JAN FRANCES CARE CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Jan Frances Care Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

JAN FRANCES CARE CENTER
815 NORTH COUNTRY CLUB ROAD
ADA, OK 74820
(580) 332-5328

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only

Overall Rating

Percent of Beds Occupied

38%

Number of Residents and Certified Beds

Residents: 50
Certified Beds: 132

This Facility Accepts

Medicare
Medicaid

Operational Details

Operated By For Profit - Corporation
Offers Only Resident Counseling
This Facility is Part of a Chain or Franchise

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Nearby Cities:

Allen | Holdenville | Wewoka

Resident Services

The information below lists services this facility has provided for residents from November through December 2010. During this period, the most common type of service provided was "Clinically Complex". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Jan Frances Care Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident Services

Resident Conditions

Percent of Service Days

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 0-5	34.4%
Total Percent:	34.4%

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum

Five days any combination of three rehabilitation disciplines

ADL Index Range: 0-5	21.9%
Total Percent:	21.9%

Clinically Complex

Pneumonia, hemiplegia with ADL score >=5
Surgical wounds or open lesions with treatment
Burns
Chemotherapy while a resident
Oxygen therapy while a resident
IV medications or transfusions while a resident
Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1

ADL Index Range: 2-5 - No Signs of depression	43.8%
Total Percent:	43.8%

Rating Details For Jan Frances Care Center

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per Day	Reported	Expected
Registered Nurse (RN) Hours	10 Minutes	1 Hour and 4 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	54 Minutes	40 Minutes
Certified Nursing Assistant (CNA) Hours	1 Hour and 48 Minutes	2 Hours and 12 Minutes
Total Licensed Nurse Hours	1 Hour and 4 Minutes	1 Hour and 44 Minutes
Total Nurse Hours	2 Hours and 53 Minutes	3 Hours and 56 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Oklahoma are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This Facility

Oklahoma Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season	90-100%	94%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	90-100%	90%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	4%	8%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	19%	9%
Percent of Long-Stay Residents Who Were Physically Restrained	-	4%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	18%	10%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores	-	3%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	20%	40%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	9%	11%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	15%	6%
Percent of Long-Stay Residents Who Lose Too Much Weight	14%	8%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	6%	6%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	13%	6%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	31%	13%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	90-100%	85%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season	90-100%	89%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium	-	3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain	31%	23%
Percent of Short-Stay Residents Who Have Pressure Sores	30%	13%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 07/27/2010.

Degree of Harm

- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health

Residents Affected

- Isolated
- Some Residents
- Many Residents

Deficiencies Found By Inspectors

Degree of Harm

Residents Affected

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 09/18/2008 Correction Date: 11/12/2008
Keep Accurate and Appropriate Medical Records. Inspection Date: 07/27/2010 Correction Date: 08/23/2010

Environmental

Keep Sound Levels Comfortable. Inspection Date: 09/18/2008 Correction Date: 11/12/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 09/18/2008 Correction Date: 11/12/2008
Get Rid of Garbage Properly. Inspection Date: 10/21/2009 Correction Date: 11/03/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 10/21/2009 Correction Date: 10/23/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 10/21/2009 Correction Date: 10/23/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 07/27/2010 Correction Date: 08/24/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 07/27/2010 Correction Date: 08/23/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 07/27/2010 Correction Date: 08/23/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 10/21/2009 Correction Date: 11/23/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 07/27/2010 Correction Date: 08/19/2010

Quality Care

Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 09/18/2008 Correction Date: 11/12/2008
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 09/18/2008 Correction Date: 11/12/2008
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week. Inspection Date: 09/18/2008 Correction Date: 11/12/2008

Resident Assessment

1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.

Inspection Date: 09/18/2008
Correction Date: 11/12/2008

Resident Rights

Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment. Inspection Date: 09/18/2008 Correction Date: 11/12/2008
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 07/27/2010 Correction Date: 08/18/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Jan Frances Care Center, as well as complaints by residents or their family in the previous three years.

Degree of Harm

- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health

Residents Affected

- Isolated
- Some Residents
- Many Residents

Formal Complaints

Degree of Harm

Residents Affected