Elk City Nursing Center
301 North Garrett, Elk City, OK 73644


Elk City Nursing Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 375479. The address is 301 North Garrett, Elk City, OK 73644. The zip code is 73644. The phone number is 5802252811.


Elk City Nursing Center · 301 North Garrett, Elk City, OK 73644

Federal Provider Number 375479
Provider Name ELK CITY NURSING CENTER
Address 301 NORTH GARRETT
ELK CITY, OK 73644
Phone Number 5802252811
SSA County Code 40
County Name Beckham
Ownership Type For profit - Partnership
Certified Beds 118
Certified Beds Residents 60
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name ELK CITY NURSING HOME LLC
Date First Approved to Provide Medicare Medicaid Services 11/14/2004
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 3
Health Inspection Rating 4
Quality Measure Rating 1
Staffing Rating 2
RN Staffing Rating 1
Reported CNA Staffing Hours per Resident per Day 2.59667
Reported LPN Staffing Hours per Resident per Day 0.64083
Reported RN Staffing Hours per Resident per Day 0.26583
Reported Licensed Staffing Hours per Resident per Day 0.90667
Reported Total Nurse Staffing Hours per Resident per Day 3.50333
Reported Physical Therapist Staffing Hours per Resident Per Day 0.00917
Expected CNA Staffing Hours per Resident per Day 2.13967
Expected LPN Staffing Hours per Resident per Day 0.59389
Expected RN Staffing Hours per Resident per Day 0.91491
Expected Total Nurse Staffing Hours per Resident per Day 3.64847
Adjusted CNA Staffing Hours per Resident per Day 2.97778
Adjusted LPN Staffing Hours per Resident per Day 0.8956
Adjusted RN Staffing Hours per Resident per Day 0.2171
Adjusted Total Nurse Staffing Hours per Resident per Day 3.87055
Cycle 1 Standard Survey Health Date 12/15/2016
Cycle 2 Total Number of Health Deficiencies 4
Cycle 2 Number of Standard Health Deficiencies 4
Cycle 2 Health Deficiency Score 20
Cycle 2 Standard Health Survey Date 11/04/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 20
Cycle 3 Total Number of Health Deficiencies 21
Cycle 3 Number of Standard Health Deficiencies 20
Cycle 3 Number of Complaint Health Deficiencies 1
Cycle 3 Health Deficiency Score 280
Cycle 3 Standard Health Survey Date 08/29/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 280
Total Weighted Health Survey Score 53.333
Number of Substantiated Complaints 1
Number of Fines 1
Total Amount of Fines in Dollars $15702.00
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Elk City Nursing Center

Owner Name Role Association Date
BRALY, DAVID (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 09/01/2012
BROWN, JAMES (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 03/06/2009
HENNIGH, CATHY (Individual) MANAGING EMPLOYEE since 08/01/2012
TRAPP, MARIA (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 09/01/2012
WHITE, CORRISA (Individual) MANAGING EMPLOYEE since 08/01/2012

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