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Pawhuska Nursing Home, Llc - Pawhuska Nursing Home

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Federal Provider Number
375481
Provider Name
PAWHUSKA NURSING HOME, LLC
Provider Address
1228 SOUTH PECAN
PAWHUSKA, OK 74056
Provider Phone Number
(918) 287-3940
Provider SSA County
560
Provider County Name
Osage
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
80
Number of Residents in Certified Beds
19
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PAWHUSKA NURSING HOME, LLC
Date First Approved to Provide Medicare and Medicaid services
2005-06-03
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.66842
Reported LPN Staffing Hours per Resident per Day
1.12368
Reported RN Staffing Hours per Resident per Day
0.57105
Reported Licensed Staffing Hours per Resident per Day
1.69474
Reported Total Nurse Staffing Hours per Resident per Day
5.36315
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.16994
Expected LPN Staffing Hours per Resident per Day
0.54960
Expected RN Staffing Hours per Resident per Day
0.81657
Expected Total Nurse Staffing Hours per Resident per Day
3.53611
Adjusted CNA Staffing Hours per Resident per Day
4.14814
Adjusted LPN Staffing Hours per Resident per Day
1.69697
Adjusted RN Staffing Hours per Resident per Day
0.52254
Adjusted Total Nurse Staffing Hours per Resident per Day
6.11360
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-06-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-04-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
17
Cycle 3 Number of Standard Health Deficiencies
17
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
160
Cycle 3 Standard Health Survey Date
2012-07-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
160
Total Weighted Health Survey Score
84.00000
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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