Compare with other Nursing Homes USA
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GOOD SAMARITAN SOCIETY-MESA GOOD SHEPHERD | VS | All other Nursing Homes USA |
Staff Information | |||||
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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
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Number Therapy Hours Per Resident Per Day |
0.12 (0.02 higher than average)
|
vs |
0.10
|
Environmental Deficiencies | |||||
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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 | |||||
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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 |
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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 |
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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 |
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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 |
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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 | |||||
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Percent of long-stay residents who received an antipsychotic medication |
18.6 (65.5) % (6.49 % lower than average)
|
vs |
25.09 %
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||
Percent of long-stay residents whose need for help with daily activities has increased |
75.2 % (42.25 % higher than average)
|
vs |
32.95 %
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||
Percent of long-stay residents who self-report moderate to severe pain |
23 % (6.34 % higher than average)
|
vs |
16.66 %
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||
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 %
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||
Percent of long-stay residents with a urinary tract infection |
4.4 % (9.06 % lower than average)
|
vs |
13.46 %
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||
Percent of long-stay residents who have depressive symptoms |
2.3 % (26.08 % lower than average)
|
vs |
28.38 %
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Percent of long-stay residents who were physically restrained |
75.2 % (31.52 % higher than average)
|
vs |
43.68 %
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Percent of short-stay residents who self-report moderate to severe pain |
30.9 % (5.88 % higher than average)
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vs |
25.02 %
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||
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
66.7 % (17.94 % lower than average)
|
vs |
84.64 %
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||
Percent of short-stay residents with Pressure ulcers that are new or worsened |
58.1 % (25.84 % lower than average)
|
vs |
83.94 %
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||
Percent of short-stay residents who newly received an antipsychotic medication |
75.2 (29.3 higher than average)
|
vs |
45.90
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||
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 %
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||
Percent of long-stay residents who self-report moderate to severe pain |
22.6 % (8.5 % higher than average)
|
vs |
14.10 %
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||
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 %
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||
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 %
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||
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 %
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||
Percent of long-stay residents with a urinary tract infection |
10.9 % (1.32 % higher than average)
|
vs |
9.58 %
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||
Percent of long-stay residents who have depressive symptoms |
4.5 % (15.36 % lower than average)
|
vs |
19.86 %
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||
Percent of long-stay residents who were physically restrained |
75.2 % (36.67 % higher than average)
|
vs |
38.53 %
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||
Percent of long-stay residents experiencing one or more falls with major injury |
75.2 % (64.47 % higher than average)
|
vs |
10.73 %
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||
Percent of short-stay residents who self-report moderate to severe pain |
30.4 % (5.64 % higher than average)
|
vs |
24.76 %
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||
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
76.9 % (4.54 % lower than average)
|
vs |
81.44 %
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||
Percent of short-stay residents with Pressure ulcers that are new or worsened |
56.7 % (18.05 % lower than average)
|
vs |
74.75 %
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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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