Northwest Nursing Center - Oklahoma City Nursing Home
General Information
UPDATEFederal Provider Number
375520
Provider Name
NORTHWEST NURSING CENTER
Provider Address
2801 NORTHWEST 61ST STREET
OKLAHOMA CITY, OK 73112
OKLAHOMA CITY, OK 73112
Provider Phone Number
(405) 842-6601
Provider SSA County
540
Provider County Name
Oklahoma
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
50
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NW 61 ST NURSING, LLC
Date First Approved to Provide Medicare and Medicaid services
2009-06-10
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
1
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
2.08000
Reported LPN Staffing Hours per Resident per Day
1.12000
Reported RN Staffing Hours per Resident per Day
0.21700
Reported Licensed Staffing Hours per Resident per Day
1.33700
Reported Total Nurse Staffing Hours per Resident per Day
3.41700
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16000
Expected CNA Staffing Hours per Resident per Day
2.34262
Expected LPN Staffing Hours per Resident per Day
0.72402
Expected RN Staffing Hours per Resident per Day
1.17082
Expected Total Nurse Staffing Hours per Resident per Day
4.23746
Adjusted CNA Staffing Hours per Resident per Day
2.17863
Adjusted LPN Staffing Hours per Resident per Day
1.28395
Adjusted RN Staffing Hours per Resident per Day
0.13849
Adjusted Total Nurse Staffing Hours per Resident per Day
3.25044
Cycle 1 Total Number of Health Deficiencies
23
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
14
Cycle 1 Health Deficiency Score
549
Cycle 1 Standard Survey Health Date
2014-07-02
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
275
Cycle 1 Total Health Score
824
Cycle 2 Total Number of Health Deficiencies
21
Cycle 2 Number of Standard Health Deficiencies
18
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
128
Cycle 2 Standard Health Survey Date
2013-08-29
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
64
Cycle 2 Total Health Score
192
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-07-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
485.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
10
Number of Fines
2
Total Amount of Fines in Dollars
33184
Number of Payment Denials
2
Total Number of Penalties
4
Location
Processing Date
2015-06-01
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