Medi-home Of Arkoma, Inc. - Arkoma Nursing Home

General Information

UPDATE
Federal Provider Number
375371
Provider Name
MEDI-HOME OF ARKOMA, INC.
Provider Address
1008 ARKANSAS STREET
ARKOMA, OK 74901
Provider Phone Number
9188753107
Provider SSA County
390
Provider County Name
Le Flore
Ownership Type
For profit - Corporation
Number of Certified Beds
56
Number of Residents in Certified Beds
38
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MEDI-HOME OF ARKOMA INC
Date First Approved to Provide Medicare and Medicaid services
1999-09-01
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
3
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
2.80921
Reported LPN Staffing Hours per Resident per Day
0.93553
Reported RN Staffing Hours per Resident per Day
0.30000
Reported Licensed Staffing Hours per Resident per Day
1.23553
Reported Total Nurse Staffing Hours per Resident per Day
4.04474
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00789
Expected CNA Staffing Hours per Resident per Day
2.20300
Expected LPN Staffing Hours per Resident per Day
0.63316
Expected RN Staffing Hours per Resident per Day
0.86224
Expected Total Nurse Staffing Hours per Resident per Day
3.69839
Adjusted CNA Staffing Hours per Resident per Day
3.12890
Adjusted LPN Staffing Hours per Resident per Day
1.22638
Adjusted RN Staffing Hours per Resident per Day
0.25997
Adjusted Total Nurse Staffing Hours per Resident per Day
4.40839
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
203
Cycle 1 Standard Survey Health Date
2014-06-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
203
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
241
Cycle 2 Standard Health Survey Date
2013-04-26
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
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-05-23
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
36
Cycle 3 Total Health Score
108
Total Weighted Health Survey Score
199.83300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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