Heritage Park - Bethany Nursing Home
General Information
UPDATEFederal Provider Number
375511
Provider Name
HERITAGE PARK
Provider Address
6912 NORTHWEST 23RD STREET
BETHANY, OK 73008
BETHANY, OK 73008
Provider Phone Number
(405) 789-7208
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
50
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
C AND Y MANGEMENT COMPANY INC
Date First Approved to Provide Medicare and Medicaid services
2007-10-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
2.76800
Reported LPN Staffing Hours per Resident per Day
0.67600
Reported RN Staffing Hours per Resident per Day
0.30500
Reported Licensed Staffing Hours per Resident per Day
0.98100
Reported Total Nurse Staffing Hours per Resident per Day
3.74900
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01600
Expected CNA Staffing Hours per Resident per Day
1.74964
Expected LPN Staffing Hours per Resident per Day
0.48638
Expected RN Staffing Hours per Resident per Day
0.62036
Expected Total Nurse Staffing Hours per Resident per Day
2.85638
Adjusted CNA Staffing Hours per Resident per Day
3.88186
Adjusted LPN Staffing Hours per Resident per Day
1.15359
Adjusted RN Staffing Hours per Resident per Day
0.36736
Adjusted Total Nurse Staffing Hours per Resident per Day
5.29056
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-09-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
68
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
68
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-07-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
43.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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