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SUN GROVE VILLAGE CARE CENTER

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SUN GROVE VILLAGE CARE CENTER VS
All other Nursing Homes USA
General
City PEORIA   vs 0.1% Nursing Homes USA have PEORIA
State attribute explanation AZ   vs 0.9% Nursing Homes USA have AZ
Street 20625 NORTH LAKE PLEASANT RD  
Zip Code 85382  
Phone 6235660642  
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
(0.17 lower than average)
vs
3.17

Quality Measures Star Rating
(1.31 lower than average)
vs
3.31

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

Number of Certified Beds
128  (19.06 higher than average)
vs
108.94

Total Number of Residents
88  (3.25 lower than average)
vs
91.25

Percent of Occupied Beds
69 % (14.65 % lower than average)
vs
83.65 %

Health Survey Date 5/3/2012  
Fire Survey Date 5/8/2012  
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? Yes  vs 54.9% Nursing Homes USA 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? 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 10  
Staff Information
Number of Residents
88  (3.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.74  (0.03 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.94  (0.1 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.68  (0.09 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

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: 01/07/2010
date Of Correction: 02/02/2010 

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: 01/07/2010
date Of Correction: 02/02/2010 

Resident Rights Deficiencies
Deficiency #1 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: 01/07/2010
date Of Correction: 02/02/2010 

Quality Care Deficiencies
Deficiency #1 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: 04/15/2011
date Of Correction: 05/19/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Receive Treatment/services To Not Only Continue, But Improve The Ability To Care For Themselves.
survey Date: 04/15/2011
date Of Correction: 05/19/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 04/15/2011
date Of Correction: 05/19/2011 

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: 10/26/2010
date Of Correction: 11/22/2010 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 01/07/2010
date Of Correction: 02/02/2010 

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: 08/24/2011
date Of Correction: 09/21/2011 

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: 01/07/2010
date Of Correction: 02/02/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
26.2 % (1.11 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (42.25 % higher than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
45.7 % (29.04 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
10 % (2.58 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
6.1 % (5.73 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
89.6 % (45.06 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
11.1 % (4.53 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
10.6 % (2.86 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
4.3 % (24.08 % 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
46.9 % (21.88 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
89 % (4.36 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
87.6 % (3.66 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
3.1 % (42.8 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
75.2 % (59.68 % higher than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
27.2 % (1.81 % 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
40.1 % (26 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers 10.1:1 % 
Percent of long-stay residents who lose too much weight
5.1 % (3.4 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
83.7 % (40.32 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
7.3 % (3.35 % lower 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
2.5 % (17.36 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
0.5 - 2.0 % (38.03 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
1 % (9.73 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
53.4 % (28.64 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
89.2 % (7.76 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
87.9 % (13.15 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
2.8 % (14.54 % lower than average)
vs
17.34 %



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