Grace Living Center-buffalo - Buffalo Nursing Home

General Information

UPDATE
Federal Provider Number
375259
Provider Name
GRACE LIVING CENTER-BUFFALO
Provider Address
111 WALNUT DRIVE
BUFFALO, OK 73834
Provider Phone Number
5807352415
Provider SSA County
290
Provider County Name
Harper
Ownership Type
For profit - Partnership
Number of Certified Beds
76
Number of Residents in Certified Beds
35
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WESTERN NURSING HOME LLC
Date First Approved to Provide Medicare and Medicaid services
1996-05-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
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
2.10571
Reported LPN Staffing Hours per Resident per Day
1.03857
Reported RN Staffing Hours per Resident per Day
0.39143
Reported Licensed Staffing Hours per Resident per Day
1.43000
Reported Total Nurse Staffing Hours per Resident per Day
3.53571
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00571
Expected CNA Staffing Hours per Resident per Day
2.21142
Expected LPN Staffing Hours per Resident per Day
0.54764
Expected RN Staffing Hours per Resident per Day
0.68469
Expected Total Nurse Staffing Hours per Resident per Day
3.44375
Adjusted CNA Staffing Hours per Resident per Day
2.33640
Adjusted LPN Staffing Hours per Resident per Day
1.57406
Adjusted RN Staffing Hours per Resident per Day
0.42717
Adjusted Total Nurse Staffing Hours per Resident per Day
4.13854
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-01-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-12-11
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
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-11-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
22.00000
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
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