LEISURE VILLAGE HEALTH CARE CENTER - TULSA, OK

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Address

2154 SOUTH 85TH EAST AVENUE
TULSA, OK, 74129

Phone (make sure to verify first before calling): (918) 622-4747

Number of Certified Beds: 117
Total Number of Residents: 84
Percent of Occupied Beds: 72%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: Yes
Resident and Family Councils: Resident
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 2 Stars
Health Inspections Star Rating: 3 Stars
Nurse Staffing Star Rating: 1 Star
Quality Measures Star Rating: 3 Stars
RN Only Star Rating: 2 Stars

Employment Full-Time Equivalent

Activities Professionals - Under Contract: 0.29
Administrative Staff - Full Time: 4.57
Certified Nurse Aides - Full Time: 27.43
Certified Nurse Aides - Part Time: 0.20
Dietitians - Under Contract: 0.11
Food Service Personnel - Full Time: 9.14
Food Service Personnel - Part Time: 0.63
Licensed Practical/ Vocational Nurses - Full Time: 6.86
Licensed Practical/ Vocational Nurses - Part Time: 0.76
Medical Directors - Under Contract: 0.06
Nurses With Administrative Duties - Full Time: 1.14
Physical Therapists - Under Contract: 0.19
Registered Nurses - Full Time: 1.71
Rn Director Of Nursing - Full Time: 1.14
Pharmacists - Under Contract: 0.54
Persons Not Included In Any Other Categories - Under Contract: 2.74
Speech Pathologists - Under Contract: 0.94
Housekeeping Personnel - Under Contract: 3.96
Physician Extenders - Under Contract: 0.19
Registered Nurses - Part Time: 0.27
Occupational Therapy Assistants - Under Contract: 1.74
Licensed Practical/ Vocational Nurses - Under Contract: 0.59
Occupational Therapy Aides - Under Contract: 0.11
Medication Aides/ Technicians - Part Time: 1.06
Medication Aides/ Technicians - Full Time: 6.86

Provided Services

Activities Services Are Provided Onsite To Residents
Clinical Laboratory Services Are Provided Onsite To Residents
Dental Services Are Provided Onsite To Residents
Diagnostic Xray Services Are Provided Onsite To Residents
Dietary Services Are Provided Onsite To Residents
Housekeeping Services Are Provided Onsite To Residents
Nursing Services Are Provided Onsite To Residents
Occupational Therapy Services Are Provided Onsite To Residents
Pharmacy Services Are Provided Onsite To Residents
Physical Therapy Services Are Provided Onsite To Residents
Physician Extender Services Are Provided Onsite To Residents
Physician Services Are Provided Onsite To Residents
Podiatry Services Are Provided Onsite To Residents
Speech/Language Pathology Services Are Provided Onsite To Residents

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.320
State:	0.395

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

This Nursing Home:	0.490
Oklahoma:	0.808

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	0.810
Oklahoma:	1.203

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.010
State:	0.040

Number Therapy Hours Per Resident Per Day

Here:	0.010
Oklahoma:	0.052

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

This Nursing Home:	6.4%
Oklahoma:	13.9%

Percent of long-stay residents who self-report moderate to severe pain

This Nursing Home:	14.9%
Oklahoma:	16.6%

Percent of long-stay high-risk residents with pressure ulcers

This Nursing Home:	2.5%
Oklahoma:	8.3%

Percent of long-stay residents who lose too much weight

Here:	14.5%
State:	8.4%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

This Nursing Home:	53.3%
Oklahoma:	32.9%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

This Nursing Home:	3.8%
State:	4.9%

Percent of long-stay residents with a urinary tract infection

Here:	4.3%
State:	9.2%

Percent of long-stay residents experiencing one or more falls with major injury

Here:	5.7%
State:	5.0%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	97.1%
State:	95.3%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	91.4%
State:	90.0%

Percent of short-stay residents who self-report moderate to severe pain

This Nursing Home:	37.8%
State:	29.5%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	48.4%
State:	85.9%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	32.1%
Oklahoma:	77.9%

Percent of short-stay residents who newly received an antipsychotic medication

Here:	3.4%
State:	3.4%

Percent of long-stay residents who received an antipsychotic medication

Here:	22.1%
State:	25.9%

Complaint Deficiency

Restrictions on the use of portable space heaters: Some (Minimal harm or potential for actual harm)

Heating and ventilation systems that have been properly installed according to the manufacturer's instructions: Many (Minimal harm or potential for actual harm)

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Many (Minimal harm or potential for actual harm)

Record of quarterly fire drills for each shift under varying conditions: Many (Minimal harm or potential for actual harm)

Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property: Some (Actual harm)

Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property: Some (Minimal harm or potential for actual harm)

Make sure each resident receives an accurate assessment by a qualified health professional: Some (Minimal harm or potential for actual harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Some (Minimal harm or potential for actual harm)

Allow the resident the right to participate in the planning or revision of the resident's care plan: Few (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Some (Minimal harm or potential for actual harm)

1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being: Some (Minimal harm or potential for actual harm)

Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed: Some (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Many (Minimal harm or potential for actual harm)

Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist: Some (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Some (Minimal harm or potential for actual harm)

Keep accurate, complete and organized clinical records on each resident that meet professional standards: Many (Potential for minimal harm)

Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action: Many (Potential for minimal harm)

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Some (Minimal harm or potential for actual harm)

Emergency lighting that can last at least 1 1/2 hours: Many (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Many (Minimal harm or potential for actual harm)

Proper medical gas storage and administration areas: Some (Minimal harm or potential for actual harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Few (Minimal harm or potential for actual harm)

Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so: Few (Minimal harm or potential for actual harm)

Develop policies and procedures for influenza and pneumococcal immunizations: Few (Minimal harm or potential for actual harm)

Hire a qualified dietician: Some (Minimal harm or potential for actual harm)

Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed: Some (Minimal harm or potential for actual harm)

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature: Some (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Many (Minimal harm or potential for actual harm)

Keep accurate, complete and organized clinical records on each resident that meet professional standards: Some (Potential for minimal harm)

Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene: Some (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Few (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Many (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Some (Minimal harm or potential for actual harm)

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Some (Minimal harm or potential for actual harm)

Smoke barrier doors that can resist smoke for at least 20 minutes: Some (Minimal harm or potential for actual harm)

An externally vented heating system: Some (Minimal harm or potential for actual harm)

Properly protected cooking facilities: Many (Potential for minimal harm)

Properly installed electrical wiring and equipment: Many (Minimal harm or potential for actual harm)

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