Fort Gibson Nursing Home - Fort Gibson Nursing Home
General Information
UPDATEFederal Provider Number
375330
Provider Name
FORT GIBSON NURSING HOME
Provider Address
205 EAST POPLAR
FORT GIBSON, OK 74434
FORT GIBSON, OK 74434
Provider Phone Number
9184782456
Provider SSA County
500
Provider County Name
Muskogee
Ownership Type
For profit - Corporation
Number of Certified Beds
66
Number of Residents in Certified Beds
56
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FORT GIBSON MANAGEMENT, LLC
Date First Approved to Provide Medicare and Medicaid services
1998-01-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.60000
Reported LPN Staffing Hours per Resident per Day
0.68661
Reported RN Staffing Hours per Resident per Day
0.36786
Reported Licensed Staffing Hours per Resident per Day
1.05446
Reported Total Nurse Staffing Hours per Resident per Day
3.65447
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00536
Expected CNA Staffing Hours per Resident per Day
2.41676
Expected LPN Staffing Hours per Resident per Day
0.58067
Expected RN Staffing Hours per Resident per Day
0.79927
Expected Total Nurse Staffing Hours per Resident per Day
3.79670
Adjusted CNA Staffing Hours per Resident per Day
2.63974
Adjusted LPN Staffing Hours per Resident per Day
0.98143
Adjusted RN Staffing Hours per Resident per Day
0.34390
Adjusted Total Nurse Staffing Hours per Resident per Day
3.87990
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-12-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-10-25
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
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-11-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
32.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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
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Broadway Manor Nursing Home
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Pleasant Valley Health Care Center
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MUSKOGEE OK 74403 | 7.4 miles away
Brentwood Extended Care & Rehab
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Grace Living Center-muskogee
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Haskell Care Center
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