LEISURE VILLAGE HEALTH CARE CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Leisure Village Health Care Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

LEISURE VILLAGE HEALTH CARE CENTER
2154 SOUTH 85TH EAST AVENUE
TULSA, OK 74129
(918) 622-4747

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

74%

Number of Residents and Certified Beds

  • Residents: 86
  • Certified Beds: 117

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Broken Arrow | Catoosa | Jenks

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Leisure Village Health Care Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1615.4%
ADL Index Range: 6-1013.8%
ADL Index Range: 0-526.0%
Total Percent:55.2%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-164.7%
ADL Index Range: 6-106.3%
ADL Index Range: 0-514.3%
Total Percent:25.4%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-161.5%
ADL Index Range: 0-51.5%
Total Percent:3.0%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-165.4%
ADL Index Range: 6-104.0%
ADL Index Range: 0-50.4%
Total Percent:9.8%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
5.6%
Total Percent:5.6%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 6-10
- Less restorative nursing
1.0%
Total Percent:1.0%
 

Rating Details For Leisure Village Health Care Center

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours19 Minutes59 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours29 Minutes39 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 2 Minutes2 Hours and 17 Minutes
Total Licensed Nurse Hours47 Minutes1 Hour and 38 Minutes
Total Nurse Hours2 Hours and 50 Minutes3 Hours and 55 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Oklahoma are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityOklahoma Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%94%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%90%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Are More Depressed or Anxious15%9%
Percent of Long-Stay Residents Who Lose Too Much Weight10%8%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder53%40%
Percent of Long-Stay Residents Who Were Physically Restrained1%4%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores3%3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse10%8%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection11%10%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased17%11%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder3%6%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair5%6%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores13%13%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%6%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination83%85%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%89%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores16%13%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain15%23%
Percent of Short-Stay Residents Who Have Delirium-3%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 10/14/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/20/2009
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 09/03/2009
  • Correction Date: 10/06/2009
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 09/03/2009
  • Correction Date: 10/06/2009
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 10/14/2010
  • Correction Date: 11/26/2010

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/20/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 09/03/2009
  • Correction Date: 10/06/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 09/03/2009
  • Correction Date: 10/06/2009

Mistreatment

Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property.
  • Inspection Date: 09/03/2009
  • Correction Date: 10/06/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 09/03/2009
  • Correction Date: 10/06/2009

Nutrition and Dietary

Make Sure That Residents Are Well Nourished.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/20/2009
Make Sure That Residents Are Well Nourished.
  • Inspection Date: 09/03/2009
  • Correction Date: 10/06/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 09/03/2009
  • Correction Date: 10/06/2009
Hire a Qualified Dietician.
  • Inspection Date: 10/14/2010
  • Correction Date: 11/26/2010
Make Sure That Residents Are Well Nourished.
  • Inspection Date: 10/14/2010
  • Correction Date: 11/26/2010
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 10/14/2010
  • Correction Date: 11/26/2010
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 10/14/2010
  • Correction Date: 11/26/2010

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 09/03/2009
  • Correction Date: 10/06/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 09/03/2009
  • Correction Date: 10/06/2009

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/20/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/20/2009
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 10/14/2010
  • Correction Date: 11/26/2010
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 10/14/2010
  • Correction Date: 11/26/2010

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/20/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/20/2009
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/20/2009
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 09/03/2009
  • Correction Date: 10/06/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 09/03/2009
  • Correction Date: 10/06/2009
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 09/03/2009
  • Correction Date: 10/06/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 10/14/2010
  • Correction Date: 11/26/2010

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/20/2009
Quickly Give a Resident's Personal Money to the Heads of His or Her Estate After the Resident's Death.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/20/2009
Provide Proof That All Residents' Personal Money Which is Deposited with the Nursing Home, is Secure.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/20/2009
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/20/2009

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Civil Money Penalty (CMP)09/03/2009$4,290
Civil Money Penalty (CMP)09/03/2009$5,785

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Leisure Village Health Care Center, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Administration

Quickly Tell the Resident's Doctor the Results of Lab Tests.
  • Complaint Filed: 06/25/2008
  • Correction Date: 08/09/2008

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Leisure Village Health Care Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 10/12/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 02/04/2009
  • Correction Date: 03/20/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 10/12/2010
  • Correction Date: 11/26/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 02/04/2009
  • Correction Date: 03/20/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 09/01/2009
  • Correction Date: 10/02/2009

Fire Alarm Systems

Properly Maintained Smoke Detectors.
  • Inspection Date: 02/04/2009
  • Correction Date: 03/20/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 02/04/2009
  • Correction Date: 03/20/2009

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 10/12/2010
  • Correction Date: 11/26/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 10/12/2010
  • Correction Date: 11/26/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 02/04/2009
  • Correction Date: 03/20/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 09/01/2009
  • Correction Date: 10/02/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 10/12/2010
  • Correction Date: 11/26/2010
Source: Medicare Nursing Home Compare; Oklahoma State Department of Health - Retrieved 2011