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MISSION PALMS OF MESA HEALTH AND REHABILITATION CE

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MISSION PALMS OF MESA HEALTH AND REHABILITATION CE 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 6458 EAST BROADWAY ROAD  
Zip Code 85206  
Phone 4808325160  
Overall Star Rating
(1.89 higher than average)
vs
3.11

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

Nurse Staffing Star Rating
(0.17 lower than average)
vs
3.17

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

RN Only Star Rating
(0.17 lower than average)
vs
3.17

Number of Certified Beds
100  (8.94 lower than average)
vs
108.94

Total Number of Residents
57  (34.25 lower than average)
vs
91.25

Percent of Occupied Beds
57 % (26.65 % lower than average)
vs
83.65 %

Health Survey Date 1/6/2012  
Fire Survey Date 1/10/2012  
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 For Profit - Corporation  vs 56.7% Nursing Homes USA have For 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? 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 5  
Staff Information
Number of Residents
57  (34.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
1.01  (0.24 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.02  (0.18 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
2.03  (0.44 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.13  (5.36 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.13  (0.03 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: 01/06/2012
date Of Correction: 01/18/2012 

Resident Rights Deficiencies
Deficiency #1 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: 01/21/2011
date Of Correction: 02/07/2011 

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: 01/21/2011
date Of Correction: 02/07/2011 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 01/21/2011
date Of Correction: 02/07/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Special Eating Equipment And Utensils For Each Resident Who Needs Them.
survey Date: 01/21/2011
date Of Correction: 02/07/2011 

Quality Measures Q1
Percent of long-stay residents whose need for help with daily activities has increased
0.7 % (32.25 % lower than average)
vs
32.95 %

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
96.6 % (11.96 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
98.5 % (14.56 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
1.2 % (44.7 % lower than average)
vs
45.90 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication 12.3:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
0.5 - 2.0 % (23.2 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
3.6 % (10.5 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
4.8 % (4.42 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
3 % (5.5 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
65.7 % (22.32 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.2 % (7.45 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
9.1 % (0.48 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
75.2 % (55.34 % higher 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 19.4:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
97.4 % (15.96 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
98.7 % (23.95 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication 5.6:1 % 


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