Hill Nursing Home, Inc. - Idabel Nursing Home
General Information
UPDATEFederal Provider Number
375234
Provider Name
HILL NURSING HOME, INC.
Provider Address
808 NORTHWEST M L KING AVENUE
IDABEL, OK 74745
IDABEL, OK 74745
Provider Phone Number
(580) 286-5398
Provider SSA County
440
Provider County Name
Mccurtain
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
51
Number of Residents in Certified Beds
38
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HILL NURSING HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
1995-07-01
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
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.50132
Reported LPN Staffing Hours per Resident per Day
1.15263
Reported RN Staffing Hours per Resident per Day
0.25000
Reported Licensed Staffing Hours per Resident per Day
1.40263
Reported Total Nurse Staffing Hours per Resident per Day
3.90395
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03421
Expected CNA Staffing Hours per Resident per Day
2.54078
Expected LPN Staffing Hours per Resident per Day
0.64672
Expected RN Staffing Hours per Resident per Day
0.87421
Expected Total Nurse Staffing Hours per Resident per Day
4.06171
Adjusted CNA Staffing Hours per Resident per Day
2.41559
Adjusted LPN Staffing Hours per Resident per Day
1.47928
Adjusted RN Staffing Hours per Resident per Day
0.21368
Adjusted Total Nurse Staffing Hours per Resident per Day
3.87434
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-10-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-11-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
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
32
Cycle 3 Standard Health Survey Date
2012-10-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
39.33300
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
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