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GOOD SAMARITAN SOCIETY-MESA GOOD SHEPHERD

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GOOD SAMARITAN SOCIETY-MESA GOOD SHEPHERD VS
All other Nursing Homes USA
General
City MESA   vs 0.1% Nursing Homes USA have MESA
State attribute explanation AZ   vs 0.9% Nursing Homes USA have AZ
Street 5848 EAST UNIVERSITY DRIVE  
Zip Code 85205  
Phone 4809810098  
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
(1.83 higher than average)
vs
3.17

Number of Certified Beds
80  (28.94 lower than average)
vs
108.94

Total Number of Residents
42  (49.25 lower than average)
vs
91.25

Percent of Occupied Beds
53 % (30.65 % lower than average)
vs
83.65 %

Health Survey Date 6/20/2012  
Fire Survey Date 6/27/2012  
Sprinkler Status Partially Sprinklered  vs 8.5% Nursing Homes USA have Partially Sprinklered
Program Participation Medicare And Medicaid  vs 91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership Non Profit - Corporation  vs 18.7% Nursing Homes USA have Non 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 RESIDENT   vs 66% Nursing Homes USA have RESIDENT
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 10  
Staff Information
Number of Residents
42  (49.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
1.1  (0.33 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.73  (0.11 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.83  (0.24 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.12  (5.37 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.12  (0.02 higher than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 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: 10/26/2010
date Of Correction: 12/21/2010 

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: 06/03/2011
date Of Correction: 07/07/2011 

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: 10/26/2010
date Of Correction: 12/21/2010 

Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Tell The Resident Completely About His Or Her Health Status, Care And Treatments.
survey Date: 06/03/2011
date Of Correction: 07/07/2011 

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: 06/03/2011
date Of Correction: 07/07/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 06/03/2011
date Of Correction: 07/07/2011 

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: 06/03/2011
date Of Correction: 07/07/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 06/03/2011
date Of Correction: 07/07/2011 

Deficiency #3 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: 10/26/2010
date Of Correction: 12/21/2010 

Pharmacy Service Deficiencies
Deficiency #1 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: 06/03/2011
date Of Correction: 07/07/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
18.6 (65.5) % (6.49 % lower 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
23 % (6.34 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers 2.6 / 3 % 
Percent of long-stay residents who lose too much weight 8.9 / 9.9 % 
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.3 % (13.33 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
4.4 % (9.06 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
2.3 % (26.08 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
75.2 % (31.52 % higher than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
30.9 % (5.88 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
66.7 % (17.94 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
58.1 % (25.84 % lower 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

Percent of long-stay residents experiencing one or more falls with major injury
75.2 % (59.68 % higher than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
16.4 % (8.99 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
0.4 % (23.3 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
22.6 % (8.5 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
3.3 % (5.92 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
7.3 % (1.2 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
57.1 % (13.72 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.9 % (4.75 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
10.9 % (1.32 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
4.5 % (15.36 % lower 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
75.2 % (64.47 % higher than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
30.4 % (5.64 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
76.9 % (4.54 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
56.7 % (18.05 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
11.3 % (6.04 % lower than average)
vs
17.34 %



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