Southern Oaks Nursing & Rehabilitation Center - Shreveport Nursing Home
General Information
UPDATEFederal Provider Number
195558
Provider Name
SOUTHERN OAKS NURSING & REHABILITATION CENTER
Provider Address
1524 GLEN OAKS PLACE
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
Provider Phone Number
(318) 221-0911
Provider SSA County
80
Provider County Name
Caddo
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
61
Number of Residents in Certified Beds
56
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOUTHERN OAKS NURSING & REHABILITATION CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
2002-10-24
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
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
2.19375
Reported LPN Staffing Hours per Resident per Day
1.03036
Reported RN Staffing Hours per Resident per Day
0.32500
Reported Licensed Staffing Hours per Resident per Day
1.35536
Reported Total Nurse Staffing Hours per Resident per Day
3.54911
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10179
Expected CNA Staffing Hours per Resident per Day
2.19388
Expected LPN Staffing Hours per Resident per Day
0.62390
Expected RN Staffing Hours per Resident per Day
0.87889
Expected Total Nurse Staffing Hours per Resident per Day
3.69666
Adjusted CNA Staffing Hours per Resident per Day
2.45356
Adjusted LPN Staffing Hours per Resident per Day
1.37074
Adjusted RN Staffing Hours per Resident per Day
0.27630
Adjusted Total Nurse Staffing Hours per Resident per Day
3.87001
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
100
Cycle 1 Standard Survey Health Date
2014-05-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
100
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
20
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
20
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-07-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
64.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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