Oklahoma Nursing Homes >> Heavener Nursing Homes >> Heavener Manor

Heavener Manor - Heavener Nursing Home

General Information

UPDATE
Federal Provider Number
375434
Provider Name
HEAVENER MANOR
Provider Address
204 WEST FIRST STREET
HEAVENER, OK 74937
Provider Phone Number
9186532464
Provider SSA County
390
Provider County Name
Le Flore
Ownership Type
For profit - Individual
Number of Certified Beds
41
Number of Residents in Certified Beds
29
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HEAVENER MANOR, LLC
Date First Approved to Provide Medicare and Medicaid services
2003-03-29
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.09138
Reported LPN Staffing Hours per Resident per Day
0.82759
Reported RN Staffing Hours per Resident per Day
0.47241
Reported Licensed Staffing Hours per Resident per Day
1.30000
Reported Total Nurse Staffing Hours per Resident per Day
3.39138
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
1.93560
Expected LPN Staffing Hours per Resident per Day
0.56228
Expected RN Staffing Hours per Resident per Day
1.01357
Expected Total Nurse Staffing Hours per Resident per Day
3.51145
Adjusted CNA Staffing Hours per Resident per Day
2.65118
Adjusted LPN Staffing Hours per Resident per Day
1.22164
Adjusted RN Staffing Hours per Resident per Day
0.34826
Adjusted Total Nurse Staffing Hours per Resident per Day
3.89307
Cycle 1 Total Number of Health Deficiencies
21
Cycle 1 Number of Standard Health Deficiencies
21
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
144
Cycle 1 Standard Survey Health Date
2015-02-05
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
72
Cycle 1 Total Health Score
216
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2014-03-27
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
12
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
96
Cycle 3 Standard Health Survey Date
2013-02-07
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
48
Cycle 3 Total Health Score
144
Total Weighted Health Survey Score
165.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
30100
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01

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