The Villages At Southern Hills - Tulsa Nursing Home
General Information
UPDATEFederal Provider Number
375546
Provider Name
THE VILLAGES AT SOUTHERN HILLS
Provider Address
5721 S LEWIS AVE
TULSA, OK 74105
TULSA, OK 74105
Provider Phone Number
(918) 447-6447
Provider SSA County
710
Provider County Name
Tulsa
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
100
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOUTH LEWIS SH OPCO LLC
Date First Approved to Provide Medicare and Medicaid services
2011-08-23
Continuing Care Retirement Community
Y
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
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.40924
Reported LPN Staffing Hours per Resident per Day
1.74728
Reported RN Staffing Hours per Resident per Day
0.87663
Reported Licensed Staffing Hours per Resident per Day
2.62391
Reported Total Nurse Staffing Hours per Resident per Day
5.03315
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17337
Expected CNA Staffing Hours per Resident per Day
2.53198
Expected LPN Staffing Hours per Resident per Day
0.75585
Expected RN Staffing Hours per Resident per Day
1.47807
Expected Total Nurse Staffing Hours per Resident per Day
4.76589
Adjusted CNA Staffing Hours per Resident per Day
2.33475
Adjusted LPN Staffing Hours per Resident per Day
1.91870
Adjusted RN Staffing Hours per Resident per Day
0.44316
Adjusted Total Nurse Staffing Hours per Resident per Day
4.25694
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2015-03-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2014-01-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-11-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
41.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
9
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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