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FREEDOM PLAZA CARE CENTER

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FREEDOM PLAZA CARE CENTER VS
All other Nursing Homes USA
General
City PEORIA   vs 0.1% Nursing Homes USA have PEORIA
State attribute explanation AZ   vs 0.9% Nursing Homes USA have AZ
Street 13714 NORTH PLAZA DEL RIO BLVD  
Zip Code 85381  
Phone 6238156100  
Overall Star Rating
(0.11 lower than average)
vs
3.11

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

Nurse Staffing Star Rating
(0.83 higher than average)
vs
3.17

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

RN Only Star Rating
(0.83 higher than average)
vs
3.17

Number of Certified Beds
111  (2.06 higher than average)
vs
108.94

Total Number of Residents
73  (18.25 lower than average)
vs
91.25

Percent of Occupied Beds
66 % (17.65 % lower than average)
vs
83.65 %

Health Survey Date 11/14/2011  
Fire Survey Date 11/16/2011  
Sprinkler Status Partially Sprinklered  vs 8.5% Nursing Homes USA have Partially Sprinklered
Program Participation Medicare  vs 5% Nursing Homes USA have Medicare
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? Yes  vs 54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils None  vs 3.9% Nursing Homes USA have None
Continuing Care Retirement Community? Yes  vs 9.1% Nursing Homes USA 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
75.2  (18.89 higher than average)
vs
56.31

# of deficiencies 15  
Staff Information
Number of Residents
73  (18.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
1.26  (0.49 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.49  (0.65 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
2.75  (1.16 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.31  (5.18 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.31  (0.21 higher than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 11/14/2011
date Of Correction: 12/13/2011 

Deficiency #2 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: 11/14/2011
date Of Correction: 12/13/2011 

Deficiency #3 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: 07/16/2009
date Of Correction: 10/06/2009 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.
survey Date: 11/14/2011
date Of Correction: 12/13/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 08/21/2009
date Of Correction: 10/07/2009 

Deficiency #3 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: 08/21/2009
date Of Correction: 10/07/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 01/30/2012
date Of Correction: 02/17/2012 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 11/14/2011
date Of Correction: 12/13/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 11/14/2011
date Of Correction: 12/13/2011 

Deficiency #4 Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 08/21/2009
date Of Correction: 10/07/2009 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.
survey Date: 11/14/2011
date Of Correction: 12/13/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Doctors Orders For The Resident's Immediate Care, At The Time The Resident Was Admitted.
survey Date: 11/14/2011
date Of Correction: 12/13/2011 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Complete, Dated Lab Records In The Resident's File.
survey Date: 11/14/2011
date Of Correction: 12/13/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Quickly Tell The Resident's Doctor The Results Of Lab Tests.
survey Date: 11/14/2011
date Of Correction: 12/13/2011 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
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: 07/21/2011
date Of Correction: 09/21/2011 

Quality Measures Q1
Percent of long-stay residents whose need for help with daily activities has increased
0.4 % (32.55 % lower than average)
vs
32.95 %

Percent of short-stay residents who self-report moderate to severe pain
24.2 % (0.82 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
98.4 % (13.76 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
99.5 % (15.56 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
75.2  (29.3 higher than average)
vs
45.90

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
23.5 % (1.89 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
0.5 - 2.0 % (23.2 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
75.2 % (61.1 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
75.2 % (65.98 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
12.5 % (4 % higher than average)
vs
8.50 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
7.1 % (3.55 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
22.9 % (13.32 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
75.2 % (55.34 % higher than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
75.2 % (36.67 % higher than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
2 % (8.73 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
24.2 % (0.56 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
97.7 % (16.26 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
98.5 % (23.75 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
1.3 % (16.04 % lower than average)
vs
17.34 %



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