Grace Living Center-bethany - Bethany Nursing Home

General Information

UPDATE
Federal Provider Number
375107
Provider Name
GRACE LIVING CENTER-BETHANY
Provider Address
7000 NORTHWEST 32ND STREET
BETHANY, OK 73008
Provider Phone Number
4057897242
Provider SSA County
540
Provider County Name
Oklahoma
Ownership Type
For profit - Partnership
Number of Certified Beds
161
Number of Residents in Certified Beds
120
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PUTNAM CITY CONVALESCENT CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1990-10-19
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.01417
Reported LPN Staffing Hours per Resident per Day
1.16667
Reported RN Staffing Hours per Resident per Day
0.59792
Reported Licensed Staffing Hours per Resident per Day
1.76458
Reported Total Nurse Staffing Hours per Resident per Day
3.77876
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01542
Expected CNA Staffing Hours per Resident per Day
2.22060
Expected LPN Staffing Hours per Resident per Day
0.62841
Expected RN Staffing Hours per Resident per Day
1.06197
Expected Total Nurse Staffing Hours per Resident per Day
3.91099
Adjusted CNA Staffing Hours per Resident per Day
2.22560
Adjusted LPN Staffing Hours per Resident per Day
1.54092
Adjusted RN Staffing Hours per Resident per Day
0.42069
Adjusted Total Nurse Staffing Hours per Resident per Day
3.89461
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2015-01-15
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-11-22
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
16
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
16
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2012-10-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
40.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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