Fountain View Manor, Inc
Fountain View Manor, Inc Information
| Facility Name | Fountain View Manor, Inc |
| Location | 107 East Barclay, Henryetta, OK 74437 |
| County (SSA Code) | Okmulgee (550) |
| Phone Number | 918-652-7021 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 119 |
| Average Number of Residents | 81.2 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | FOUNTAIN VIEW MANOR, INC. |
| Ownership Type | For profit - Corporation |
| Date First Approved | 2003-09-30 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 1.82115 |
| Reported LPN Staffing Hours per Resident per Day | 0.62527 |
| Reported RN Staffing - Hours per Resident per Day | 0.171 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 0.79626 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.61742 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.00307 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 1.85158 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.61288 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.26173 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.7262 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.06097 |
| Total Weighted Health Survey Score for three cycles | 59.167 |
| Rating cycle 1 Standard Survey Health Date | 2019-01-16 |
| Rating cycle 1 - Health Deficiency Score | 6 |
| Rating cycle 1 - Total Health Inspection Score | 52 |
| Date of Rating cycle 2 Standard Health Survey Date | 2017-10-18 |
| Rating cycle 2 - Health Deficiency Score | 52 |
| Date of Rating cycle 3 Standard Health Survey Date | 2016-08-24 |
| Rating cycle 3 - Health Deficiency Score | 107 |
| Rating cycle 3 - Total Health Inspection Score | 107 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 3 |
| Number of Substantiated Complaints | 3 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |