Midwest City Nursing Center - Midwest City Nursing Home
General Information
UPDATEFederal Provider Number
375252
Provider Name
MIDWEST CITY NURSING CENTER
Provider Address
8200 NATIONAL AVENUE
MIDWEST CITY, OK 73110
MIDWEST CITY, OK 73110
Provider Phone Number
(405) 737-8200
Provider SSA County
540
Provider County Name
Oklahoma
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
106
Number of Residents in Certified Beds
69
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
IHS ACQUISITION NO 127 INC
Date First Approved to Provide Medicare and Medicaid services
1996-04-01
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
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.42899
Reported LPN Staffing Hours per Resident per Day
1.34565
Reported RN Staffing Hours per Resident per Day
0.91087
Reported Licensed Staffing Hours per Resident per Day
2.25652
Reported Total Nurse Staffing Hours per Resident per Day
4.68551
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09348
Expected CNA Staffing Hours per Resident per Day
2.42730
Expected LPN Staffing Hours per Resident per Day
0.59609
Expected RN Staffing Hours per Resident per Day
0.92581
Expected Total Nurse Staffing Hours per Resident per Day
3.94920
Adjusted CNA Staffing Hours per Resident per Day
2.45541
Adjusted LPN Staffing Hours per Resident per Day
1.87370
Adjusted RN Staffing Hours per Resident per Day
0.73514
Adjusted Total Nurse Staffing Hours per Resident per Day
4.78244
Cycle 1 Total Number of Health Deficiencies
35
Cycle 1 Number of Standard Health Deficiencies
21
Cycle 1 Number of Complaint Health Deficiencies
14
Cycle 1 Health Deficiency Score
268
Cycle 1 Standard Survey Health Date
2015-03-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
268
Cycle 2 Total Number of Health Deficiencies
33
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
18
Cycle 2 Health Deficiency Score
798
Cycle 2 Standard Health Survey Date
2014-09-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
798
Cycle 3 Total Number of Health Deficiencies
49
Cycle 3 Number of Standard Health Deficiencies
22
Cycle 3 Number of Complaint Health Deficiencies
27
Cycle 3 Health Deficiency Score
641
Cycle 3 Standard Health Survey Date
2013-10-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
641
Total Weighted Health Survey Score
506.83300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
42
Number of Fines
4
Total Amount of Fines in Dollars
206185
Number of Payment Denials
4
Total Number of Penalties
8
Location
Processing Date
2015-06-01
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