Grace Living Center-wildewood - Oklahoma City Nursing Home
General Information
UPDATEFederal Provider Number
375383
Provider Name
GRACE LIVING CENTER-WILDEWOOD
Provider Address
1913 NORTHEAST 50TH STREET
OKLAHOMA CITY, OK 73111
OKLAHOMA CITY, OK 73111
Provider Phone Number
(405) 427-5414
Provider SSA County
540
Provider County Name
Oklahoma
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
107
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOONER GERIATRICS LLC
Date First Approved to Provide Medicare and Medicaid services
2000-02-16
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.82905
Reported LPN Staffing Hours per Resident per Day
1.22095
Reported RN Staffing Hours per Resident per Day
0.23851
Reported Licensed Staffing Hours per Resident per Day
1.45946
Reported Total Nurse Staffing Hours per Resident per Day
4.28851
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04324
Expected CNA Staffing Hours per Resident per Day
2.17069
Expected LPN Staffing Hours per Resident per Day
0.60454
Expected RN Staffing Hours per Resident per Day
0.92302
Expected Total Nurse Staffing Hours per Resident per Day
3.69825
Adjusted CNA Staffing Hours per Resident per Day
3.19789
Adjusted LPN Staffing Hours per Resident per Day
1.67631
Adjusted RN Staffing Hours per Resident per Day
0.19308
Adjusted Total Nurse Staffing Hours per Resident per Day
4.67426
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-06-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
15
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2013-05-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
100
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
108
Cycle 3 Standard Health Survey Date
2012-06-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
108
Total Weighted Health Survey Score
85.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
13
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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