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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 (10 years)
Capacity100
Residents72
Percent Occupied72%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
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

January 9, 2017 - 3 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.

November 5, 2015 - 17 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 9, 2014 - 3 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.

3hr 15min
1hr 60min
ReportedExpected
CNA
55min
30min
ReportedExpected
LPN
15min
45min
ReportedExpected
RN
4hr 25min
3hr 15min
ReportedExpected
Total Nursing

Quality Measures for Long Stay Residents

100.0%
100.0%
100.0%
100.0%
94.2%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
97.3%
98.6%
100.0%
90.0%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
12.8%
7.7%
12.5%
17.5%
33.5%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of low risk long-stay residents who lose control of their bowels or bladder
9.7%
11.9%
13.6%
11.5%
29.9%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents who received an antianxiety or hypnotic medication
4.8%
3.3%
3.4%
3.5%
15.1%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents whose ability to move independently worsened
0.0%
1.5%
0.0%
0.0%
20.0%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents who received an antipsychotic medication
5.8%
6.0%
6.1%
3.3%
14.5%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents whose need for help with daily activities has increased
1.5%
2.8%
3.7%
4.7%
12.8%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents who self-report moderate to severe pain
0.0%
2.7%
2.8%
2.9%
8.3%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents who lose too much weight
4.0%
4.2%
0.0%
4.3%
7.4%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of high risk long-stay residents with pressure ulcers
0.0%
0.0%
0.0%
0.0%
5.9%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents who have depressive symptoms
1.4%
0.0%
2.8%
0.0%
6.7%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents with a urinary tract infection
3.9%
2.7%
2.8%
4.3%
5.0%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents experiencing one or more falls with major injury
0.0%
1.8%
3.4%
0.0%
3.4%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.4%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

89.3%
97.1%
93.1%
94.1%
77.5%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
88.6%
94.1%
94.1%
94.1%
71.8%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
-
-
-
61.8%
Q4 2015Q1 2016Q2 2016Q3 2016OK
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
17.4%
4.8%
-
4.2%
24.0%
Q4 2015Q1 2016Q2 2016Q3 2016OK
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who self-report moderate to severe pain
-
0.0%
0.0%
0.0%
2.5%
Q4 2015Q1 2016Q2 2016Q3 2016OK
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
0.0%
0.0%
0.0%
2.2%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of short-stay residents with pressure ulcers that are new or worsened