Hennessey Manor Nursing Home - Hennessey Nursing Home

General Information

UPDATE
Federal Provider Number
375485
Provider Name
HENNESSEY MANOR NURSING HOME
Provider Address
705 EAST 3RD STREET
HENNESSEY, OK 73742
Provider Phone Number
4058536027
Provider SSA County
360
Provider County Name
Kingfisher
Ownership Type
For profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
36
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HENNESSEY MANOR NURSING HOME
Date First Approved to Provide Medicare and Medicaid services
2005-08-30
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
4
Overall Rating Footnote
Health Inspection Rating
3
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
2.86111
Reported LPN Staffing Hours per Resident per Day
0.90833
Reported RN Staffing Hours per Resident per Day
0.41389
Reported Licensed Staffing Hours per Resident per Day
1.32222
Reported Total Nurse Staffing Hours per Resident per Day
4.18333
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04028
Expected CNA Staffing Hours per Resident per Day
1.96339
Expected LPN Staffing Hours per Resident per Day
0.53391
Expected RN Staffing Hours per Resident per Day
0.75125
Expected Total Nurse Staffing Hours per Resident per Day
3.24854
Adjusted CNA Staffing Hours per Resident per Day
3.57561
Adjusted LPN Staffing Hours per Resident per Day
1.41206
Adjusted RN Staffing Hours per Resident per Day
0.41166
Adjusted Total Nurse Staffing Hours per Resident per Day
5.19081
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-12-18
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
13
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2014-02-05
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
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2013-03-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
78.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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

Nursiong Homes Nearby

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905 Beall Road | KINGFISHER OK 73750 | 17.1 miles away

First Shamrock Care Center

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