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Cleveland Manor Nursing Home

Details

Type of Ownership For profit - Individual
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 90
Continuing Care? No
Resident Council? Yes
Family Council? No
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 10/06/2011

Date of last standard health inspection: 10/06/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in OK: 3
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in OK: 0 - 12

Inspection, 01/05/2010

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 01/05/2010 01/06/2010 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
Develop and implement policies for 1) screening and training employees; and the 2) prevention 01/05/2010 01/06/2010 investigation identification

Inspection, 00/06/2010

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/06/2010 00/07/2010 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 00/06/2010 00/07/2010 2 Many

Inspection, 02/08/2008

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident. 02/08/2008 02/04/2009 2 Many
1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. 02/08/2008 02/04/2009 2 Some
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. 02/08/2008 02/04/2009 2 Some
Quickly tell the resident's doctor the results of laboratory tests. 02/08/2008 02/04/2009 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 02/08/2008 02/04/2009 2 Some
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 02/08/2008 02/04/2009 2 Many
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. 02/08/2008 02/04/2009 2 Some
Provide housekeeping and maintenance services. 02/08/2008 02/04/2009 2 Some
Provide clean bed and bath linens that are in good condition. 02/08/2008 02/04/2009 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/08/2008 02/04/2009 4 Some
Have a program that investigates, controls and keeps infection from spreading. 02/08/2008 02/04/2009 2 Many
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. 02/08/2008 02/04/2009 2 Some
Have a program that investigates 02/08/2008 02/04/2009 Many controls and keeps infection from spreading.
Make sure there is a pest control program to prevent/deal with mice 02/08/2008 02/04/2009 or other pests. insects
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop 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. 02/08/2008 02/04/2009 2 Some
Develop and implement policies for 1) screening and training employees; and the 2) prevention 02/08/2008 02/04/2009 investigation identification
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. 02/08/2008 02/04/2009 2 Some
Make sure that special or therapeutic diets are ordered by the attending doctor. 02/08/2008 02/04/2009 2 Few
Store, cook, and serve food in a safe and clean way. 02/08/2008 02/04/2009 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 02/08/2008 02/04/2009 2 Some
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 02/08/2008 02/04/2009 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 02/08/2008 02/04/2009 2 Some
Provide care by qualified persons according to each resident's written plan of care. 02/08/2008 02/04/2009 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/08/2008 02/04/2009 3 Some
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 02/08/2008 02/04/2009 2 Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/08/2008 02/04/2009 3 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 02/08/2008 02/04/2009 2 Some
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. 02/08/2008 02/04/2009 2 Some
Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. 02/08/2008 02/04/2009 2 Some
Ensure residents maintain acceptable nutritional status. 02/08/2008 02/04/2009 3 Few
Give each resident enough fluids to keep them healthy and prevent dehydration. 02/08/2008 02/04/2009 2 Some
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 02/08/2008 02/04/2009 2 Many
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/08/2008 02/04/2009 3 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Review or revise the resident's care plan after any major change in physical or mental health. 02/08/2008 02/04/2009 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 02/08/2008 02/04/2009 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 02/08/2008 02/04/2009 2 Some
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. 02/08/2008 02/04/2009 2 Some
Keep residents' personal and medical records private and confidential. 02/08/2008 02/04/2009 2 Some
Try to resolve each resident's complaints quickly. 02/08/2008 02/04/2009 2 Some
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/08/2008 02/04/2009 2 Some
Reasonably accommodate the needs and preferences of each resident. 02/08/2008 02/04/2009 2 Some
Properly hold 02/08/2008 02/04/2009 and manage each resident's personal money which is secure
Keep residents' personal and medical records private and confidential. 02/08/2008 02/04/2009 2 Some
Try to resolve each resident's complaints quickly. 02/08/2008 02/04/2009 2 Some
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/08/2008 02/04/2009 2 Some

Inspection, 00/05/2008

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 00/05/2008 02/00/2008 2 Few
Keep accurate 00/05/2008 02/00/2008 Few complete and organized clinical records on each re
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 00/05/2008 02/00/2008 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 00/05/2008 02/00/2008 2 Few
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 00/05/2008 02/00/2008 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/05/2008 02/00/2008 3 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 00/05/2008 02/00/2008 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure each resident receives an accurate assessment by a qualified health professional. 00/05/2008 02/00/2008 2 Some
Allow residents the right to participate in the planning or revision of care and treatment. 00/05/2008 02/00/2008 2 Some

Inspection, 00/02/2006

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/02/2006 00/01/2007 2 Some

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in OK Golden Living Center, Asheville
RN Staff Only1 N/A N/A 3 out of 5 stars
Total Number of Residents 86 64 55
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 10 hours 30 minutes 52 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 9 hours 42 minutes 24 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 10 hours 7 minutes 28 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 11 hours 50 minutes 1 hour 53 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 10/05/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 10/05/2011
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in OK: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in OK: 0 - 0

Inspection, 00/05/2010

Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 00/05/2010 01/03/2010 2 Some
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 00/05/2010 01/07/2010 2 Some
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Emergency lighting that can last at least 1 1/2 hours. 00/05/2010 02/09/2010 2 Many
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 00/05/2010 01/07/2010 2 Some

Inspection, 02/03/2008

Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 02/03/2008 02/04/2009 2 Some
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly maintained smoke detectors. 02/03/2008 02/04/2009 2 Many
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 02/03/2008 02/04/2009 2 Some

Inspection, 00/04/2008

Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 00/04/2008 00/04/2008 2 Some
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 00/04/2008 00/04/2008 2 Some
Smoke barrier doors that can resist smoke for at least 20 minutes. 00/04/2008 00/04/2008 2 Some
 

900 North Division
Cleveland, OK 74020

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