Meadowlake Estates - Oklahoma City Nursing Home

General Information

UPDATE
Federal Provider Number
375256
Provider Name
MEADOWLAKE ESTATES
Provider Address
959 SOUTHWEST 107TH STREET
OKLAHOMA CITY, OK 73139
Provider Phone Number
(405) 703-3400
Provider SSA County
130
Provider County Name
Cleveland
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
124
Number of Residents in Certified Beds
114
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MEADOW LAKE ESTATES, LLC
Date First Approved to Provide Medicare and Medicaid services
1996-04-26
Continuing Care Retirement Community
Y
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
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.92939
Reported LPN Staffing Hours per Resident per Day
0.72807
Reported RN Staffing Hours per Resident per Day
0.46228
Reported Licensed Staffing Hours per Resident per Day
1.19035
Reported Total Nurse Staffing Hours per Resident per Day
4.11974
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01886
Expected CNA Staffing Hours per Resident per Day
2.05729
Expected LPN Staffing Hours per Resident per Day
0.54970
Expected RN Staffing Hours per Resident per Day
0.85062
Expected Total Nurse Staffing Hours per Resident per Day
3.45761
Adjusted CNA Staffing Hours per Resident per Day
3.49385
Adjusted LPN Staffing Hours per Resident per Day
1.09932
Adjusted RN Staffing Hours per Resident per Day
0.40607
Adjusted Total Nurse Staffing Hours per Resident per Day
4.80281
Cycle 1 Total Number of Health Deficiencies
25
Cycle 1 Number of Standard Health Deficiencies
17
Cycle 1 Number of Complaint Health Deficiencies
12
Cycle 1 Health Deficiency Score
156
Cycle 1 Standard Survey Health Date
2014-10-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
156
Cycle 2 Total Number of Health Deficiencies
33
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
21
Cycle 2 Health Deficiency Score
204
Cycle 2 Standard Health Survey Date
2013-09-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
204
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-06-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
155.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
26
Number of Fines
1
Total Amount of Fines in Dollars
9750
Number of Payment Denials
2
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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