Perry Green Valley Nursing Center, Llc - Perry Nursing Home

General Information

UPDATE
Federal Provider Number
375373
Provider Name
PERRY GREEN VALLEY NURSING CENTER, LLC
Provider Address
1103 BIRCH STREET
PERRY, OK 73077
Provider Phone Number
5803362285
Provider SSA County
510
Provider County Name
Noble
Ownership Type
For profit - Corporation
Number of Certified Beds
112
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PERRY GREEN VALLEY NURSING HOME, LLC
Date First Approved to Provide Medicare and Medicaid services
1999-10-18
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.88548
Reported LPN Staffing Hours per Resident per Day
0.46532
Reported RN Staffing Hours per Resident per Day
0.53629
Reported Licensed Staffing Hours per Resident per Day
1.00161
Reported Total Nurse Staffing Hours per Resident per Day
3.88709
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00323
Expected CNA Staffing Hours per Resident per Day
2.22795
Expected LPN Staffing Hours per Resident per Day
0.60681
Expected RN Staffing Hours per Resident per Day
0.90026
Expected Total Nurse Staffing Hours per Resident per Day
3.73502
Adjusted CNA Staffing Hours per Resident per Day
3.17785
Adjusted LPN Staffing Hours per Resident per Day
0.63647
Adjusted RN Staffing Hours per Resident per Day
0.44511
Adjusted Total Nurse Staffing Hours per Resident per Day
4.19501
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
17
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
120
Cycle 1 Standard Survey Health Date
2014-11-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
120
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-09-11
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
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-11-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
81.33300
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
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
Reviews: Be the first to review this provider.

Share your experience with Perry Green Valley Nursing Center, Llc. You can help others by writing a review.