The Cottage Extended Care - Tulsa Nursing Home
General Information
UPDATEFederal Provider Number
375489
Provider Name
THE COTTAGE EXTENDED CARE
Provider Address
2552 EAST 21ST STREET
TULSA, OK 74114
TULSA, OK 74114
Provider Phone Number
(918) 742-7080
Provider SSA County
710
Provider County Name
Tulsa
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
66
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COX RETIREMENT PROPERTIES INC
Date First Approved to Provide Medicare and Medicaid services
2005-10-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.59298
Reported LPN Staffing Hours per Resident per Day
0.66316
Reported RN Staffing Hours per Resident per Day
0.46842
Reported Licensed Staffing Hours per Resident per Day
1.13158
Reported Total Nurse Staffing Hours per Resident per Day
3.72456
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05175
Expected CNA Staffing Hours per Resident per Day
2.26242
Expected LPN Staffing Hours per Resident per Day
0.59380
Expected RN Staffing Hours per Resident per Day
0.94988
Expected Total Nurse Staffing Hours per Resident per Day
3.80610
Adjusted CNA Staffing Hours per Resident per Day
2.81221
Adjusted LPN Staffing Hours per Resident per Day
0.92695
Adjusted RN Staffing Hours per Resident per Day
0.36847
Adjusted Total Nurse Staffing Hours per Resident per Day
3.94454
Cycle 1 Total Number of Health Deficiencies
21
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
148
Cycle 1 Standard Survey Health Date
2015-02-20
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
13
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
88
Cycle 2 Standard Health Survey Date
2014-04-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
88
Cycle 3 Total Number of Health Deficiencies
29
Cycle 3 Number of Standard Health Deficiencies
27
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
228
Cycle 3 Standard Health Survey Date
2013-02-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
228
Total Weighted Health Survey Score
141.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
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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