Mitchell Manor Convalescent Home Llc - Mcalester Nursing Home
General Information
UPDATEFederal Provider Number
375512
Provider Name
MITCHELL MANOR CONVALESCENT HOME LLC
Provider Address
315 WEST ELECTRIC AVENUE
MCALESTER, OK 74501
MCALESTER, OK 74501
Provider Phone Number
(918) 423-4661
Provider SSA County
600
Provider County Name
Pittsburg
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
73
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MITCHELL MANOR CONVALESCENT HOME LLC
Date First Approved to Provide Medicare and Medicaid services
2007-09-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.51438
Reported LPN Staffing Hours per Resident per Day
0.79452
Reported RN Staffing Hours per Resident per Day
0.25753
Reported Licensed Staffing Hours per Resident per Day
1.05205
Reported Total Nurse Staffing Hours per Resident per Day
4.56643
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.04024
Expected LPN Staffing Hours per Resident per Day
0.54807
Expected RN Staffing Hours per Resident per Day
0.74299
Expected Total Nurse Staffing Hours per Resident per Day
3.33131
Adjusted CNA Staffing Hours per Resident per Day
4.22657
Adjusted LPN Staffing Hours per Resident per Day
1.20323
Adjusted RN Staffing Hours per Resident per Day
0.25899
Adjusted Total Nurse Staffing Hours per Resident per Day
5.52541
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-10-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
92
Cycle 2 Standard Health Survey Date
2013-08-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
92
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-05-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
65.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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