Shawn Manor Nursing Home - Ponca City Nursing Home
General Information
UPDATEFederal Provider Number
375194
Provider Name
SHAWN MANOR NURSING HOME
Provider Address
2024 TURNER ROAD
PONCA CITY, OK 74604
PONCA CITY, OK 74604
Provider Phone Number
5807653364
Provider SSA County
350
Provider County Name
Kay
Ownership Type
For profit - Corporation
Number of Certified Beds
96
Number of Residents in Certified Beds
42
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CONHOLD OF PONCA LLC
Date First Approved to Provide Medicare and Medicaid services
1995-01-16
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
1
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
1.59286
Reported LPN Staffing Hours per Resident per Day
1.01548
Reported RN Staffing Hours per Resident per Day
0.20595
Reported Licensed Staffing Hours per Resident per Day
1.22143
Reported Total Nurse Staffing Hours per Resident per Day
2.81429
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02381
Expected CNA Staffing Hours per Resident per Day
2.35122
Expected LPN Staffing Hours per Resident per Day
0.61738
Expected RN Staffing Hours per Resident per Day
0.86181
Expected Total Nurse Staffing Hours per Resident per Day
3.83040
Adjusted CNA Staffing Hours per Resident per Day
1.66229
Adjusted LPN Staffing Hours per Resident per Day
1.36521
Adjusted RN Staffing Hours per Resident per Day
0.17856
Adjusted Total Nurse Staffing Hours per Resident per Day
2.96160
Cycle 1 Total Number of Health Deficiencies
18
Cycle 1 Number of Standard Health Deficiencies
16
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
144
Cycle 1 Standard Survey Health Date
2014-07-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
144
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
140
Cycle 2 Standard Health Survey Date
2013-08-22
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
23
Cycle 3 Number of Standard Health Deficiencies
18
Cycle 3 Number of Complaint Health Deficiencies
13
Cycle 3 Health Deficiency Score
297
Cycle 3 Standard Health Survey Date
2012-10-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
297
Total Weighted Health Survey Score
168.16700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
34
Number of Fines
4
Total Amount of Fines in Dollars
212843
Number of Payment Denials
1
Total Number of Penalties
5
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Via Christi Village Ponca City, Inc.
1601 Academy Road |
PONCA CITY OK 74604 | 1.1 miles away
Ponca City Nursing & Rehabilitation Center
1400 North Waverly |
PONCA CITY OK 74601 | 2.7 miles away
Hillcrest Manor
1210 South 6th Street |
BLACKWELL OK 74631 | 13.7 miles away
Willow Haven Nursing Home
1301 North 5th Street |
TONKAWA OK 74653 | 14 miles away
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