Grace Living Center-tahlequah East Shawnee - Tahlequah Nursing Home

General Information

UPDATE
Federal Provider Number
375124
Provider Name
GRACE LIVING CENTER-TAHLEQUAH EAST SHAWNEE
Provider Address
614 CHERRY STREET
TAHLEQUAH, OK 74465
Provider Phone Number
9184562573
Provider SSA County
100
Provider County Name
Cherokee
Ownership Type
For profit - Partnership
Number of Certified Beds
125
Number of Residents in Certified Beds
76
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EAST SHAWNEE NURSING CENTER L L C
Date First Approved to Provide Medicare and Medicaid services
1992-08-04
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
4
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
1
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
2.07763
Reported LPN Staffing Hours per Resident per Day
1.05658
Reported RN Staffing Hours per Resident per Day
0.27500
Reported Licensed Staffing Hours per Resident per Day
1.33158
Reported Total Nurse Staffing Hours per Resident per Day
3.40921
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00066
Expected CNA Staffing Hours per Resident per Day
2.05976
Expected LPN Staffing Hours per Resident per Day
0.63427
Expected RN Staffing Hours per Resident per Day
0.96940
Expected Total Nurse Staffing Hours per Resident per Day
3.66343
Adjusted CNA Staffing Hours per Resident per Day
2.47499
Adjusted LPN Staffing Hours per Resident per Day
1.38263
Adjusted RN Staffing Hours per Resident per Day
0.21197
Adjusted Total Nurse Staffing Hours per Resident per Day
3.75118
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-09-25
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-06-26
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-04-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
9.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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

Nursiong Homes Nearby

Grace Living Center-tahlequah University Northwest

1201 North Vinita Avenue | TAHLEQUAH OK 74464 | 3.1 miles away

Cherokee County Nursing Center

1504 North Cedar Avenue | TAHLEQUAH OK 74464 | 3.5 miles away

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