Oklahoma Nursing Homes >> Dewey Nursing Homes >> Forrest Manor Nursing Center

Forrest Manor Nursing Center - Dewey Nursing Home

General Information

UPDATE
Federal Provider Number
375501
Provider Name
FORREST MANOR NURSING CENTER
Provider Address
1410 NORTH CHOCTAW
DEWEY, OK 74029
Provider Phone Number
9185343355
Provider SSA County
730
Provider County Name
Washington
Ownership Type
For profit - Corporation
Number of Certified Beds
116
Number of Residents in Certified Beds
73
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DEWBAR MANAGEMENT, LLC
Date First Approved to Provide Medicare and Medicaid services
2006-07-23
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
1
Overall Rating Footnote
Health Inspection Rating
2
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
1.94589
Reported LPN Staffing Hours per Resident per Day
0.99384
Reported RN Staffing Hours per Resident per Day
0.30890
Reported Licensed Staffing Hours per Resident per Day
1.30274
Reported Total Nurse Staffing Hours per Resident per Day
3.24863
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00753
Expected CNA Staffing Hours per Resident per Day
2.15159
Expected LPN Staffing Hours per Resident per Day
0.56590
Expected RN Staffing Hours per Resident per Day
0.84104
Expected Total Nurse Staffing Hours per Resident per Day
3.55853
Adjusted CNA Staffing Hours per Resident per Day
2.21911
Adjusted LPN Staffing Hours per Resident per Day
1.45767
Adjusted RN Staffing Hours per Resident per Day
0.27443
Adjusted Total Nurse Staffing Hours per Resident per Day
3.67986
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2014-06-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2013-05-16
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
50
Cycle 2 Total Health Score
50
Cycle 3 Total Number of Health Deficiencies
17
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
108
Cycle 3 Standard Health Survey Date
2012-03-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
108
Total Weighted Health Survey Score
108.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
10
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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