Oklahoma Nursing Homes >> Okmulgee Nursing Homes >> Rebold Manor

Rebold Manor - Okmulgee Nursing Home

General Information

UPDATE
Federal Provider Number
375494
Provider Name
REBOLD MANOR
Provider Address
1701 EAST 6TH STREET
OKMULGEE, OK 74447
Provider Phone Number
9187561967
Provider SSA County
550
Provider County Name
Okmulgee
Ownership Type
For profit - Partnership
Number of Certified Beds
114
Number of Residents in Certified Beds
58
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
REBOLD MANOR L L C
Date First Approved to Provide Medicare and Medicaid services
2005-08-15
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
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
2.85259
Reported LPN Staffing Hours per Resident per Day
0.68966
Reported RN Staffing Hours per Resident per Day
0.43448
Reported Licensed Staffing Hours per Resident per Day
1.12414
Reported Total Nurse Staffing Hours per Resident per Day
3.97673
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01983
Expected CNA Staffing Hours per Resident per Day
2.15151
Expected LPN Staffing Hours per Resident per Day
0.57249
Expected RN Staffing Hours per Resident per Day
0.88584
Expected Total Nurse Staffing Hours per Resident per Day
3.60984
Adjusted CNA Staffing Hours per Resident per Day
3.25325
Adjusted LPN Staffing Hours per Resident per Day
0.99987
Adjusted RN Staffing Hours per Resident per Day
0.36648
Adjusted Total Nurse Staffing Hours per Resident per Day
4.44059
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2014-12-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
19
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
132
Cycle 2 Standard Health Survey Date
2014-01-09
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
66
Cycle 2 Total Health Score
66
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
100
Cycle 3 Standard Health Survey Date
2013-03-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
100
Total Weighted Health Survey Score
124.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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