Provider Name: THE VILLAGES AT SOUTHERN HILLS
Address: 5721 S LEWIS AVE, TULSA, OK 74105
Phone: (918) 447-6447
County: Tulsa (710)
Ownership Type: For profit - Limited Liability company
Certified Beds: 110
Average Residents Per Day: 104. ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: PF SOUTHERN HILLS SNF OPS, LLC
First Approved Date: August 23, 2011
Affiliated Entity: STONEGATE SENIOR LIVING (495)
Retirement Community: Y, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 5 ()
Long Stay QM Rating: 5 ()
Short Stay QM Rating: 5 ()
Staffing Rating: 2 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.16175, LPN Staff Hours Per Day: 1.3560, RN Staff Hours Per Day: 0.3006, Licensed Staff Hours Per Day: 1.6567
Total Nurse Staff Hours Per Day, per resident: 3.81846
Weekend Nurse Staff Hours: 3.20371, Weekend RN Staff Hours: 0.2380
PT Staff Hours Per Day, per resident: 0.1221
Nurse Staff Turnover: 52.8, Nurse Turnover Note:
RN Turnover: 44.4, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.0639, Case Mix LPN Hours Per Day: 0.7502, Case Mix RN Hours Per Day: 0.3994
Adjusted Nurse Aide Hours Per Day, per resident: 2.13374, Adjusted LPN Hours Per Day: 1.3338, Adjusted RN Hours Per Day: 0.2836
Total Adjusted Nurse Hours Per Day, per resident: 3.74524
Adjusted Weekend Nurse Hours Per Day, per resident: 3.14228
Health Survey Dates and Scores: Cycle 1: 2023-11-08 (Score: 4), Cycle 2: 2022-08-26 (Score: 16), Cycle 3: 2019-07-29 (Score: 12)
Total Weighted Health Score: 9.333
Reported Incidents: 0, Substantiated Complaints: 1
Infection Control Citations: 1
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 5721 S LEWIS AVE,TULSA,OK,74105 (36.0788, -95.958)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2024-01-18
Type: Health, Deficiency: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-09-09
Type: Health, Deficiency: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-09-09
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-08-31
Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-08-19
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0133, Version: New
Description: Install a two-hour-resistant firewall separation.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-08-19
Type: Fire Safety, Tag: 0291, Version: New
Description: Install emergency lighting that can last at least 1 1/2 hours.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2018-05-23
Type: Fire Safety, Tag: 0363, Version: New
Description: Install corridor and hallway doors that block smoke.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2018-05-23