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MARAVILLA CARE CENTER

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MARAVILLA CARE CENTER VS
All other Nursing Homes USA
General
City PHOENIX   vs 0.2% Nursing Homes USA have PHOENIX
State attribute explanation AZ   vs 0.9% Nursing Homes USA have AZ
Street 8825 SOUTH 7TH STREET  
Zip Code 85042  
Phone 6022436121  
Overall Star Rating
(1.89 higher than average)
vs
3.11

Health Inspections Star Rating
(0.17 higher than average)
vs
2.83

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

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

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

Number of Certified Beds
194  (85.06 higher than average)
vs
108.94

Total Number of Residents
149  (57.75 higher than average)
vs
91.25

Percent of Occupied Beds
77 % (6.65 % lower than average)
vs
83.65 %

Health Survey Date 11/4/2011  
Fire Survey Date 11/10/2011  
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 None  vs 3.9% Nursing Homes USA have None
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 19  
Staff Information
Number of Residents
149  (57.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.52  (0.25 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.96  (0.12 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.48  (0.11 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.04  (5.45 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.04  (0.06 lower than average)
vs
0.10

Mistreatment Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 07/31/2009
date Of Correction: 09/09/2009 

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: 07/31/2009
date Of Correction: 09/09/2009 

Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Properly Hold, Secure And Manage Each Resident's Personal Money Which Is Deposited With The Nursing Home.
survey Date: 11/04/2011
date Of Correction: 12/13/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Help And Prepare Each Resident For A Safe And Easy Discharge And Transfer From The Nursing Home.
survey Date: 05/04/2011
date Of Correction: 06/02/2011 

Deficiency #3 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: 07/31/2009
date Of Correction: 09/09/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 04/19/2012
date Of Correction: 05/10/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 11/04/2011
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: 05/04/2011
date Of Correction: 06/02/2011 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 06/29/2010
date Of Correction: 07/21/2010 

Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 07/31/2009
date Of Correction: 09/09/2009 

Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 07/31/2009
date Of Correction: 09/09/2009 

Deficiency #7 Scope: Some
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 07/31/2009
date Of Correction: 09/09/2009 

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: 11/04/2011
date Of Correction: 12/13/2011 

Deficiency #2 Scope: Some
level Of Harm: 1
deficiency: Check And Assess Each Resident's Assessment At Least Every 3 Months.
survey Date: 07/31/2009
date Of Correction: 09/09/2009 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Signed And Dated Reports Of X-rays And Other Diagnostic Services.
survey Date: 07/31/2009
date Of Correction: 09/09/2009 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 07/31/2009
date Of Correction: 09/09/2009 

Pharmacy Service Deficiencies
Deficiency #1 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: 11/04/2011
date Of Correction: 12/13/2011 

Deficiency #2 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: 11/04/2011
date Of Correction: 12/13/2011 

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: 06/29/2010
date Of Correction: 07/21/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
64.1 % (39.01 % higher than average)
vs
25.09 %

Percent of long-stay residents who self-report moderate to severe pain
4.8 % (11.86 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
4.3 % (8.28 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
6.8 % (5.03 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
35.4 % (9.14 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
0.8 % (14.83 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
4.8 % (8.66 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
75.2 % (46.82 % higher than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
0.7 % (42.98 % lower than average)
vs
43.68 %

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
2.7 % (12.82 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
65 % (39.61 % higher 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
5.2 % (8.9 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
3.4 % (5.82 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
4.7 % (3.8 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
33.8 % (9.58 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.3 % (9.35 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
3.2 % (6.38 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
0.2 % (19.66 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
0.2 % (38.33 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury 8.6:1 % 
Percent of short-stay residents who self-report moderate to severe pain
4.3 % (20.46 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
82.1 % (0.66 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
67.6 % (7.15 % lower than average)
vs
74.75 %



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