Maplewood Care Center - Tulsa Nursing Home
General Information
UPDATEFederal Provider Number
375034
Provider Name
MAPLEWOOD CARE CENTER
Provider Address
6202 EAST 61ST STREET
TULSA, OK 74136
TULSA, OK 74136
Provider Phone Number
(918) 494-8830
Provider SSA County
710
Provider County Name
Tulsa
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
180
Number of Residents in Certified Beds
164
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SKYLINE HEIGHTS OPERATING CO LLC
Date First Approved to Provide Medicare and Medicaid services
1967-08-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
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
2.34177
Reported LPN Staffing Hours per Resident per Day
0.64238
Reported RN Staffing Hours per Resident per Day
0.48689
Reported Licensed Staffing Hours per Resident per Day
1.12927
Reported Total Nurse Staffing Hours per Resident per Day
3.47104
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06524
Expected CNA Staffing Hours per Resident per Day
2.22586
Expected LPN Staffing Hours per Resident per Day
0.68712
Expected RN Staffing Hours per Resident per Day
1.04985
Expected Total Nurse Staffing Hours per Resident per Day
3.96283
Adjusted CNA Staffing Hours per Resident per Day
2.58148
Adjusted LPN Staffing Hours per Resident per Day
0.77595
Adjusted RN Staffing Hours per Resident per Day
0.34653
Adjusted Total Nurse Staffing Hours per Resident per Day
3.53066
Cycle 1 Total Number of Health Deficiencies
29
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
18
Cycle 1 Health Deficiency Score
232
Cycle 1 Standard Survey Health Date
2015-02-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
232
Cycle 2 Total Number of Health Deficiencies
40
Cycle 2 Number of Standard Health Deficiencies
29
Cycle 2 Number of Complaint Health Deficiencies
27
Cycle 2 Health Deficiency Score
476
Cycle 2 Standard Health Survey Date
2013-12-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
476
Cycle 3 Total Number of Health Deficiencies
31
Cycle 3 Number of Standard Health Deficiencies
25
Cycle 3 Number of Complaint Health Deficiencies
31
Cycle 3 Health Deficiency Score
188
Cycle 3 Standard Health Survey Date
2012-09-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
188
Total Weighted Health Survey Score
306.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
49
Number of Fines
3
Total Amount of Fines in Dollars
62695
Number of Payment Denials
0
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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