Compare with other Nursing Homes USA
Compare
Compare
| RESTORA HOSPITAL OF MESA | VS | All other Nursing Homes USA |
| Staff Information | |||||
|---|---|---|---|---|---|
| Number of Residents |
44 (47.38 lower than average)
|
vs |
91.38
|
||
| Number of RN Hours Per Resident Per Day |
1.47 (0.7 higher than average)
|
vs |
0.77
|
||
| Number of LPN/LVN Hours Per Resident Per Day |
1.78 (0.94 higher than average)
|
vs |
0.84
|
||
| Total Number of Licensed Staff Hours Per Resident Per Day |
3.25 (1.66 higher than average)
|
vs |
1.59
|
||
| Number of CNA Hours Per Resident Per Day |
0.08 (5.41 lower than average)
|
vs |
5.49
|
||
| Number Therapy Hours Per Resident Per Day |
0.08 (0.02 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: 01/19/2011 date Of Correction: 03/14/2011 |
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| Deficiency #2 |
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: 07/09/2010 date Of Correction: 08/05/2010 |
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| Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 10/02/2009 date Of Correction: 12/07/2009 |
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| Mistreatment Deficiencies | |||||
|---|---|---|---|---|---|
| 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: 10/02/2009 date Of Correction: 12/07/2009 |
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| Resident Rights Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident. survey Date: 04/23/2009 date Of Correction: 06/01/2009 |
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| Deficiency #2 |
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: 04/23/2009 date Of Correction: 06/01/2009 |
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| Quality Care Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
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: 01/19/2011 date Of Correction: 03/14/2011 |
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| Deficiency #2 |
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: 10/02/2009 date Of Correction: 12/07/2009 |
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| Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 10/02/2009 date Of Correction: 12/07/2009 |
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| Deficiency #4 |
Scope: Some level Of Harm: 2 deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses. survey Date: 04/23/2009 date Of Correction: 06/01/2009 |
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| Resident Assessment Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few 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: 01/19/2011 date Of Correction: 03/14/2011 |
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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: 01/19/2011 date Of Correction: 03/14/2011 |
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| Deficiency #3 |
Scope: Some level Of Harm: 2 deficiency: Provide Doctors Orders For The Resident's Immediate Care, At The Time The Resident Was Admitted. survey Date: 04/23/2009 date Of Correction: 06/01/2009 |
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| Administration Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 01/19/2011 date Of Correction: 03/14/2011 |
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| Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 10/02/2009 date Of Correction: 12/07/2009 |
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| Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Keep Signed And Dated Reports Of X-rays And Other Diagnostic Services. survey Date: 10/02/2009 date Of Correction: 12/07/2009 |
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| Deficiency #4 |
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: 10/02/2009 date Of Correction: 12/07/2009 |
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| Deficiency #5 |
Scope: Few level Of Harm: 2 deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action. survey Date: 04/23/2009 date Of Correction: 06/01/2009 |
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| Deficiency #6 |
Scope: Many level Of Harm: 2 deficiency: 1) Set Up A Group That Is Legally Responsible For Writing And Setting Up Policies For Leading And Running The Nursing Home; Or 2) Hire A Properly Licensed Administrator. survey Date: 04/23/2009 date Of Correction: 06/01/2009 |
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| 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: 01/19/2011 date Of Correction: 03/14/2011 |
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| Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Make Sure That Residents Are Safe From Serious Medication Errors. survey Date: 10/02/2009 date Of Correction: 12/07/2009 |
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| Deficiency #3 |
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: 04/23/2009 date Of Correction: 06/01/2009 |
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| Quality Measures Q1 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
3.1 % (21.99 % lower than average)
|
vs |
25.09 %
|
||
| Percent of long-stay residents whose need for help with daily activities has increased |
0.8 % (32.15 % lower than average)
|
vs |
32.95 %
|
||
| Percent of long-stay residents who lose too much weight |
10 % (1.83 % lower than average)
|
vs |
11.83 %
|
||
| Percent of long-stay residents with a urinary tract infection |
10 % (3.46 % lower than average)
|
vs |
13.46 %
|
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| Percent of long-stay residents who were physically restrained |
3.2 % (40.48 % lower than average)
|
vs |
43.68 %
|
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| Percent of short-stay residents who self-report moderate to severe pain |
50.6 % (25.58 % higher than average)
|
vs |
25.02 %
|
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| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
84.1 % (0.54 % lower than average)
|
vs |
84.64 %
|
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| Percent of short-stay residents with Pressure ulcers that are new or worsened |
86.1 % (2.16 % higher 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 %
|
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| Quality Measures Q3 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
4.1 % (21.29 % lower than average)
|
vs |
25.39 %
|
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| Percent of long-stay residents whose need for help with daily activities has increased |
0.8 % (22.9 % lower than average)
|
vs |
23.70 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain |
44.8 % (30.7 % higher than average)
|
vs |
14.10 %
|
||
| Percent of long-stay high-risk residents with pressure ulcers |
15.5 % (6.28 % higher than average)
|
vs |
9.22 %
|
||
| Percent of long-stay residents who lose too much weight |
14.5 % (6 % higher than average)
|
vs |
8.50 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
33.3 % (22.65 % higher than average)
|
vs |
10.65 %
|
||
| Percent of long-stay residents with a urinary tract infection | 8.6:1 % | ||||
| Percent of long-stay residents who have depressive symptoms |
3.5 % (16.36 % lower than average)
|
vs |
19.86 %
|
||
| Percent of long-stay residents who were physically restrained |
1.4 % (37.13 % lower 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 |
41 % (16.24 % higher than average)
|
vs |
24.76 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
83.9 % (2.46 % higher than average)
|
vs |
81.44 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
81.6 % (6.85 % higher than average)
|
vs |
74.75 %
|
||
| Percent of short-stay residents who newly received an antipsychotic medication |
1.4 % (15.94 % lower than average)
|
vs |
17.34 %
|
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