Mooreland Heritage Manor: Data Analysis and Ratings
402 SOUTHEAST 6TH STREET, MOORELAND, OK 73852 (580-994-5570)
CMS 5-Star Rating:
Data as of: August 01, 2023
The Most Important Data about Mooreland Heritage Manor
We've looked at a lot of nursing homes, this is what we think you need to see first and if you don't want to spend a lot of time. (It's the tl;dr section.)
There is no indication of abuse occuring at Mooreland Heritage Manor. (CMS flags facilities where abuse has either happened or is very likely.)
CMS 5-Star Overall Rating:
(1 out of 5):
(The national average overall star rating is 3 stars.)
Current Trend: Worsening
Total Nursing Hours Spent Per Resident Per Day: 3.65
(The national average is 3.76 )
According to our analysis, Mooreland Heritage Manor is ranked #4 out of 4 skilled nursing homes within a 25 mile radius. See detailed information from recent inspection reports, nursing hours analysis, surverys, and information on owners and operators. Click here to view the ranked list of nursing homes near Mooreland Heritage Manor.
What is this page all about?
Below is everything shred of information that we can find about Mooreland Heritage Manor, along with our best effort to make sense of the data. Our purpose here is to help you to make good decisions when picking a nursing home and to keep you informed once you have chosen a home. We know from personal experience that choosing a nursing home is not something you do once and then you forget about it. In fact, it gets worse. Once you select a nursing home and get through the initial steps of figuring out how to pay for it, then the real worries start. Are they taking good care of me or my loved one? This is the question that will keep you up at night: Can I really trust these people? We wish we could answer this question, we can't. What he can do is churn through the tons of data and try and help you to make sense of it. We hope it helps.
General Data Card
These are the basic data points for the facility.
Data date: August 01, 2023
Address: 402 SOUTHEAST 6TH STREET, MOORELAND, OK 73852
Phone: 580-994-5570
Ranking: Mooreland Heritage Manor is ranked #2 out of 2 facilities within a 10 mile radius and #4 out of 4 facilities within a 25 mile radius.
Medicare Provider Number: 375543
Participating in Medicare Since: February 19, 2011
No. of Certified Beds: 62
No. of Residents: 29
Occupancy: 46.77 % (as of 08/13/2023 )
Amount fined in recent period: $150,838.45
Complaints filed: 13
Ratings History for Mooreland Heritage Manor
Review of Mooreland Heritage Manor Ratings and Inspection Scores
CMS regularly inspects every skilled nursing facility. (The timing is supposed to be annually, but since the beginning of the Covid pandemic, these inspections have not occured as frequently.) The results of the multi-day inspection is reduced to a series of scores which are then translated into the star ratings. The health inspection scores are an absolute value, so you can compare one facility's score directly to another. The Overall Star rating is based on the facility's performance as compared to other facilities in the same state, so you cannot easily compare one facility's Overall star rating to a facility in another state.
Ratings
| Overall Rating | 1: |
| Health Inspection Rating | 1: |
| Quality Rating | 3: |
| Staffing Rating | 1: |
Inspection Scores
| Cycle 1 Score (as of May 20, 2022) | 833 |
| Cycle 2 Score (as of February 02, 2020) | 424 |
| Cycle 3 Score (as of March 11, 2019) | 104 |
| Weighted All Cycles Score | 575 |
It has been 14 months since the most recent inspection.
What Goes Into the Nursing Home's 5-Star Rating
CMS has put a lot of effort into creating its very elaborate 5-Star Quality Rating System specifically to provide a quick way for residents and family members to easily understand how well a nursing home is performing and to make comparing nursing homes easier. The rating system allows people to easily compare facilities across numerous dimensions with the express purpose of identifying the best and best performing nursing homes. The rating system was initially developed in 2008 and the methodologies are regularly reviewed and updated.
The rating system has five separate ratings including:
- Overall rating
- Health Inspection rating
- Staff rating
- RN Staffing rating
- Quality Measures rating
Nursing homes are rated from 1-star to 5-stars with 1-star being the best rating and 5-star being the best rating. For the Health Inspection Rating the nursing homes in each state are ranked based on their weighted three year inspection score. The top 10 percent of nursing homes (those with the lowest scores) are awarded a 5-star rating; the bottom 20 percent (those with the highest scores) are awarded a 1-star rating. In between 1-star and 5-star, the remaining homes are divided equally into three tranches which correspond with the stars 2 to 4. The staff ratings and quality measure ratings follow a similar process but the divisions are based on a national ranking. The division between star ratings is called the “cut-rate”. Cut-rates are redefined periodically and are published by CMS. See the latest cut rates on this table.
Calculating the Overall Star Rating is done differently. According to CMS, the reason for adopting a different system is to give the Health Inspection Rating higher weight in the Overall Rating. So, since there are FIVE ratings and FIVE stars for each rating, there must also be a FIVE step process to calculate the Overall Rating (so symetrical!) :
- Begin with the Health Inspection Rating
- Add one star to the Health Inspection Rating if the Staffing Rating is at least four-stars and is higher than the Health Inspection Rating. (We will call this the "Adjusted Rating".)
- Subtract one star from the Health Inspection Rating if the Staffing Rating is one-star.
- Add a star to the Adjusted Rating if the Quality Measure Rating is 5-stars.
- Subtract one star from the Adjusted Rating if the Quality Measure Rating is 1-star.
Throughout the calculation of the Overall Rating, the rating cannot exceed 5-stars. The Overall Rating is capped at 2-stars if the Health Inspection rating is 1-star. No Overall Rating is awarded if the nursing home does not have a Health Inspection Rating (This effectively means that a nursing home is not rated until the home has been operating for more than two years.)
Changes in a nursing homes star rating can be due to the results of a new health inspection report, the processing of new complaints, the aging of older complaints, a new inspection control survey, a revisit, or the resolution of disputes that change the scope and or severity of deficiencies.
Most Recent Nursing Home Inspections
CMS is required to inspect each senior nursing facility at least annually. These inspections take several days. Additional follow-up inspections as conducted as needed or for certain purposes. Inspections stopped for more than seven months in 2020 due to the Covid pandemic. That stoppage has caused all inspections to be delayed as the inspectors continue to deal with a backlog. The table below shows the latest inspections for Mooreland Heritage Manor including health, fire, and inspection control inspections:
No Inspection Information is Available
Owner and Operator Information for Mooreland Heritage Manor
Our database of owners and operators shows all direct owners of the nursing nurse, any managers and directors, and the most adjacent indirect owners of the facility (that is, if the direct owner is company, then the owners of that company.) Lists of nursing home owners are available and you can search for nursing home owners and operators on our site.
Business Entity Name:
LIGHTNING CREEK INVESTMENT GROUP,INC
Owners:
- SHERMAN HONEA (DIRECT- NO PERCENTAGE PROVIDED)
- JOHNNY WAYNE KROUSE (DIRECT- NO PERCENTAGE PROVIDED)
- LIGHTNING CREEK INVESTMENT GROUP INC (DIRECT- NO PERCENTAGE PROVIDED)
- DOUGLAS GLEN MADDUX (DIRECT- NO PERCENTAGE PROVIDED)
Managers and Directors:
- LEIANN SYMS (OPERATIONAL/MANAGERIAL CONTROL)
Analysis of Nursing Hours Spent Per Patient
CMS provides detailed information about how long nursing staff spends with residents. This data includes nursing subcategories of Registered Nurse, Licensed Practical Nurse, and non-nursing Certified Nursing Assistants. More hours spend per patient should can indicate a better facility or it could indicate more complicated situations.
The nursing staff of Mooreland Heritage Manor spends LESS time on average with its residents than the state average and LESS time than the national average for total nursing homes spent per resident.
| Type | Facility | State / National Avg |
|---|---|---|
| Registered Nurse (RN) | ||
| Hours | 0.55 | 0.35 / 0.66 |
| Case Mix | 0.30 | 0.32 / 0.39 |
| Adjusted | 0.71 | NA / NA |
| Licensed Practical Nurse (LPN) | ||
| Hours | 0.64 | 0.94 / 0.89 |
| Case Mix | 0.61 | NA / NA |
| Adjusted | 0.77 | NA / NA |
| Certified Nursing Assistants (CNA) | ||
| Hours | 2.46 | 2.47 / 2.22 |
| Case Mix | 1.82 | NA / NA |
| Adjusted | 2.75 | NA / NA |
| Total Licensed Staff | ||
| Hours | 1.19 | 1.29 / 1.55 |
| Physical Therapist (PT) | ||
| Hours | 0.04 | 0.03 / 0.07 |
| Total Nursing Homes Spent per Resident on Average | ||
| Hours | 3.65 | 3.76 / 3.76 |
| Case Mix | 2.74 | 2.81 / 3.17 |
| Adjusted | 4.22 | NA / NA |
Quality Measures
Quality measures are based both on patient survey information and on the results of actual claims that are filed with CMS. It is not clear what period is covered in the measures.
| Desc. | Perc. | State Avg. / Comparison | |
|---|---|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursing home admission (qm521) | Not Available | ||
| Percentage of short-stay residents who had an outpatient emergency department visit (qm522) | Not Available | ||
| Number of hospitalizations per 1000 long-stay resident days (qm551) | 0.9% |
2.2% Better |
|
| Number of outpatient emergency department visits per 1000 long-stay resident days (qm552) | 2.1% |
1.7% Worse |
|
| Percentage of long-stay residents whose need for help with daily activities has increased (qm401) | Not Available | ||
| Percentage of long-stay residents who lose too much weight (qm404) | 4.0% |
4.5% Better |
|
| Percentage of low risk long-stay residents who lose control of their bowels or bladder (qm405) | 38.5% |
36.8% Worse |
|
| Percentage of long-stay residents with a catheter inserted and left in their bladder (qm406) | 1.0% |
2.5% Better |
|
| Percentage of long-stay residents with a urinary tract infection (qm407) | 8.9% |
3.7% Worse |
|
| Percentage of long-stay residents who have depressive symptoms (qm408) | 6.4% |
4.4% Worse |
|
| Percentage of long-stay residents who were physically restrained (qm409) | 0.0% |
0.1% Better |
|
| Percentage of long-stay residents experiencing one or more falls with major injury (qm410) | 1.0% |
4.5% Better |
|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (qm415) | 91.8% |
91.1% Better |
|
| Percentage of long-stay residents who received an antipsychotic medication (qm419) | 27.5% |
14.0% Worse |
|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (qm430) | 89.7% |
75.8% Better |
|
| Percentage of short-stay residents who newly received an antipsychotic medication (qm434) | Not Available | ||
| Percentage of long-stay residents whose ability to move independently worsened (qm451) | 4.9% |
12.9% Better |
|
| Percentage of long-stay residents who received an antianxiety or hypnotic medication (qm452) | 36.1% |
24.5% Worse |
|
| Percentage of high risk long-stay residents with pressure ulcers (qm453) | 0.0% |
9.0% Better |
|
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (qm454) | 97.0% |
94.9% Better |
|
| Percentage of short-stay residents who made improvements in function (qm471) | Not Available | ||
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (qm472) | 33.3% |
70.4% Worse |
|
Mooreland Heritage Manor Violations, Complaints and Fines
These are complaints and fines that are reported by CMS. Some of the data is not very recent, but we have decided to include it here so that you have as much information as possible.
Amount fined in recent period: $150,838.45, Complaints filed: 13
| Deficiency | Deficiency Date / Date Corrected |
|---|---|
| Install emergency lighting that can last at least 1 1/2 hours. (Fire Safety) | 03-05-2019 / 05-03-2019 |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. (Fire Safety) | 03-05-2019 / 05-03-2019 |
| Have simulated fire drills held at unexpected times. (Fire Safety) | 03-05-2019 / 05-03-2019 |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. (Health) | 03-11-2019 / 05-06-2019 |
| Assure that each resident?s assessment is updated at least once every 3 months. (Health) | 03-11-2019 / 05-06-2019 |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Health) | 03-11-2019 / 05-06-2019 |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Health) | 03-11-2019 / 05-06-2019 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. (Health) | 03-11-2019 / 05-06-2019 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. (Health) | 03-11-2019 / 05-06-2019 |
| Ensure medication error rates are not 5 percent or greater. (Health) | 03-11-2019 / 05-06-2019 |
| Ensure that residents are free from significant medication errors. (Health) | 03-11-2019 / 05-06-2019 |
| 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. (Health) | 03-11-2019 / 05-06-2019 |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Health) | 03-11-2019 / 05-09-2019 |
| Provide and implement an infection prevention and control program. (Health) | 03-11-2019 / 05-06-2019 |
| Install corridor and hallway doors that block smoke. (Fire Safety) | 01-29-2020 / 03-09-2020 |
| Have proper medical gas storage and administration areas. (Fire Safety) | 01-29-2020 / 03-09-2020 |
| Keep residents' personal and medical records private and confidential. (Health) | 02-02-2020 / 03-09-2020 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Health) | 02-02-2020 / 03-09-2020 |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. (Health) | 02-02-2020 / 03-09-2020 |
| 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. (Health) | 02-02-2020 / 03-09-2020 |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Health) | 02-02-2020 / 03-09-2020 |
| Provide and implement an infection prevention and control program. (Health) | 09-01-2020 / 01-04-2021 |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. (Health) | 05-20-2021 / 06-28-2021 |
| Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. (Health) | 05-20-2021 / 06-28-2021 |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Health) | 05-20-2021 / 06-28-2021 |
| Provide and implement an infection prevention and control program. (Health) | 05-20-2021 / 06-28-2021 |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. (Health) | 09-22-2021 / 02-18-2022 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. (Health) | 09-22-2021 / 10-13-2021 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. (Health) | 09-22-2021 / 02-18-2022 |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Health) | 09-22-2021 / 02-18-2022 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Health) | 09-22-2021 / 10-13-2021 |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (Health) | 09-22-2021 / 10-13-2021 |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Health) | 09-22-2021 / 02-18-2022 |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. (Health) | 09-22-2021 / 10-13-2021 |
| Have a plan that describes the process for conducting QAPI and QAA activities. (Health) | 09-22-2021 / 02-18-2022 |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly (Health) | 09-22-2021 / 10-13-2021 |
| Install an approved automatic sprinkler system. (Fire Safety) | 05-11-2022 / 07-01-2022 |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. (Fire Safety) | 05-11-2022 / 07-01-2022 |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Health) | 05-20-2022 / 08-03-2022 |
| Protect each resident from the wrongful use of the resident's belongings or money. (Health) | 05-20-2022 / 06-30-2022 |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Health) | 05-20-2022 / 08-03-2022 |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Health) | 05-20-2022 / 07-01-2022 |
| Assure that each resident?s assessment is updated at least once every 3 months. (Health) | 05-20-2022 / 07-01-2022 |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Health) | 05-20-2022 / 07-01-2022 |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Health) | 05-20-2022 / 07-01-2022 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. (Health) | 05-20-2022 / 07-01-2022 |
| Provide enough food/fluids to maintain a resident's health. (Health) | 05-20-2022 / 07-01-2022 |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. (Health) | 05-20-2022 / 07-01-2022 |
| Ensure medication error rates are not 5 percent or greater. (Health) | 05-20-2022 / 07-01-2022 |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. (Health) | 05-20-2022 / 06-22-2022 |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. (Health) | 05-20-2022 / 06-29-2022 |
| Provide and implement an infection prevention and control program. (Health) | 05-20-2022 / 07-01-2022 |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. (Health) | 05-20-2022 / 07-01-2022 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. (Health) | 05-20-2022 / 07-01-2022 |
| Provide activities to meet all resident's needs. (Health) | 05-20-2022 / 07-01-2022 |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Health) | 12-21-2022 / 02-03-2023 |
| Protect each resident from the wrongful use of the resident's belongings or money. (Health) | 12-21-2022 / 03-17-2023 |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. (Health) | 12-21-2022 / 02-03-2023 |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Health) | 12-21-2022 / 03-17-2023 |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Health) | 12-21-2022 / 03-17-2023 |
| Respond appropriately to all alleged violations. (Health) | 12-21-2022 / 03-17-2023 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. (Health) | 12-21-2022 / 02-03-2023 |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Health) | 12-21-2022 / 02-03-2023 |
| Protect each resident from the wrongful use of the resident's belongings or money. (Health) | 02-21-2023 / 03-17-2023 |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Health) | 02-21-2023 / 03-17-2023 |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Health) | 02-21-2023 / 03-17-2023 |
| Respond appropriately to all alleged violations. (Health) | 02-21-2023 / 03-17-2023 |
Hospitals Near Mooreland Heritage Manor
Quite often skilled nursing facilities and hospitals work closely together to help patients recover or manage a terminal illness. Hospitals deals with acute care while nursing homes treat patients for a longer period of time. New residents at skilled nursing homes typically come from a hospital and nursing home residents may be readmitted to a hospital if their recovery does not proceed well. (Hospital readmission rates are closely monitored by CMS.) Consequently it is important that you consider which hospitals are near a nursing home which choosing one. Below is a list of hospitals near Mooreland Heritage Manor.
This information is based on the most recent Hospital data. Historical data is not available.
| Hospital | 5-Star Overall Rating |
|---|---|
|
ALLIANCEHEALTH WOODWARD 900 17TH STREET WOODWARD, OK 73801 |
2 |
|
SEILING MUNICIPAL HOSPITAL 809 NE HIGHWAY 60 SEILING, OK 73663 |
Not Available |
|
NORTHWEST CENTER FOR BEHAVIORAL HEALTH (NCBH) 1 MILE EAST US HIGHWAY 270 FORT SUPPLY, OK 73841 |
Not Available |
Medical Professionals Associated with Mooreland Heritage Manor
These are the doctors who are affiliated with Mooreland Heritage Manor. The data is from the most recent period. Historical data is not available.
- JOHN SUTTON ( INTERNAL MEDICINE )
Detailed Analysis Pages:
Depending on the nursing home, this page can get really long. So, we have also broken up the data onto separate pages to allow you to find what you want more easily. We will keep adding to these pages as we continue to analyze the nursing home database.
CMS Five Star Ratings and Quality Measures for Mooreland Heritage Manor
Five different rating results plus detailed inspection numbers and quality measures for Mooreland Heritage Manor.
Covid Infections at Mooreland Heritage Manor
This report is updated weekly and shows new and historical infection levels.
Nursing Hours Analysis for Mooreland Heritage Manor
How long a nurse spends with a resident can be an important factor in their recovery. This page shows the average nursing hours spent per resident for RNs, LPNs, CNAs, PTs and all licensed staff.
Ownership Details for Mooreland Heritage Manor
A list of all of the registered owners for Mooreland Heritage Manor. This includes direct and indirect owners and managers.
Noted Deficiencies for Mooreland Heritage Manor
A list of all of the deficiencies for the facility. This includes a description, type of deficiency, incident date and when the facility reports that the incident was corrected.
Comparison Ranking of Nearby Skilled Nursing Facilities
How does Mooreland Heritage Manor compare to other skilled nursing facilities? This list shows the competitive set within a 25 mile radius.
Best Nursing Homes in MOORELAND, OK
Homes that you should consider. A list ranking the best skilled nursing facilities in MOORELAND based on their weighted inspection score as of August 01, 2023.
Worst Nursing Homes in MOORELAND, OK
Homes that you avoid if possible. A list ranking the worst skilled nursing facilities in MOORELAND based on their weighted inspection score as of August 01, 2023.
Other Data Periods:
Data on Mooreland Heritage Manor is available for the following periods:
