55pl.us

Retirement Living Made Easy

Countryside Estates


Countryside Estates Information

     
Facility Name Countryside Estates
Location Highway 64 East, Warner, OK 74469
County (SSA Code) Muskogee (500)
Phone Number 918-463-5143
Certification(s)Medicare and Medicaid
Number of Beds111
Average Number of Residents74.9
CCRC Facility? No
Medicare Overall Rating
Survey Rating
Quality Rating
Long Stay Quality Rating
Short Stay Quality Rating
Staff Quality Rating
Registered Nurse Quality Rating

Abuse Flag No
Sprinklers InstalledYes
Located In Hospital No
Resident Family CouncilResident

Provider Business NameCOUNTRYSIDE HEALTH SERVICES LLC
Ownership TypeFor profit - Partnership
Date First Approved1998-07-01

Reported Nurse Aide Staffing Hours per Resident per Day3.45321
Reported LPN Staffing Hours per Resident per Day1.76416
Reported RN Staffing - Hours per Resident per Day0.11096
Reported Licensed Staffing - Hours per Resident per Day (RN + LPN)1.87512
Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)5.32832
Reported Physical Therapy Staffing - Hours per Resident Per Day0.00308
Case-Mix Nurse Aide Staffing - Hours per Resident per Day2.19148
Case-Mix LPN Staffing - Hours per Resident per Day0.82632
Case-Mix RN Staffing - Hours per Resident per Day1.15052
Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)4.16832
Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)4.07543

Total Weighted Health Survey Score for three cycles157.5
Rating cycle 1 Standard Survey Health Date2020-01-09
Rating cycle 1 - Total Health Inspection Score386
Date of Rating cycle 2 Standard Health Survey Date2018-11-29
Rating cycle 2 - Health Deficiency Score386
Date of Rating cycle 3 Standard Health Survey Date2017-09-05
Rating cycle 3 - Health Deficiency Score173
Rating cycle 3 - Total Health Inspection Score173

Number of Facility-Reported Incidents0
Number of Substantiated Complaints3
Number of Substantiated Complaints3
Number of Fines1
Total Amount of Fines (in Dollars)272572
Number of Payment Denials1
Total Number of Penalties2

Data Filing Date2020-10-01
Page Last Updated2020-11-28