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GOOD SAMARITAN SOCIETY-QUIBURI MISSION

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GOOD SAMARITAN SOCIETY-QUIBURI MISSION VS
All other Nursing Homes USA
General
City BENSON   vs 0% Nursing Homes USA have BENSON
State attribute explanation AZ   vs 0.9% Nursing Homes USA have AZ
Street 850 SOUTH HIGHWAY 80  
Zip Code 85602  
Phone 5205862372  
Overall Star Rating
(1.11 lower than average)
vs
3.11

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

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

Quality Measures Star Rating
(1.31 lower than average)
vs
3.31

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

Number of Certified Beds
60  (48.94 lower than average)
vs
108.94

Total Number of Residents
55  (36.25 lower than average)
vs
91.25

Percent of Occupied Beds
92 % (8.35 % higher than average)
vs
83.65 %

Health Survey Date 3/12/2012  
Fire Survey Date 3/9/2012  
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 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 Both  vs 29.8% Nursing Homes USA have Both
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
75.2  (18.89 higher than average)
vs
56.31

# of deficiencies 17  
Staff Information
Number of Residents
55  (36.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
1.35  (0.58 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.19  (0.65 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.54  (0.05 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.09  (5.4 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.09  (0.01 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 03/12/2012
date Of Correction: 05/31/2012 

Deficiency #2 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: 03/12/2012
date Of Correction: 05/31/2012 

Deficiency #3 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: 01/10/2011
date Of Correction: 03/02/2011 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 09/17/2009
date Of Correction: 11/12/2009 

Mistreatment Deficiencies
Deficiency #1 Scope: Some
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: 03/12/2012
date Of Correction: 05/31/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.
survey Date: 01/10/2011
date Of Correction: 03/02/2011 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.
survey Date: 01/10/2011
date Of Correction: 03/02/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 01/10/2011
date Of Correction: 03/02/2011 

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: 01/10/2011
date Of Correction: 03/02/2011 

Resident Assessment Deficiencies
Deficiency #1 Scope: Some
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: 01/10/2011
date Of Correction: 03/02/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 01/10/2011
date Of Correction: 03/02/2011 

Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Ensure That All Full-time Nurse Aids Employed For More Than 4 Months Are Fully Trained And Competent To Provide Nursing And Nursing-related Services, As Defined By Federal Requirements.
survey Date: 03/12/2012
date Of Correction: 05/31/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Employ Or Obtain Outside Professional Resources Providing Services In The Nursing Home That Meet Professional Standards.
survey Date: 01/10/2011
date Of Correction: 03/02/2011 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 03/12/2012
date Of Correction: 05/31/2012 

Deficiency #2 Scope: Some
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: 03/12/2012
date Of Correction: 05/31/2012 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 01/10/2011
date Of Correction: 03/02/2011 

Deficiency #4 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: 01/10/2011
date Of Correction: 03/02/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication 22.4:1 % 
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 12.6:1 % 
Percent of long-stay high-risk residents with pressure ulcers
3.2 % (9.38 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
4.3 % (7.53 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
18.7 % (3.07 % higher than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
10.6 % (2.86 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
4.2 % (24.18 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
2 % (41.68 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
21.7 % (3.32 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
93.5 % (8.86 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
96.8 % (12.86 % 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

Percent of long-stay residents experiencing one or more falls with major injury
2 % (13.52 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
21.6 % (3.79 % lower 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 18.2:1 % 
Percent of long-stay high-risk residents with pressure ulcers
4.1 % (5.12 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
6.8 % (1.7 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
43.1 % (0.28 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
15.4 % (4.75 % higher than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
18.5 % (8.92 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
2.7 % (17.16 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
6.1 % (32.43 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
4.1 % (6.63 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
23.3 % (1.46 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
96.1 % (14.66 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
87.1 % (12.35 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
10.2 % (7.14 % lower than average)
vs
17.34 %



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