Heritage Manor - Oklahoma City Nursing Home
General Information
UPDATEFederal Provider Number
375502
Provider Name
HERITAGE MANOR
Provider Address
3804 NORTH BARR
OKLAHOMA CITY, OK 73122
OKLAHOMA CITY, OK 73122
Provider Phone Number
(405) 789-7103
Provider SSA County
540
Provider County Name
Oklahoma
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
55
Number of Residents in Certified Beds
49
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CRANE YOUNG AND ASSOCIATES INC
Date First Approved to Provide Medicare and Medicaid services
2006-11-08
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
3
Health Inspection Rating Footnote
QM Rating
5
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
3.02347
Reported LPN Staffing Hours per Resident per Day
0.80510
Reported RN Staffing Hours per Resident per Day
0.48776
Reported Licensed Staffing Hours per Resident per Day
1.29286
Reported Total Nurse Staffing Hours per Resident per Day
4.31633
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03469
Expected CNA Staffing Hours per Resident per Day
2.09489
Expected LPN Staffing Hours per Resident per Day
0.59361
Expected RN Staffing Hours per Resident per Day
0.77067
Expected Total Nurse Staffing Hours per Resident per Day
3.45917
Adjusted CNA Staffing Hours per Resident per Day
3.54133
Adjusted LPN Staffing Hours per Resident per Day
1.12570
Adjusted RN Staffing Hours per Resident per Day
0.47290
Adjusted Total Nurse Staffing Hours per Resident per Day
5.02973
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
52
Cycle 1 Standard Survey Health Date
2015-04-02
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
131
Cycle 2 Standard Health Survey Date
2014-01-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
131
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2013-02-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
81.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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