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Mitchell Manor Convalescent Home LLC

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About Mitchell Manor Convalescent Home LLC

General Information

Legal Business NameMitchell Manor Convalescent Home LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareSeptember 1, 2007 (9 years)
Capacity100
Residents87
Percent Occupied87%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Mitchell Manor Convalescent Home LLC

Mitchell Manor Convalescent Home LLC
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

November 5, 2015 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

October 1, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionKeep residents' personal and medical records private and confidential.
ESomePotential for HarmHealth InspectionProvide activities to meet the interests and needs of each resident.

September 30, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
ESomePotential for HarmFire Safety InspectionPosted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
CManyPotential for Minimal HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.

September 9, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential 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.
DFewPotential 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.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Mitchell Manor Convalescent Home LLC 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 50min
1hr 60min
ReportedExpected
CNA
40min
30min
ReportedExpected
LPN
15min
45min
ReportedExpected
RN
3hr 40min
3hr 15min
ReportedExpected
Total Nursing

Quality Measures for Long Stay Residents

100.0%
100.0%
100.0%
94.6%
Q1 2015Q2 2015Q3 2015OK
Assessed and Appropriately Given the Seasonal Influenza Vaccine
94.4%
100.0%
100.0%
88.5%
Q1 2015Q2 2015Q3 2015OK
Assessed and Appropriately Given the Pneumococcal Vaccine
17.5%
17.1%
9.5%
32.1%
Q1 2015Q2 2015Q3 2015OK
Low Risk Residents Who Lose Control of Their Bowel or Bladder
0.0%
0.0%
1.5%
20.2%
Q1 2015Q2 2015Q3 2015OK
Received an Antipsychotic Medication
2.9%
0.0%
3.0%
14.9%
Q1 2015Q2 2015Q3 2015OK
Need for Help with ADLs has Increased
5.3%
6.5%
3.1%
14.2%
Q1 2015Q2 2015Q3 2015OK
Self Report Moderate to Severe Pain
2.8%
2.9%
2.8%
9.0%
Q1 2015Q2 2015Q3 2015OK
Lose Too Much Weight
-
-
-
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%
0.0%
6.6%
Q1 2015Q2 2015Q3 2015OK
Have Depressive Symptoms
7.0%
8.6%
5.6%
7.3%
Q1 2015Q2 2015Q3 2015OK
With a Urinary Tract Infection
7.0%
4.3%
5.6%
5.1%
Q1 2015Q2 2015Q3 2015OK
Experiencing One or More Falls with Major Injury
0.0%
0.0%
0.0%
3.9%
Q1 2015Q2 2015Q3 2015OK
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

94.1%
93.1%
96.8%
76.1%
Q1 2015Q2 2015Q3 2015OK
Assessed and Appropriately Given the Pneumococcal Vaccine
91.2%
91.2%
91.2%
73.8%
Q1 2015Q2 2015Q3 2015OK
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
-
5.0%
7.7%
24.7%
Q1 2015Q2 2015Q3 2015OK
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
-
-
-
2.6%
Q1 2015Q2 2015Q3 2015OK
* The data for this facility for some quarters is unavailable.
Newly Received an Antipsychotic Medication
2.5%
0.0%
0.0%
1.8%
Q1 2015Q2 2015Q3 2015OK
With Pressure Ulcers That Are New or Worsened