Southtown Nursing And Ventilator Care - Bixby Nursing Home
General Information
UPDATEFederal Provider Number
375419
Provider Name
SOUTHTOWN NURSING AND VENTILATOR CARE
Provider Address
76 WEST RACHEL STREET
BIXBY, OK 74008
BIXBY, OK 74008
Provider Phone Number
9183666210
Provider SSA County
710
Provider County Name
Tulsa
Ownership Type
For profit - Corporation
Number of Certified Beds
102
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BIXBY HEALTH AND REHABILITATION, LLC
Date First Approved to Provide Medicare and Medicaid services
2002-10-10
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
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
3.18952
Reported LPN Staffing Hours per Resident per Day
1.09677
Reported RN Staffing Hours per Resident per Day
0.40645
Reported Licensed Staffing Hours per Resident per Day
1.50323
Reported Total Nurse Staffing Hours per Resident per Day
4.69274
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01290
Expected CNA Staffing Hours per Resident per Day
2.54349
Expected LPN Staffing Hours per Resident per Day
0.87045
Expected RN Staffing Hours per Resident per Day
1.23616
Expected Total Nurse Staffing Hours per Resident per Day
4.65010
Adjusted CNA Staffing Hours per Resident per Day
3.07692
Adjusted LPN Staffing Hours per Resident per Day
1.04581
Adjusted RN Staffing Hours per Resident per Day
0.24568
Adjusted Total Nurse Staffing Hours per Resident per Day
4.06786
Cycle 1 Total Number of Health Deficiencies
19
Cycle 1 Number of Standard Health Deficiencies
16
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
208
Cycle 1 Standard Survey Health Date
2014-04-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
208
Cycle 2 Total Number of Health Deficiencies
41
Cycle 2 Number of Standard Health Deficiencies
17
Cycle 2 Number of Complaint Health Deficiencies
24
Cycle 2 Health Deficiency Score
465
Cycle 2 Standard Health Survey Date
2013-07-25
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
16
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
132
Cycle 3 Standard Health Survey Date
2012-09-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
132
Total Weighted Health Survey Score
281.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
22
Number of Fines
2
Total Amount of Fines in Dollars
109136
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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