MITCHELL MANOR (MITCHELL, IN) Detailed Nursing Home Profile

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.780
State:	0.691

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

This Nursing Home:	0.860
State:	0.981

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.640
State:	1.672

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.140
Indiana:	0.096

Number Therapy Hours Per Resident Per Day

Here:	0.140
State:	0.103

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

This Nursing Home:	15.3%
Indiana:	19.7%

Percent of long-stay residents who self-report moderate to severe pain

Here:	1.4%
State:	10.6%

Percent of long-stay high-risk residents with pressure ulcers

Here:	3.6%
State:	6.3%

Percent of long-stay residents who lose too much weight

Here:	5.0%
Indiana:	7.8%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

This Nursing Home:	48.7%
State:	47.9%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

Here:	4.8%
State:	4.3%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	2.5%
State:	6.6%

Percent of long-stay residents who have depressive symptoms

Here:	3.9%
Indiana:	4.4%

Percent of long-stay residents experiencing one or more falls with major injury

This Nursing Home:	3.6%
State:	3.8%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	98.7%
State:	95.2%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	100.0%
State:	94.0%

Percent of short-stay residents who self-report moderate to severe pain

This Nursing Home:	14.3%
State:	22.0%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	100.0%
State:	84.1%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	98.1%
Indiana:	82.2%

Percent of short-stay residents who newly received an antipsychotic medication

Here:	2.5%
Indiana:	2.9%

Percent of long-stay residents who received an antipsychotic medication

Here:	28.7%
Indiana:	22.6%

Complaint Deficiency

Conduct initial and periodic assessments of each resident's functional capacity
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Hire sufficient dietary support personnel
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Let the resident use stationery, postage, and writing materials at the resident's own expense
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly hold, secure and manage each resident's personal money which is deposited with the nursing home
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Signs that state that exit doors are to be kept closed
- Harm: Minimal harm or potential for actual harm
- Scope: Few
A two-hour-resistant firewall in common walls
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Signs that state that exit doors are to be kept closed
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Hire sufficient dietary support personnel
- Harm: Actual harm
- Scope: Few
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Maintain comfortable and safe temperature levels
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide care by qualified persons according to each resident's written plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Post nurse staffing information/data on a daily basis
- Harm: Potential for minimal harm
- Scope: Many
Provide food in a way that meets a resident's needs
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Emergency lighting that can last at least 1 1/2 hours
- Harm: Minimal harm or potential for actual harm
- Scope: Many
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Some
A fire alarm system that can be heard throughout the facility
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
A fire alarm system that can be heard throughout the facility
- Harm: Minimal harm or potential for actual harm
- Scope: Many
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Many

MITCHELL MANOR - MITCHELL, IN

Staff Information

Quality Measures

Complaint Deficiency

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