Grace Living Center-brookwood - Oklahoma City Nursing Home
General Information
UPDATEFederal Provider Number
375106
Provider Name
GRACE LIVING CENTER-BROOKWOOD
Provider Address
940 SOUTHWEST 84TH STREET
OKLAHOMA CITY, OK 73139
OKLAHOMA CITY, OK 73139
Provider Phone Number
(405) 636-0626
Provider SSA County
540
Provider County Name
Oklahoma
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
120
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BROOKWOOD NURSING CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1990-05-30
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
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
2.24620
Reported LPN Staffing Hours per Resident per Day
1.16685
Reported RN Staffing Hours per Resident per Day
0.38043
Reported Licensed Staffing Hours per Resident per Day
1.54728
Reported Total Nurse Staffing Hours per Resident per Day
3.79348
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02500
Expected CNA Staffing Hours per Resident per Day
2.36721
Expected LPN Staffing Hours per Resident per Day
0.62748
Expected RN Staffing Hours per Resident per Day
0.96179
Expected Total Nurse Staffing Hours per Resident per Day
3.95648
Adjusted CNA Staffing Hours per Resident per Day
2.32827
Adjusted LPN Staffing Hours per Resident per Day
1.54345
Adjusted RN Staffing Hours per Resident per Day
0.29555
Adjusted Total Nurse Staffing Hours per Resident per Day
3.86483
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2015-01-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
92
Cycle 2 Standard Health Survey Date
2013-11-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
92
Cycle 3 Total Number of Health Deficiencies
26
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
19
Cycle 3 Health Deficiency Score
168
Cycle 3 Standard Health Survey Date
2012-09-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
168
Total Weighted Health Survey Score
86.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
12
Number of Fines
1
Total Amount of Fines in Dollars
9003
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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