Ranch Terrace Nursing Home, Inc - Sapulpa Nursing Home

General Information

UPDATE
Federal Provider Number
375539
Provider Name
RANCH TERRACE NURSING HOME, INC
Provider Address
1310 EAST CLEVELAND
SAPULPA, OK 74066
Provider Phone Number
9182242578
Provider SSA County
180
Provider County Name
Creek
Ownership Type
For profit - Corporation
Number of Certified Beds
85
Number of Residents in Certified Beds
53
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RANCH TERRACE NURSING HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
2010-05-26
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
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
2.95094
Reported LPN Staffing Hours per Resident per Day
0.49906
Reported RN Staffing Hours per Resident per Day
0.36604
Reported Licensed Staffing Hours per Resident per Day
0.86509
Reported Total Nurse Staffing Hours per Resident per Day
3.81604
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06698
Expected CNA Staffing Hours per Resident per Day
2.03716
Expected LPN Staffing Hours per Resident per Day
0.52901
Expected RN Staffing Hours per Resident per Day
0.73211
Expected Total Nurse Staffing Hours per Resident per Day
3.29828
Adjusted CNA Staffing Hours per Resident per Day
3.55431
Adjusted LPN Staffing Hours per Resident per Day
0.78301
Adjusted RN Staffing Hours per Resident per Day
0.37358
Adjusted Total Nurse Staffing Hours per Resident per Day
4.66366
Cycle 1 Total Number of Health Deficiencies
22
Cycle 1 Number of Standard Health Deficiencies
22
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
376
Cycle 1 Standard Survey Health Date
2014-10-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
376
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
32
Cycle 2 Standard Health Survey Date
2013-08-15
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
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-06-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
208.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
38155
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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