Grace Living Center-northwest O K C - Oklahoma City Nursing Home
General Information
UPDATEFederal Provider Number
375209
Provider Name
GRACE LIVING CENTER-NORTHWEST O K C
Provider Address
3233 NORTHWEST 10TH STREET
OKLAHOMA CITY, OK 73107
OKLAHOMA CITY, OK 73107
Provider Phone Number
(405) 943-8366
Provider SSA County
540
Provider County Name
Oklahoma
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
142
Number of Residents in Certified Beds
117
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NORTHWEST INCORPORATED
Date First Approved to Provide Medicare and Medicaid services
1995-02-01
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
2
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.61538
Reported LPN Staffing Hours per Resident per Day
1.16496
Reported RN Staffing Hours per Resident per Day
0.28889
Reported Licensed Staffing Hours per Resident per Day
1.45385
Reported Total Nurse Staffing Hours per Resident per Day
4.06923
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01026
Expected CNA Staffing Hours per Resident per Day
2.21686
Expected LPN Staffing Hours per Resident per Day
0.62842
Expected RN Staffing Hours per Resident per Day
0.92110
Expected Total Nurse Staffing Hours per Resident per Day
3.76637
Adjusted CNA Staffing Hours per Resident per Day
2.89480
Adjusted LPN Staffing Hours per Resident per Day
1.53865
Adjusted RN Staffing Hours per Resident per Day
0.23435
Adjusted Total Nurse Staffing Hours per Resident per Day
4.35503
Cycle 1 Total Number of Health Deficiencies
19
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
128
Cycle 1 Standard Survey Health Date
2014-09-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
128
Cycle 2 Total Number of Health Deficiencies
28
Cycle 2 Number of Standard Health Deficiencies
17
Cycle 2 Number of Complaint Health Deficiencies
16
Cycle 2 Health Deficiency Score
460
Cycle 2 Standard Health Survey Date
2013-07-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
460
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
92
Cycle 3 Standard Health Survey Date
2012-05-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
92
Total Weighted Health Survey Score
232.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
21
Number of Fines
1
Total Amount of Fines in Dollars
7900
Number of Payment Denials
2
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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