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RESTORA HOSPITAL OF SUN CITY

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RESTORA HOSPITAL OF SUN CITY VS
All other Nursing Homes USA
General
City SUN CITY   vs 0% Nursing Homes USA have SUN CITY
State attribute explanation AZ   vs 0.9% Nursing Homes USA have AZ
Street 13818 NORTH THUNDERBIRD BOULEVARD  
Zip Code 85351  
Phone 6239771325  
Overall Star Rating
(0.11 lower 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
(2.31 lower than average)
vs
3.31

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

Number of Certified Beds
120  (11.06 higher than average)
vs
108.94

Total Number of Residents
45  (46.25 lower than average)
vs
91.25

Percent of Occupied Beds
38 % (45.65 % lower than average)
vs
83.65 %

Health Survey Date 4/24/2012  
Fire Survey Date 4/24/2012  
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 - 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? No  vs 45.1% Nursing Homes USA don't 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? No  vs 68.7% Nursing Homes USA don't 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 29  
Staff Information
Number of Residents
45  (46.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
1.67  (0.9 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.61  (0.77 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
3.28  (1.69 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.11  (5.38 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.11  (0.01 higher than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 03/22/2011
date Of Correction: 04/28/2011 

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: 03/22/2011
date Of Correction: 04/28/2011 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Keep All Essential Equipment Working Safely.
survey Date: 11/19/2009
date Of Correction: 02/10/2010 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 11/19/2009
date Of Correction: 02/10/2010 

Deficiency #5 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: 11/19/2009
date Of Correction: 02/10/2010 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 03/22/2011
date Of Correction: 04/28/2011 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Notice To The Resident Before A Room Or Roommate Change.
survey Date: 03/22/2011
date Of Correction: 04/28/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 03/22/2011
date Of Correction: 04/28/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Send And Promptly Deliver Unopened Mail To Residents.
survey Date: 03/22/2011
date Of Correction: 04/28/2011 

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: 03/22/2011
date Of Correction: 04/28/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 03/22/2011
date Of Correction: 04/28/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 03/22/2011
date Of Correction: 04/28/2011 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Provide Routine And 24-hour Emergency Dental Care For Each Resident.
survey Date: 11/19/2009
date Of Correction: 02/10/2010 

Deficiency #5 Scope: Few
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: 11/19/2009
date Of Correction: 02/10/2010 

Deficiency #6 Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 11/19/2009
date Of Correction: 02/10/2010 

Deficiency #7 Scope: Some
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 11/19/2009
date Of Correction: 02/10/2010 

Deficiency #8 Scope: Some
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 11/19/2009
date Of Correction: 02/10/2010 

Deficiency #9 Scope: Few
level Of Harm: 2
deficiency: Provide Activities To Meet The Interests And Needs Of Each Resident.
survey Date: 11/19/2009
date Of Correction: 02/10/2010 

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: 03/22/2011
date Of Correction: 04/28/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 03/22/2011
date Of Correction: 04/28/2011 

Deficiency #3 Scope: Some
level Of Harm: 1
deficiency: Maintain 15 Months Of Resident Assessments In The Resident's Active Clinical Record.
survey Date: 11/19/2009
date Of Correction: 02/10/2010 

Deficiency #4 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: 11/19/2009
date Of Correction: 02/10/2010 

Deficiency #5 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: 11/19/2009
date Of Correction: 02/10/2010 

Deficiency #6 Scope: Some
level Of Harm: 1
deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.
survey Date: 11/19/2009
date Of Correction: 02/10/2010 

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: 03/22/2011
date Of Correction: 04/28/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 11/19/2009
date Of Correction: 02/10/2010 

Deficiency #3 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: 05/04/2009
date Of Correction: 05/04/2009 

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: 03/22/2011
date Of Correction: 04/28/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 11/19/2009
date Of Correction: 02/10/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
9.7 % (15.39 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
0.9 % (32.05 % lower than average)
vs
32.95 %

Percent of long-stay residents who lose too much weight
6.5 % (5.33 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder 10.3:1 % 
Percent of long-stay residents with a urinary tract infection
6.5 % (6.96 % lower than average)
vs
13.46 %

Percent of long-stay residents who were physically restrained
3.1 % (40.58 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
31.4 (88.5) % (6.38 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
97.6 % (12.96 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
97.6 % (13.66 % 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
3.1 % (12.42 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
7.8 % (17.59 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.9 % (21.8 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
27.4 % (13.3 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
25.6 (78.1) % (16.38 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
3.4 % (5.1 % lower than average)
vs
8.50 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
11.3 % (0.65 % higher than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
6.9 % (2.68 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
9.6 % (10.26 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
2.20 % (36.33 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
3.3 % (7.43 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
33.3 % (8.54 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
93.5 % (12.06 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
91.7 % (16.95 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
27 % (9.66 % higher than average)
vs
17.34 %



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