Village Health Care Center - Broken Arrow Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
375171
Provider Name
VILLAGE HEALTH CARE CENTER
Provider Address
1709 SOUTH MAIN
BROKEN ARROW, OK 74012
BROKEN ARROW, OK 74012
Provider Phone Number
(918) 251-2626
Provider SSA County
710
Provider County Name
Tulsa
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
71
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VILLAGE HEALTH CARE CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1994-04-15
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
2
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
2.52746
Reported LPN Staffing Hours per Resident per Day
0.56549
Reported RN Staffing Hours per Resident per Day
0.20070
Reported Licensed Staffing Hours per Resident per Day
0.76620
Reported Total Nurse Staffing Hours per Resident per Day
3.29365
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06268
Expected CNA Staffing Hours per Resident per Day
2.19585
Expected LPN Staffing Hours per Resident per Day
0.51717
Expected RN Staffing Hours per Resident per Day
0.70784
Expected Total Nurse Staffing Hours per Resident per Day
3.42087
Adjusted CNA Staffing Hours per Resident per Day
2.82425
Adjusted LPN Staffing Hours per Resident per Day
0.90754
Adjusted RN Staffing Hours per Resident per Day
0.21186
Adjusted Total Nurse Staffing Hours per Resident per Day
3.88100
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
128
Cycle 1 Standard Survey Health Date
2014-11-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
128
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
128
Cycle 2 Standard Health Survey Date
2013-09-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
128
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-08-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
113.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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