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DESERT HAVEN CARE CENTER

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DESERT HAVEN CARE CENTER VS
All other Nursing Homes USA
General
City PHOENIX   vs 0.2% Nursing Homes USA have PHOENIX
State attribute explanation AZ   vs 0.9% Nursing Homes USA have AZ
Street 2645 EAST THOMAS ROAD  
Zip Code 85016  
Phone 6029568000  
Overall Star Rating
(2.11 lower than average)
vs
3.11

Health Inspections Star Rating
(1.83 lower than average)
vs
2.83

Quality Measures Star Rating
(0.69 higher than average)
vs
3.31

Number of Certified Beds
115  (6.06 higher than average)
vs
108.94

Total Number of Residents
78  (13.25 lower than average)
vs
91.25

Percent of Occupied Beds
68 % (15.65 % lower than average)
vs
83.65 %

Health Survey Date 6/11/2012  
Fire Survey Date 6/13/2012  
Sprinkler Status Fully Sprinklered  vs 90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  vs 91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership For Profit - Corporation  vs 56.7% Nursing Homes USA have For profit - Corporation
Located Within a Hospital? No  vs 93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? No  vs 45.1% Nursing Homes USA don't have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   vs 66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? No  vs 90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? Yes  vs 31.3% Nursing Homes USA have Quality Indicator Survey?
Special Focus Facility? No  vs 99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
75.2  (17.04 higher than average)
vs
58.16

Total Enforcement Actions Count
(55.31 lower than average)
vs
56.31

# of deficiencies 22  
Staff Information
Number of Residents
78  (13.38 lower than average)
vs
91.38

Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 10/27/2010
date Of Correction: 12/22/2010 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Adequate And Comfortable Lighting Levels In All Areas.
survey Date: 01/28/2010
date Of Correction: 03/23/2010 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 01/28/2010
date Of Correction: 03/23/2010 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 11/04/2009
date Of Correction: 12/15/2009 

Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 05/22/2009
date Of Correction: 07/23/2009 

Deficiency #6 Scope: Some
level Of Harm: 2
deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment.
survey Date: 05/22/2009
date Of Correction: 07/23/2009 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.
survey Date: 10/12/2011
date Of Correction: 11/04/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.
survey Date: 11/04/2009
date Of Correction: 12/15/2009 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident Free From Drugs That Restrain Them, Unless Needed For Medical Treatment.
survey Date: 11/04/2009
date Of Correction: 12/15/2009 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.
survey Date: 11/04/2009
date Of Correction: 12/15/2009 

Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 1
deficiency: Give Each Resident A Notice Of Rights, Rules, Services And Charges. Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items And Services Medicaid Covers And Which The Resident Must Pay For.
survey Date: 05/22/2009
date Of Correction: 07/23/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 04/29/2011
date Of Correction: 06/22/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 04/29/2011
date Of Correction: 06/22/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 10/27/2010
date Of Correction: 12/22/2010 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 10/27/2010
date Of Correction: 12/22/2010 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.
survey Date: 10/27/2010
date Of Correction: 12/22/2010 

Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Specialized Rehabilitative Services Per The Patient's Assessment Or Plan Of Care.
survey Date: 05/22/2009
date Of Correction: 07/23/2009 

Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 05/22/2009
date Of Correction: 07/23/2009 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Nurse Aides Show They Have The Skills And Techniques To Be Able To Care For Residents' Needs.
survey Date: 11/04/2009
date Of Correction: 12/15/2009 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 11/04/2009
date Of Correction: 12/15/2009 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.
survey Date: 05/22/2009
date Of Correction: 07/23/2009 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Special Or Therapeutic Diets Are Ordered By The Attending Doctor.
survey Date: 10/12/2011
date Of Correction: 11/04/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
73.7 % (48.61 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (42.25 % higher than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
21.6 % (4.94 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
4.5 % (8.08 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
1.2 % (10.63 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
36.1 % (8.44 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.7 % (12.93 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
6.2 % (7.26 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms 13.9 / 15.3 % 
Percent of long-stay residents who were physically restrained
4.9 % (38.78 % lower than average)
vs
43.68 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
95.8 % (11.16 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
12.5 % (71.44 % lower than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
(44.9 lower than average)
vs
45.90

Percent of long-stay residents experiencing one or more falls with major injury
1.2 % (14.32 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
64.9 % (39.51 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (51.5 % higher than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
22.1 (71.8) % (8 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
4.2 % (5.02 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
2.5 % (6 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
41.7 % (1.68 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.4 % (8.25 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
5 % (4.58 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms 12.3:1 % 
Percent of long-stay residents who were physically restrained
2.9 % (35.63 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
0.4 % (10.33 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
35.7 % (10.94 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
90.6 % (9.16 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened 5.6:1 % 


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