Shady Rest Care Center - Pryor Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
375334
Provider Name
SHADY REST CARE CENTER
Provider Address
210 SOUTH ADAIR
PRYOR, OK 74361
PRYOR, OK 74361
Provider Phone Number
(918) 825-4455
Provider SSA County
480
Provider County Name
Mayes
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
65
Number of Residents in Certified Beds
34
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SHADY REST CARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1998-03-02
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
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
2.39265
Reported LPN Staffing Hours per Resident per Day
0.75000
Reported RN Staffing Hours per Resident per Day
0.39265
Reported Licensed Staffing Hours per Resident per Day
1.14265
Reported Total Nurse Staffing Hours per Resident per Day
3.53530
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00588
Expected CNA Staffing Hours per Resident per Day
2.04421
Expected LPN Staffing Hours per Resident per Day
0.58954
Expected RN Staffing Hours per Resident per Day
0.77851
Expected Total Nurse Staffing Hours per Resident per Day
3.41225
Adjusted CNA Staffing Hours per Resident per Day
2.87194
Adjusted LPN Staffing Hours per Resident per Day
1.05591
Adjusted RN Staffing Hours per Resident per Day
0.37686
Adjusted Total Nurse Staffing Hours per Resident per Day
4.17626
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
10
Cycle 1 Health Deficiency Score
259
Cycle 1 Standard Survey Health Date
2015-03-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
259
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-01-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2013-03-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
148.16700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
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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