Southern Hills Rehabilitation Center - Tulsa Nursing Home
General Information
UPDATEFederal Provider Number
375172
Provider Name
SOUTHERN HILLS REHABILITATION CENTER
Provider Address
5170 SOUTH VANDALIA
TULSA, OK 74135
TULSA, OK 74135
Provider Phone Number
(918) 496-3963
Provider SSA County
710
Provider County Name
Tulsa
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
106
Number of Residents in Certified Beds
72
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SH CCRC, LLC
Date First Approved to Provide Medicare and Medicaid services
1994-03-01
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
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.54375
Reported LPN Staffing Hours per Resident per Day
0.70347
Reported RN Staffing Hours per Resident per Day
0.59722
Reported Licensed Staffing Hours per Resident per Day
1.30069
Reported Total Nurse Staffing Hours per Resident per Day
3.84444
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08611
Expected CNA Staffing Hours per Resident per Day
2.07509
Expected LPN Staffing Hours per Resident per Day
0.55193
Expected RN Staffing Hours per Resident per Day
0.73456
Expected Total Nurse Staffing Hours per Resident per Day
3.36158
Adjusted CNA Staffing Hours per Resident per Day
3.00787
Adjusted LPN Staffing Hours per Resident per Day
1.05788
Adjusted RN Staffing Hours per Resident per Day
0.60750
Adjusted Total Nurse Staffing Hours per Resident per Day
4.60991
Cycle 1 Total Number of Health Deficiencies
26
Cycle 1 Number of Standard Health Deficiencies
20
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
176
Cycle 1 Standard Survey Health Date
2014-09-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
176
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2013-06-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
100
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-08-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
124.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
21
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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