HENNESSEY NURSING & REHAB
NPI 1821508391
Nursing Facility/Intermediate Care Facility in Hennessey, OK
About Hennessey Nursing & Rehab NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HENNESSEY NURSING & REHAB (NPI 1821508391) is a healthcare organization registered as a nursing facility/intermediate care facility in Hennessey, Oklahoma and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through March 24, 2028 and lists Bradford Montgomery, Managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
Other Names 1
Nursing Home Quality Information
The Centers for Medicare and Medicaid Services publishes the Nursing Home Compare star rating data to provide consumers an easy way to compare nursing home's quality of care.
| Overall Quality Rating | Not Available |
| The overall star rating is based on a nursing homes's performance on health inspections, staffing and quality measures. | |
| Health Inspection Rating | Not Available |
| The health inspection star rating is based on a nursing home’s weighted score from the most recent health inspections. | |
| Quality Measures Rating | - 3 out of 5 stars - Average |
| The quality measures star rating is based on data from a select set of clinical measures. | |
| Long-Stay Quality Measures Rating | - 3 out of 5 stars - Average |
| The long-stay quality of care rating is based on the quality of care delivered to long-term residents only. | |
| Short-Stay Quality Measures Rating | Not Available |
| The short-stay quality of care rating is based on the quality of care delivered to temporary residents only. *Not enough data available to calculate a star rating. | |
| Staffing Rating | - 4 out of 5 stars - Above Average |
| The staffing rating is based on the star rating based on the nursing home’s staffing hours for Registered Nurses (RNs), Licensed Practice Nurses (LPNs), Licensed Vocational Nurses (LVNs) and Nurse aides. | |
| Nurse Aide Staffing Hours | 3.02 hours per resident per day |
| Nurse aide hours per resident per day. Higher number of hours are better. | |
| RN Staffing Hours | 0.44 hours per resident per day |
| Resgistered nurse hours per resident per day. Higher number of hours are better. | |
| Ownership Type | For profit - Individual |
| Is the facility private for profit, not-for profit or publicly owned. | |
| Number of Certified Beds | 50 beds |
| Number of beds in the nursing home that have been approved by the federal government to participate in the Medicare or Medicaid programs. | |
| Residents per Day | 29 residents |
| Average number of residents living in the facility per day. | |
| Automatic Sprinkler Systems | Yes |
| Does the facility have automatic sprinkler systems in all required areas? | |
| Facility Reported Incidents | 0 incidents |
| Number of facility-reported incidents in the past 3 years. A lower number is better. | |
| Substantiated Complaints | 2 complaints |
| Number of substantiated complaints in the past 3 years. A lower number is better. | |
| Citations from Inspections | 0 citations after infection control inspection |
| Number of citations from infection control inspections in the past 3 years. A lower number is better. | |
| Total Number of Penalties | 1 penalties from a serious health, fire safety or long-term unresolved citation |
| The Medicare program may impose penalties on a facilty when there's serious health or fire safety citations or if the facility fails to correct a citation for a long period of time. | |
| Number of Fines | 1 fines |
| Toal number of fines in the last 3 years. A penalty can be a fine against the facility or denied payments from Medicare. | |
| Amount of Fines | $33,923.81 |
| Total monetary amount of fine imposed on the facility in the last 3 years. | |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 37D1023783
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- March 25, 2026
- Certificate Expiration Date
- March 24, 2028
- Laboratory Director
- DOUG DOLLARHIDE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Hennessey Nursing & Rehab to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
HENNESSEY, OK 73742
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821508391, enumerated as an "organization" on October 10, 2017.
The provider is located at 705 E 3RD ST HENNESSEY, OK 73742 and the phone number is (405) 853-4390.
Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.
