day
2.03210
Expected LPN Staffing Hours per Resident per Day
0.53811
Expected RN Staffing Hours per Resident per Day
0.75997
Expected Total Nurse Staffing Hours per Resident per Day
3.33018
Adjusted CNA Staffing Hours per Resident per Day
2.56506
Adjusted LPN Staffing Hours per Resident per Day
0.54402
Adjusted RN Staffing Hours per Resident per Day
0.55670
Adjusted Total Nurse Staffing Hours per Resident per Day
3.68359
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
92
Cycle 1 Standard Survey Health Date
2015-03-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
92
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
355
Cycle 2 Standard Health Survey Date
2014-05-01
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
22
Cycle 3 Number of Standard Health Deficiencies
18
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
160
Cycle 3 Standard Health Survey Date
2013-07-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
160
Total Weighted Health Survey Score
191.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
Number of Fines
2
Total Amount of Fines in Dollars
14150
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01

Nursiong Homes Nearby

Cimarron Nursing Center

905 Beall Road | KINGFISHER OK 73750 | 1.1 miles away

Hennessey Manor Nursing Home

705 East 3rd Street | HENNESSEY OK 73742 | 18.1 miles away

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