Senior Suites Healthcare - Broken Arrow Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
375528
Provider Name
SENIOR SUITES HEALTHCARE
Provider Address
3501 W WASHINGTON
BROKEN ARROW, OK 74012
BROKEN ARROW, OK 74012
Provider Phone Number
(918) 250-5405
Provider SSA County
710
Provider County Name
Tulsa
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
82
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2008-09-24
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.52973
Reported LPN Staffing Hours per Resident per Day
0.82568
Reported RN Staffing Hours per Resident per Day
0.72973
Reported Licensed Staffing Hours per Resident per Day
1.55541
Reported Total Nurse Staffing Hours per Resident per Day
4.08514
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07162
Expected CNA Staffing Hours per Resident per Day
2.29244
Expected LPN Staffing Hours per Resident per Day
0.73022
Expected RN Staffing Hours per Resident per Day
1.28432
Expected Total Nurse Staffing Hours per Resident per Day
4.30698
Adjusted CNA Staffing Hours per Resident per Day
2.70769
Adjusted LPN Staffing Hours per Resident per Day
0.93851
Adjusted RN Staffing Hours per Resident per Day
0.42455
Adjusted Total Nurse Staffing Hours per Resident per Day
3.82328
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-02-13
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2014-04-25
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
26
Cycle 2 Total Health Score
78
Cycle 3 Total Number of Health Deficiencies
32
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
20
Cycle 3 Health Deficiency Score
349
Cycle 3 Standard Health Survey Date
2013-03-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
349
Total Weighted Health Survey Score
98.16700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
16
Number of Fines
1
Total Amount of Fines in Dollars
32649
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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