Town Of Vici Nursing Home - Vici Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
375545
Provider Name
TOWN OF VICI NURSING HOME
Provider Address
619 SPECK
VICI, OK 73859
VICI, OK 73859
Provider Phone Number
(580) 995-4216
Provider SSA County
210
Provider County Name
Dewey
Provider Website
Provider Description
Ownership Type
Government - City
Number of Certified Beds
73
Number of Residents in Certified Beds
44
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TOWN OF VICI
Date First Approved to Provide Medicare and Medicaid services
2011-08-07
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
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
2
QM Rating Footnote
Staffing Rating
3
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
2.07614
Reported LPN Staffing Hours per Resident per Day
0.71705
Reported RN Staffing Hours per Resident per Day
0.42159
Reported Licensed Staffing Hours per Resident per Day
1.13864
Reported Total Nurse Staffing Hours per Resident per Day
3.21478
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.14864
Expected LPN Staffing Hours per Resident per Day
0.55954
Expected RN Staffing Hours per Resident per Day
0.75240
Expected Total Nurse Staffing Hours per Resident per Day
3.46058
Adjusted CNA Staffing Hours per Resident per Day
2.37090
Adjusted LPN Staffing Hours per Resident per Day
1.06364
Adjusted RN Staffing Hours per Resident per Day
0.41868
Adjusted Total Nurse Staffing Hours per Resident per Day
3.74459
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-10-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2013-09-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
84
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-07-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
66.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
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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