Grace Living Center-southwest O K C - Oklahoma City Nursing Home
General Information
UPDATEFederal Provider Number
375151
Provider Name
GRACE LIVING CENTER-SOUTHWEST O K C
Provider Address
2400 SOUTHWEST 55TH STREET
OKLAHOMA CITY, OK 73119
OKLAHOMA CITY, OK 73119
Provider Phone Number
(405) 681-5381
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
82
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CAPITOL HILL NC LLC
Date First Approved to Provide Medicare and Medicaid services
1994-02-01
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
2
Health Inspection Rating Footnote
QM Rating
1
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
2.29329
Reported LPN Staffing Hours per Resident per Day
0.78659
Reported RN Staffing Hours per Resident per Day
0.52439
Reported Licensed Staffing Hours per Resident per Day
1.31098
Reported Total Nurse Staffing Hours per Resident per Day
3.60427
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02378
Expected CNA Staffing Hours per Resident per Day
2.31459
Expected LPN Staffing Hours per Resident per Day
0.62499
Expected RN Staffing Hours per Resident per Day
0.97338
Expected Total Nurse Staffing Hours per Resident per Day
3.91297
Adjusted CNA Staffing Hours per Resident per Day
2.43112
Adjusted LPN Staffing Hours per Resident per Day
1.04461
Adjusted RN Staffing Hours per Resident per Day
0.40254
Adjusted Total Nurse Staffing Hours per Resident per Day
3.71290
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
16
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
112
Cycle 1 Standard Survey Health Date
2014-09-26
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
56
Cycle 1 Total Health Score
168
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-07-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
272
Cycle 3 Standard Health Survey Date
2012-08-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
272
Total Weighted Health Survey Score
153.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
14
Number of Fines
2
Total Amount of Fines in Dollars
17225
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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