Servant Living Center - Medford Nursing Home
General Information
UPDATEFederal Provider Number
375352
Provider Name
SERVANT LIVING CENTER
Provider Address
616 SOUTH FRONT STREET
MEDFORD, OK 73759
MEDFORD, OK 73759
Provider Phone Number
5803952105
Provider SSA County
260
Provider County Name
Grant
Ownership Type
For profit - Corporation
Number of Certified Beds
84
Number of Residents in Certified Beds
47
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ROBERTSON HEALTH CARE LLC
Date First Approved to Provide Medicare and Medicaid services
1998-10-01
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
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.22234
Reported LPN Staffing Hours per Resident per Day
0.24149
Reported RN Staffing Hours per Resident per Day
0.67340
Reported Licensed Staffing Hours per Resident per Day
0.91489
Reported Total Nurse Staffing Hours per Resident per Day
3.13723
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
1.86722
Expected LPN Staffing Hours per Resident per Day
0.52778
Expected RN Staffing Hours per Resident per Day
0.68833
Expected Total Nurse Staffing Hours per Resident per Day
3.08333
Adjusted CNA Staffing Hours per Resident per Day
2.92036
Adjusted LPN Staffing Hours per Resident per Day
0.37977
Adjusted RN Staffing Hours per Resident per Day
0.73099
Adjusted Total Nurse Staffing Hours per Resident per Day
4.10136
Cycle 1 Total Number of Health Deficiencies
28
Cycle 1 Number of Standard Health Deficiencies
20
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
305
Cycle 1 Standard Survey Health Date
2015-01-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
305
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-11-19
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
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2013-01-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
179.16700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
Number of Fines
1
Total Amount of Fines in Dollars
2731
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Community Health Center
1153 Cherokee Street |
WAKITA OK 73771 | 12 miles away
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