Leisure Village Health Care Center - Tulsa Nursing Home
General Information
UPDATEFederal Provider Number
375230
Provider Name
LEISURE VILLAGE HEALTH CARE CENTER
Provider Address
2154 SOUTH 85TH EAST AVENUE
TULSA, OK 74129
TULSA, OK 74129
Provider Phone Number
(918) 622-4747
Provider SSA County
710
Provider County Name
Tulsa
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
117
Number of Residents in Certified Beds
79
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LEISURE VILLAGE HEALTH CARE
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
Y
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
1
Health Inspection Rating Footnote
QM Rating
1
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
2.88797
Reported LPN Staffing Hours per Resident per Day
0.83165
Reported RN Staffing Hours per Resident per Day
0.21709
Reported Licensed Staffing Hours per Resident per Day
1.04873
Reported Total Nurse Staffing Hours per Resident per Day
3.93671
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05000
Expected CNA Staffing Hours per Resident per Day
2.40546
Expected LPN Staffing Hours per Resident per Day
0.59627
Expected RN Staffing Hours per Resident per Day
0.86939
Expected Total Nurse Staffing Hours per Resident per Day
3.87113
Adjusted CNA Staffing Hours per Resident per Day
2.94588
Adjusted LPN Staffing Hours per Resident per Day
1.15764
Adjusted RN Staffing Hours per Resident per Day
0.18658
Adjusted Total Nurse Staffing Hours per Resident per Day
4.09919
Cycle 1 Total Number of Health Deficiencies
33
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
21
Cycle 1 Health Deficiency Score
659
Cycle 1 Standard Survey Health Date
2014-03-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
659
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
11
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2013-01-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
84
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2011-11-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
364.83300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
12
Number of Fines
2
Total Amount of Fines in Dollars
84906
Number of Payment Denials
2
Total Number of Penalties
4
Location
Processing Date
2015-06-01
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