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The Villages At Southern Hills

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About The Villages At Southern Hills

General Information

Legal Business NameSouth Lewis Sh Opco LLC
Ownership TypeFor Profit - Partnership
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareAugust 23, 2011 (5 years)
Capacity100
Residents92
Percent Occupied92%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityYes
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for The Villages At Southern Hills

The Villages At Southern Hills
was reviewed by Medicare to have a rating of 5 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Oklahoma Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

March 12, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmFire Safety InspectionPosted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmHealth InspectionGive proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.

February 17, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

September 8, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
ESomePotential for HarmComplaint1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

January 24, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
ESomePotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

January 21, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionProper medical gas storage and administration areas.
ESomePotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of The Villages At Southern Hills require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 25min
2hr 25min
ReportedExpected
CNA
1hr 45min
40min
ReportedExpected
LPN
55min
1hr 25min
ReportedExpected
RN
5hr
4hr 30min
ReportedExpected
Total Nursing

This facility also provides approximately 1hr 15min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
97.6%
97.6%
94.6%
Q1 2015Q2 2015Q3 2015OK
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
100.0%
100.0%
88.5%
Q1 2015Q2 2015Q3 2015OK
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
32.1%
Q1 2015Q2 2015Q3 2015OK
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
5.4%
2.9%
8.1%
20.2%
Q1 2015Q2 2015Q3 2015OK
Received an Antipsychotic Medication
0.0%
-
-
14.9%
Q1 2015Q2 2015Q3 2015OK
* The data for this facility for some quarters is unavailable.
Need for Help with ADLs has Increased
-
-
14.3%
14.2%
Q1 2015Q2 2015Q3 2015OK
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
20.6%
21.9%
32.4%
9.0%
Q1 2015Q2 2015Q3 2015OK
Lose Too Much Weight
-
-
3.3%
7.5%
Q1 2015Q2 2015Q3 2015OK
* The data for this facility for some quarters is unavailable.
High Risk Residents With Pressure Ulcers
0.0%
0.0%
2.9%
6.6%
Q1 2015Q2 2015Q3 2015OK
Have Depressive Symptoms
5.9%
0.0%
0.0%
7.3%
Q1 2015Q2 2015Q3 2015OK
With a Urinary Tract Infection
5.4%
5.9%
5.4%
5.1%
Q1 2015Q2 2015Q3 2015OK
Experiencing One or More Falls with Major Injury
-
0.0%
0.0%
3.9%
Q1 2015Q2 2015Q3 2015OK
* The data for this facility for some quarters is unavailable.
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.5%
Q1 2015Q2 2015Q3 2015OK
Were Physically Restrained

Quality Measures for Short Stay Residents

99.8%
99.5%
99.8%
76.1%
Q1 2015Q2 2015Q3 2015OK
Assessed and Appropriately Given the Pneumococcal Vaccine
99.8%
94.2%
94.2%
73.8%
Q1 2015Q2 2015Q3 2015OK
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
14.7%
13.0%
13.9%
24.7%
Q1 2015Q2 2015Q3 2015OK
Self Report Moderate to Severe Pain
0.3%
0.3%
0.0%
2.6%
Q1 2015Q2 2015Q3 2015OK
Newly Received an Antipsychotic Medication
0.9%
0.2%
0.0%
1.8%
Q1 2015Q2 2015Q3 2015OK
With Pressure Ulcers That Are New or Worsened