Grace Living Center-wilshire & Broadway - Oklahoma City Nursing Home
General Information
UPDATEFederal Provider Number
375189
Provider Name
GRACE LIVING CENTER-WILSHIRE & BROADWAY
Provider Address
505 EAST WILSHIRE BLVD
OKLAHOMA CITY, OK 73105
OKLAHOMA CITY, OK 73105
Provider Phone Number
(405) 478-0531
Provider SSA County
540
Provider County Name
Oklahoma
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
56
Number of Residents in Certified Beds
45
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WILSHIRE NURSING HOME
Date First Approved to Provide Medicare and Medicaid services
1994-09-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.43444
Reported LPN Staffing Hours per Resident per Day
0.68111
Reported RN Staffing Hours per Resident per Day
0.88333
Reported Licensed Staffing Hours per Resident per Day
1.56444
Reported Total Nurse Staffing Hours per Resident per Day
3.99888
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00778
Expected CNA Staffing Hours per Resident per Day
2.16084
Expected LPN Staffing Hours per Resident per Day
0.55312
Expected RN Staffing Hours per Resident per Day
0.76492
Expected Total Nurse Staffing Hours per Resident per Day
3.47889
Adjusted CNA Staffing Hours per Resident per Day
2.76438
Adjusted LPN Staffing Hours per Resident per Day
1.02205
Adjusted RN Staffing Hours per Resident per Day
0.86287
Adjusted Total Nurse Staffing Hours per Resident per Day
4.63340
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-10-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-12-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2013-01-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
18.66700
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
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