Prague, OK

Parkland Manor Living Center

1-star overall rating with 3-star inspections with 11 recent health deficiencies

922 West Parkland Avenue, Prague, OK

(405) 567-2201

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

78

Certified beds

Average residents

28

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Elmbrook Management Company

Operator or chain grouping

Approved since

2000-03-22

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

11 facilities

Chain averages 3 overall / 4 health / 3 staffing / 2 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.31

Registered nurse staffing · state 0.34 · national 0.68

LPN hours / resident day

0.68

Licensed practical nurse staffing · state 0.92 · national 0.87

Aide hours / resident day

2.83

Nurse aide staffing · state 2.57 · national 2.35

Total nurse hours

3.83

All reported nurse hours · state 3.84 · national 3.89

Licensed hours

0.99

RN + LPN hours · state 1.27 · national 1.54

Weekend hours

3.45

Weekend nurse staffing · state 3.49 · national 3.43

Weekend RN hours

0.24

Weekend registered nurse coverage · state 0.29 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.03 · national 0.07

Adjusted RN hours

0.37

CMS adjusted RN staffing hours

Adjusted total hours

4.50

CMS adjusted total nurse staffing hours

Case-mix index

1.16

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

58%

Annual nurse turnover · state 56% · national 46%

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission Not Available
10.72%
Not Available · Eligible stays 13 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community Not Available
50.57%
Not Available · Eligible stays 10 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary Not Available
1.02
Too few residents or stays to report publicly.
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator 16 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 8 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 47
Staff flu vaccination coverage 28.85%
42%
13.1 pts worse
Numerator 15 · Denominator 52
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
90.3%
9.7 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 4.0%
4.5%
0.5 pts better
3.3%
0.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q4 0.0% · 4Q avg 4.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 1.5%
3.3%
1.8 pts better
11.4%
9.9 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 1.5%
Percentage of long-stay residents who lose too much weight 0.0%
3.6%
3.6 pts better
5.4%
5.4 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 30.3%
25.3%
5 pts worse
19.6%
10.7 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 30.3%
Percentage of long-stay residents who received an antipsychotic medication 27.7%
18.6%
9.1 pts worse
16.7%
11 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 27.7% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 31.3%
15.5%
15.8 pts worse
16.3%
15 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 31.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 26.2%
14.1%
12.1 pts worse
14.9%
11.3 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 26.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.1%
2.1%
About the same
1.0%
1.1 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 2.1% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 2.8%
2.8%
About the same
1.7%
1.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q4 0.0% · 4Q avg 2.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 2.5%
17.8%
15.3 pts better
19.8%
17.3 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 2.5%
Percentage of long-stay residents with pressure ulcers 15.8%
5.1%
10.7 pts worse
5.1%
10.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q4 0.0% · 4Q avg 15.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 96.3%
75.0%
21.3 pts better
81.7%
14.6 pts better
Short Stay · 2024Q4-2025Q3 · Q4 95.8% · 4Q avg 96.3%
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.9%
1.9 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-05-31 · Fire 2024-05-31

11 health deficiencies

Top issue: Pharmacy Service (5 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-06-21 · Fire 2023-06-21

3 health deficiencies

Top issue: Administration (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2020-11-23 · Fire 2020-11-23

0 health deficiencies

No concentrated health issue counts in this cycle.

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-01-27

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-02-28

E · Potential for more than minimal harm 2024-11-01

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-12-11

E · Potential for more than minimal harm 2024-05-31

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-07-31

E · Potential for more than minimal harm 2024-05-31

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-07-31

E · Potential for more than minimal harm 2024-05-31

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2024-07-31

E · Potential for more than minimal harm 2024-05-31

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-07-31

E · Potential for more than minimal harm 2024-05-31

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-07-31

E · Potential for more than minimal harm 2024-05-31

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-07-31

E · Potential for more than minimal harm 2024-05-31

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-07-31

D · Potential for more than minimal harm 2024-05-31

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-07-31

D · Potential for more than minimal harm 2024-05-31

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-07-31

D · Potential for more than minimal harm 2024-05-31

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-07-31

D · Potential for more than minimal harm 2024-05-31

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2024-07-31

D · Potential for more than minimal harm 2023-06-21

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2023-07-15

Penalties and ownership

What sits behind the stars

Ownership

Justice, Julie

5% Or Greater Indirect Ownership Interest · Individual

100% 3 facilities 2016-04-30
Justice, Julie

Operational/Managerial Control · Individual

0% 3 facilities 2016-04-30
Washita Valley Ivestments

Operational/Managerial Control · Organization

0% 1 facilities 2007-03-27

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#3

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Fines
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