South Park East - Oklahoma City Nursing Home

General Information

UPDATE
Federal Provider Number
375452
Provider Name
SOUTH PARK EAST
Provider Address
225 SOUTHWEST 35TH STREET
OKLAHOMA CITY, OK 73109
Provider Phone Number
(405) 631-7444
Provider SSA County
540
Provider County Name
Oklahoma
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
47
Number of Residents in Certified Beds
37
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PHOENIX HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid services
2004-02-19
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.95000
Reported LPN Staffing Hours per Resident per Day
0.76216
Reported RN Staffing Hours per Resident per Day
0.57568
Reported Licensed Staffing Hours per Resident per Day
1.33784
Reported Total Nurse Staffing Hours per Resident per Day
4.28784
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.89548
Expected LPN Staffing Hours per Resident per Day
0.53212
Expected RN Staffing Hours per Resident per Day
0.75166
Expected Total Nurse Staffing Hours per Resident per Day
4.17926
Adjusted CNA Staffing Hours per Resident per Day
2.49990
Adjusted LPN Staffing Hours per Resident per Day
1.18882
Adjusted RN Staffing Hours per Resident per Day
0.57227
Adjusted Total Nurse Staffing Hours per Resident per Day
4.13562
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
16
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
148
Cycle 1 Standard Survey Health Date
2015-01-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
148
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-12-17
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
8
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2013-01-10
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
20
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
92.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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