Grace Living Center-northeast O K C - Oklahoma City Nursing Home
General Information
UPDATEFederal Provider Number
375155
Provider Name
GRACE LIVING CENTER-NORTHEAST O K C
Provider Address
1921 NORTHEAST 21ST STREET
OKLAHOMA CITY, OK 73111
OKLAHOMA CITY, OK 73111
Provider Phone Number
(405) 424-1449
Provider SSA County
540
Provider County Name
Oklahoma
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
105
Number of Residents in Certified Beds
68
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TERRACE GARDENS NURSING CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1994-01-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
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
2.38824
Reported LPN Staffing Hours per Resident per Day
1.07206
Reported RN Staffing Hours per Resident per Day
0.37206
Reported Licensed Staffing Hours per Resident per Day
1.44412
Reported Total Nurse Staffing Hours per Resident per Day
3.83236
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00735
Expected CNA Staffing Hours per Resident per Day
2.08190
Expected LPN Staffing Hours per Resident per Day
0.56392
Expected RN Staffing Hours per Resident per Day
0.82684
Expected Total Nurse Staffing Hours per Resident per Day
3.47266
Adjusted CNA Staffing Hours per Resident per Day
2.81475
Adjusted LPN Staffing Hours per Resident per Day
1.57790
Adjusted RN Staffing Hours per Resident per Day
0.33622
Adjusted Total Nurse Staffing Hours per Resident per Day
4.44842
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
88
Cycle 1 Standard Survey Health Date
2014-10-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
88
Cycle 2 Total Number of Health Deficiencies
21
Cycle 2 Number of Standard Health Deficiencies
19
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
369
Cycle 2 Standard Health Survey Date
2013-08-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
369
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
108
Cycle 3 Standard Health Survey Date
2012-09-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
108
Total Weighted Health Survey Score
185.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
10
Number of Fines
1
Total Amount of Fines in Dollars
42413
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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