Meadowbrook Nursing Center - Chouteau Nursing Home

General Information

UPDATE
Federal Provider Number
375276
Provider Name
MEADOWBROOK NURSING CENTER
Provider Address
113 EAST JONES
CHOUTEAU, OK 74337
Provider Phone Number
9184768918
Provider SSA County
480
Provider County Name
Mayes
Ownership Type
For profit - Corporation
Number of Certified Beds
65
Number of Residents in Certified Beds
32
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COLONIAL CARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1996-08-19
Continuing Care Retirement Community
N
Special Focus Facility
Y
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
1
QM Rating Footnote
Staffing Rating
0
Staffing Rating Footnote
Data Not Available
RN Staffing Rating
0
RN Staffing Rating Footnote
Data Not Available
Reported Staffing Footnote
Staffing Values not Reported because of Data Quality Concerns
Physical Therapist Staffing Footnote
Physical Therapy Staffing Values not Reported because of Data Quality Concerns
Reported CNA Staffing Hours per Resident per Day
0.00000
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
0.00000
Reported Licensed Staffing Hours per Resident per Day
0.00000
Reported Total Nurse Staffing Hours per Resident per Day
0.00000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.38243
Expected LPN Staffing Hours per Resident per Day
0.64363
Expected RN Staffing Hours per Resident per Day
0.93506
Expected Total Nurse Staffing Hours per Resident per Day
3.96112
Adjusted CNA Staffing Hours per Resident per Day
0.00000
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
0.00000
Adjusted Total Nurse Staffing Hours per Resident per Day
0.00000
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
175
Cycle 1 Standard Survey Health Date
2015-01-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
175
Cycle 2 Total Number of Health Deficiencies
23
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
22
Cycle 2 Health Deficiency Score
629
Cycle 2 Standard Health Survey Date
2014-08-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
17
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
428
Cycle 3 Standard Health Survey Date
2013-12-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
428
Total Weighted Health Survey Score
368.50000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
29
Number of Fines
2
Total Amount of Fines in Dollars
128703
Number of Payment Denials
2
Total Number of Penalties
4
Location
Processing Date
2015-06-01

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