Wildwood Care Center, Inc - Tulsa Nursing Home

General Information

UPDATE
Federal Provider Number
375468
Provider Name
WILDWOOD CARE CENTER, INC
Provider Address
3333 EAST 28TH STREET
TULSA, OK 74114
Provider Phone Number
9187478008
Provider SSA County
710
Provider County Name
Tulsa
Ownership Type
For profit - Corporation
Number of Certified Beds
56
Number of Residents in Certified Beds
44
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WILDWOOD MANAGEMENT COMPANY, L.L.C.
Date First Approved to Provide Medicare and Medicaid services
2004-10-23
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
0
Staffing Rating Footnote
Data Not Available
RN Staffing Rating
0
RN Staffing Rating Footnote
Data Not Available
Reported Staffing Footnote
Staffing Values not Reported because of Data Quality Concerns
Physical Therapist Staffing Footnote
Physical Therapy Staffing Values not Reported because of Data Quality Concerns
Reported CNA Staffing Hours per Resident per Day
0.00000
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
0.00000
Reported Licensed Staffing Hours per Resident per Day
0.00000
Reported Total Nurse Staffing Hours per Resident per Day
0.00000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.19753
Expected LPN Staffing Hours per Resident per Day
0.59518
Expected RN Staffing Hours per Resident per Day
0.88682
Expected Total Nurse Staffing Hours per Resident per Day
3.67953
Adjusted CNA Staffing Hours per Resident per Day
0.00000
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
0.00000
Adjusted Total Nurse Staffing Hours per Resident per Day
0.00000
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
120
Cycle 1 Standard Survey Health Date
2014-06-06
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
60
Cycle 1 Total Health Score
180
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-04-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
179
Cycle 3 Standard Health Survey Date
2012-03-08
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
90
Cycle 3 Total Health Score
269
Total Weighted Health Survey Score
158.83300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
Number of Fines
2
Total Amount of Fines in Dollars
35503
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01

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