St Ann's Home - Oklahoma City Nursing Home
General Information
UPDATEFederal Provider Number
375561
Provider Name
ST ANN'S HOME
Provider Address
9400 ST ANN'S DRIVE
OKLAHOMA CITY, OK 73162
OKLAHOMA CITY, OK 73162
Provider Phone Number
(405) 728-7888
Provider SSA County
540
Provider County Name
Oklahoma
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
120
Number of Residents in Certified Beds
115
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST ANNS HOME
Date First Approved to Provide Medicare and Medicaid services
2014-05-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
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
2.62870
Reported LPN Staffing Hours per Resident per Day
0.80826
Reported RN Staffing Hours per Resident per Day
0.19652
Reported Licensed Staffing Hours per Resident per Day
1.00478
Reported Total Nurse Staffing Hours per Resident per Day
3.63348
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02043
Expected CNA Staffing Hours per Resident per Day
2.56656
Expected LPN Staffing Hours per Resident per Day
0.52329
Expected RN Staffing Hours per Resident per Day
0.74562
Expected Total Nurse Staffing Hours per Resident per Day
3.83547
Adjusted CNA Staffing Hours per Resident per Day
2.51311
Adjusted LPN Staffing Hours per Resident per Day
1.28200
Adjusted RN Staffing Hours per Resident per Day
0.19694
Adjusted Total Nurse Staffing Hours per Resident per Day
3.81861
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-07-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-09-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
0000-00-00
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
51.20000
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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