Green Country Care Center - Tulsa Nursing Home
General Information
UPDATEFederal Provider Number
375421
Provider Name
GREEN COUNTRY CARE CENTER
Provider Address
3601 NORTH COLUMBIA
TULSA, OK 74110
TULSA, OK 74110
Provider Phone Number
(918) 428-3600
Provider SSA County
710
Provider County Name
Tulsa
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
114
Number of Residents in Certified Beds
84
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PHOENIX HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid services
2003-01-01
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
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.31786
Reported LPN Staffing Hours per Resident per Day
0.51964
Reported RN Staffing Hours per Resident per Day
0.64702
Reported Licensed Staffing Hours per Resident per Day
1.16667
Reported Total Nurse Staffing Hours per Resident per Day
3.48452
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05119
Expected CNA Staffing Hours per Resident per Day
2.62333
Expected LPN Staffing Hours per Resident per Day
0.56892
Expected RN Staffing Hours per Resident per Day
0.85937
Expected Total Nurse Staffing Hours per Resident per Day
4.05163
Adjusted CNA Staffing Hours per Resident per Day
2.16798
Adjusted LPN Staffing Hours per Resident per Day
0.75810
Adjusted RN Staffing Hours per Resident per Day
0.56257
Adjusted Total Nurse Staffing Hours per Resident per Day
3.46669
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
108
Cycle 1 Standard Survey Health Date
2014-09-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
108
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-08-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-06-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
86.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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