Rose Manor Nursing Center - Shawnee Nursing Home
General Information
UPDATEFederal Provider Number
375508
Provider Name
ROSE MANOR NURSING CENTER
Provider Address
1610 NORTH BRYAN AVENUE
SHAWNEE, OK 74804
SHAWNEE, OK 74804
Provider Phone Number
4052759004
Provider SSA County
620
Provider County Name
Pottawatomie
Ownership Type
For profit - Individual
Number of Certified Beds
100
Number of Residents in Certified Beds
87
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OPSHAW LLC
Date First Approved to Provide Medicare and Medicaid services
2007-01-31
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.85230
Reported LPN Staffing Hours per Resident per Day
1.05402
Reported RN Staffing Hours per Resident per Day
0.31839
Reported Licensed Staffing Hours per Resident per Day
1.37241
Reported Total Nurse Staffing Hours per Resident per Day
4.22471
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05345
Expected CNA Staffing Hours per Resident per Day
2.44794
Expected LPN Staffing Hours per Resident per Day
0.62974
Expected RN Staffing Hours per Resident per Day
0.97289
Expected Total Nurse Staffing Hours per Resident per Day
4.05057
Adjusted CNA Staffing Hours per Resident per Day
2.85901
Adjusted LPN Staffing Hours per Resident per Day
1.38920
Adjusted RN Staffing Hours per Resident per Day
0.24453
Adjusted Total Nurse Staffing Hours per Resident per Day
4.20419
Cycle 1 Total Number of Health Deficiencies
18
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
120
Cycle 1 Standard Survey Health Date
2014-05-09
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
11
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-02-27
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
18
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
324
Cycle 3 Standard Health Survey Date
2011-12-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
324
Total Weighted Health Survey Score
136.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
17
Number of Fines
1
Total Amount of Fines in Dollars
4941
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Shawnee Colonial Estates Nursing Home
535 West Federal Street |
SHAWNEE OK 74801 | 2.1 miles away
Shawnee Care Center
1202 West Gilmore |
SHAWNEE OK 74804 | 2.6 miles away
The Golden Rule Home
38801 Hardesty Road |
SHAWNEE OK 74801 | 5.4 miles away
Sunset Estates
201 West Walnut |
TECUMSEH OK 74873 | 6.5 miles away
Mcloud Nursing Center
701 South 8th Street |
MCLOUD OK 74851 | 12.6 miles away
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