Haskell County Nursing Center, Inc - Stigler Nursing Home
General Information
UPDATEFederal Provider Number
375497
Provider Name
HASKELL COUNTY NURSING CENTER, INC
Provider Address
1402 NORTHWEST 7TH STREET
STIGLER, OK 74462
STIGLER, OK 74462
Provider Phone Number
9189673381
Provider SSA County
300
Provider County Name
Haskell
Ownership Type
For profit - Individual
Number of Certified Beds
80
Number of Residents in Certified Beds
50
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HASKELL COUNTY NURISNG CENTER
Date First Approved to Provide Medicare and Medicaid services
2006-01-09
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
2.72600
Reported LPN Staffing Hours per Resident per Day
0.55700
Reported RN Staffing Hours per Resident per Day
0.50200
Reported Licensed Staffing Hours per Resident per Day
1.05900
Reported Total Nurse Staffing Hours per Resident per Day
3.78500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.19899
Expected LPN Staffing Hours per Resident per Day
0.58175
Expected RN Staffing Hours per Resident per Day
0.85422
Expected Total Nurse Staffing Hours per Resident per Day
3.63496
Adjusted CNA Staffing Hours per Resident per Day
3.04176
Adjusted LPN Staffing Hours per Resident per Day
0.79468
Adjusted RN Staffing Hours per Resident per Day
0.43911
Adjusted Total Nurse Staffing Hours per Resident per Day
4.19728
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
266
Cycle 1 Standard Survey Health Date
2014-12-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
266
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-10-10
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
21
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
285
Cycle 3 Standard Health Survey Date
2012-11-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
285
Total Weighted Health Survey Score
200.50000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
Number of Fines
1
Total Amount of Fines in Dollars
31280
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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