Oak Manor Nursing And Rehabilitation Center Inc - Booneville Nursing Home
General Information
UPDATEFederal Provider Number
45301
Provider Name
OAK MANOR NURSING AND REHABILITATION CENTER INC
Provider Address
150 MORTON AVENUE
BOONEVILLE, AR 72927
BOONEVILLE, AR 72927
Provider Phone Number
(479) 675-3763
Provider SSA County
410
Provider County Name
Logan
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
80
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OAK MANOR NURSING AND REHABILITATION CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1996-01-15
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.64813
Reported LPN Staffing Hours per Resident per Day
1.11688
Reported RN Staffing Hours per Resident per Day
0.37000
Reported Licensed Staffing Hours per Resident per Day
1.48688
Reported Total Nurse Staffing Hours per Resident per Day
5.13501
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01500
Expected CNA Staffing Hours per Resident per Day
2.37781
Expected LPN Staffing Hours per Resident per Day
0.54702
Expected RN Staffing Hours per Resident per Day
0.73761
Expected Total Nurse Staffing Hours per Resident per Day
3.66245
Adjusted CNA Staffing Hours per Resident per Day
3.76456
Adjusted LPN Staffing Hours per Resident per Day
1.69464
Adjusted RN Staffing Hours per Resident per Day
0.37481
Adjusted Total Nurse Staffing Hours per Resident per Day
5.65160
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-04-30
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-03-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-04-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
12.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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