University Village Retirement Community - Tulsa Nursing Home
General Information
UPDATEFederal Provider Number
375531
Provider Name
UNIVERSITY VILLAGE RETIREMENT COMMUNITY
Provider Address
8555 SOUTH LEWIS AVENUE
TULSA, OK 74137
TULSA, OK 74137
Provider Phone Number
(918) 299-2661
Provider SSA County
710
Provider County Name
Tulsa
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
UNIVERSITY VILLAGE RETIREMENT COMMUNITY, LLC
Date First Approved to Provide Medicare and Medicaid services
2009-06-05
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
3.75068
Reported LPN Staffing Hours per Resident per Day
1.05338
Reported RN Staffing Hours per Resident per Day
0.45135
Reported Licensed Staffing Hours per Resident per Day
1.50473
Reported Total Nurse Staffing Hours per Resident per Day
5.25541
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00946
Expected CNA Staffing Hours per Resident per Day
2.50666
Expected LPN Staffing Hours per Resident per Day
0.62389
Expected RN Staffing Hours per Resident per Day
1.02708
Expected Total Nurse Staffing Hours per Resident per Day
4.15763
Adjusted CNA Staffing Hours per Resident per Day
3.67144
Adjusted LPN Staffing Hours per Resident per Day
1.40138
Adjusted RN Staffing Hours per Resident per Day
0.32836
Adjusted Total Nurse Staffing Hours per Resident per Day
5.09522
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
88
Cycle 1 Standard Survey Health Date
2015-01-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
88
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-11-15
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
36
Cycle 2 Total Health Score
108
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-09-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
90.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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