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LIFE CARE CENTER OF SIERRA VISTA

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LIFE CARE CENTER OF SIERRA VISTA VS
All other Nursing Homes USA
General
City SIERRA VISTA   vs 0% Nursing Homes USA have SIERRA VISTA
State attribute explanation AZ   vs 0.9% Nursing Homes USA have AZ
Street 2305 EAST WILCOX DRIVE  
Zip Code 85635  
Phone 5204581050  
Overall Star Rating
(1.11 lower than average)
vs
3.11

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

Nurse Staffing Star Rating
(0.17 lower 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
152  (43.06 higher than average)
vs
108.94

Total Number of Residents
96  (4.75 higher than average)
vs
91.25

Percent of Occupied Beds
63 % (20.65 % lower than average)
vs
83.65 %

Health Survey Date 1/12/2012  
Fire Survey Date 1/18/2012  
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 - Partnership  vs 7.9% Nursing Homes USA have For profit - Partnership
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
(57.16 lower than average)
vs
58.16

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

# of deficiencies 22  
Staff Information
Number of Residents
96  (4.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
1.2  (0.43 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.64  (0.2 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.84  (0.25 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
75.2  (69.71 higher than average)
vs
5.49

Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 01/07/2011
date Of Correction: 02/09/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Maintain Comfortable Sound Levels.
survey Date: 01/07/2011
date Of Correction: 02/09/2011 

Deficiency #3 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 

Deficiency #4 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: 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: 09/17/2009
date Of Correction: 11/12/2009 

Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.
survey Date: 01/07/2011
date Of Correction: 02/09/2011 

Deficiency #2 Scope: Some
level Of Harm: 1
deficiency: Provide Access To A Telephone For Resident To Use In Private.
survey Date: 01/07/2011
date Of Correction: 02/09/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.
survey Date: 01/07/2011
date Of Correction: 02/09/2011 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.
survey Date: 01/07/2011
date Of Correction: 02/09/2011 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.
survey Date: 09/17/2009
date Of Correction: 11/12/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 1
deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.
survey Date: 01/07/2011
date Of Correction: 02/09/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.
survey Date: 01/07/2011
date Of Correction: 02/09/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents With Reduced Range Of Motion Get Proper Treatment And Services To Increase Range Of Motion.
survey Date: 01/07/2011
date Of Correction: 02/09/2011 

Deficiency #4 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: 01/07/2011
date Of Correction: 02/09/2011 

Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 01/07/2011
date Of Correction: 02/09/2011 

Deficiency #6 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 09/17/2009
date Of Correction: 11/12/2009 

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: 01/07/2011
date Of Correction: 02/09/2011 

Deficiency #2 Scope: Some
level Of Harm: 1
deficiency: Coordinate Assessments With The Pre-admission Screening And Resident Review Program For Mentally-ill And Mentally-retarded Patients.
survey Date: 09/17/2009
date Of Correction: 11/12/2009 

Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 1
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 09/17/2009
date Of Correction: 11/12/2009 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 01/07/2011
date Of Correction: 02/09/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: At Least Once A Month, Have A Licensed Pharmacist Review Each Resident's Medication(s) And Report Any Irregularities To The Attending Doctor.
survey Date: 01/07/2011
date Of Correction: 02/09/2011 

Deficiency #3 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: 09/17/2009
date Of Correction: 11/12/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication 17.1:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
1.2 % (31.75 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
6.7 % (9.96 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
6.8 % (5.78 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight 22.4:1 % 
Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.7 % (10.93 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
14.9-28 % (1.44 % higher than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
4.1 % (24.28 % 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
14.9-28 % (10.12 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
98 % (13.36 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
99 % (15.06 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
4.1 % (41.8 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
1.4 % (14.12 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
15.3 % (10.09 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.6 % (22.1 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
6.2 % (7.9 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
3.9 % (5.32 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
20.5 % (12 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
27.6 % (15.78 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.6 % (6.05 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
11 % (1.42 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
4.1 % (15.76 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
0.9 % (37.63 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
1.4 % (9.33 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
16.9-24 % (7.86 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
96.3 % (14.86 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
97.5 % (22.75 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
2.9 % (14.44 % lower than average)
vs
17.34 %



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