Skiatook Nursing Home,llc - Skiatook Nursing Home
General Information
UPDATEFederal Provider Number
375293
Provider Name
SKIATOOK NURSING HOME,LLC
Provider Address
318 SOUTH CHERRY
SKIATOOK, OK 74070
SKIATOOK, OK 74070
Provider Phone Number
(918) 396-2149
Provider SSA County
560
Provider County Name
Osage
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
70
Number of Residents in Certified Beds
44
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SKIATOOK NURSING HOME LLC
Date First Approved to Provide Medicare and Medicaid services
1997-03-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
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
2.45682
Reported LPN Staffing Hours per Resident per Day
0.64886
Reported RN Staffing Hours per Resident per Day
0.34659
Reported Licensed Staffing Hours per Resident per Day
0.99545
Reported Total Nurse Staffing Hours per Resident per Day
3.45227
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01136
Expected CNA Staffing Hours per Resident per Day
2.09394
Expected LPN Staffing Hours per Resident per Day
0.59410
Expected RN Staffing Hours per Resident per Day
0.87783
Expected Total Nurse Staffing Hours per Resident per Day
3.56587
Adjusted CNA Staffing Hours per Resident per Day
2.87893
Adjusted LPN Staffing Hours per Resident per Day
0.90650
Adjusted RN Staffing Hours per Resident per Day
0.29501
Adjusted Total Nurse Staffing Hours per Resident per Day
3.90249
Cycle 1 Total Number of Health Deficiencies
18
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
295
Cycle 1 Standard Survey Health Date
2014-05-20
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
295
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
18
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
116
Cycle 2 Standard Health Survey Date
2013-06-12
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
58
Cycle 2 Total Health Score
174
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-04-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
210.83300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
2
Total Amount of Fines in Dollars
3640
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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