• CMS rates this facility 2/5 stars (below average)
• Has 90 certified beds with an average of 53.7 residents per day (60% occupancy)
• Last health inspection found 11 deficiencies (inspected Apr 5, 2024)
• Has been fined a total of $14,069 across 1 fine(s)
• Total nursing staff: 4.03 hours per resident per day
• Staff turnover rate: 58.2% (high)
• Part of the Mgm Healthcare chain (30 facilities)
Cleveland Care and Rehab Center is a 2-star Medicare and Medicaid certified nursing home in Cleveland, Oklahoma with 90 certified beds. It has been operating since 2003. The facility scored below average compared to Oklahoma facilities.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Reasonably accommodate the needs and preferences of each resident.
Prepare residents for a safe transfer or discharge from the nursing home.
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Ensure medication error rates are not 5 percent or greater.
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Provide and implement an infection prevention and control program.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Honor the resident's right to manage his or her financial affairs.
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Assure the security of all personal funds of residents deposited with the facility.
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Ensure each resident receives an accurate assessment.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
+ 6 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| OK SNF HOLDINGS, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 50% | Jan 9, 2024 |
| OK SNF INVESTMENTS, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 50% | Jan 9, 2024 |
| JFB OK TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 50% | Jan 9, 2024 |
| SOUTHEAST VENTURES TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 48% | Jan 9, 2024 |
| FRIEDMAN, NAFTALI | CORPORATE OFFICER | Individual | N/A | Jan 9, 2024 |
| UPSHAW, BILLIE | W-2 MANAGING EMPLOYEE | Individual | N/A | Jan 9, 2024 |
This chain operates 30 facilities. View all →