Wilson Nursing Center - Wilson Nursing Home

General Information

UPDATE
Federal Provider Number
375522
Provider Name
WILSON NURSING CENTER
Provider Address
867 US HIGHWAY 70A
WILSON, OK 73463
Provider Phone Number
5806682337
Provider SSA County
90
Provider County Name
Carter
Ownership Type
For profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
42
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EQUITY FUNDING LLC
Date First Approved to Provide Medicare and Medicaid services
2007-11-30
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
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.57500
Reported LPN Staffing Hours per Resident per Day
0.51548
Reported RN Staffing Hours per Resident per Day
0.54405
Reported Licensed Staffing Hours per Resident per Day
1.05952
Reported Total Nurse Staffing Hours per Resident per Day
3.63453
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.36375
Expected LPN Staffing Hours per Resident per Day
0.58162
Expected RN Staffing Hours per Resident per Day
0.74014
Expected Total Nurse Staffing Hours per Resident per Day
3.68551
Adjusted CNA Staffing Hours per Resident per Day
2.67299
Adjusted LPN Staffing Hours per Resident per Day
0.73561
Adjusted RN Staffing Hours per Resident per Day
0.54924
Adjusted Total Nurse Staffing Hours per Resident per Day
3.97514
Cycle 1 Total Number of Health Deficiencies
40
Cycle 1 Number of Standard Health Deficiencies
19
Cycle 1 Number of Complaint Health Deficiencies
21
Cycle 1 Health Deficiency Score
399
Cycle 1 Standard Survey Health Date
2015-02-11
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
200
Cycle 1 Total Health Score
599
Cycle 2 Total Number of Health Deficiencies
21
Cycle 2 Number of Standard Health Deficiencies
17
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
108
Cycle 2 Standard Health Survey Date
2013-12-04
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
54
Cycle 2 Total Health Score
54
Cycle 3 Total Number of Health Deficiencies
50
Cycle 3 Number of Standard Health Deficiencies
35
Cycle 3 Number of Complaint Health Deficiencies
15
Cycle 3 Health Deficiency Score
562
Cycle 3 Standard Health Survey Date
2013-01-10
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
281
Cycle 3 Total Health Score
843
Total Weighted Health Survey Score
494.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
15
Number of Fines
2
Total Amount of Fines in Dollars
39605
Number of Payment Denials
2
Total Number of Penalties
4
Location
Processing Date
2015-06-01

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