SUNSET HILLS CARE AND REHAB, INC

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General
City	SAFFORD	vs	0% Nursing Homes USA have SAFFORD
State attribute explanation	AZ	vs	0.9% Nursing Homes USA have AZ	compare AZ Nursing Homes USA
Street	1933 PEPPERTREE DRIVE
Zip Code	85546
Phone	9284284910
Overall Star Rating	1 (2.11 lower than average)	vs	3.11	Compare similar Overall Star Rating (1)
Health Inspections Star Rating	1 (1.83 lower than average)	vs	2.83	Compare similar Health Inspections Star Rating (1)
Nurse Staffing Star Rating	2 (1.17 lower than average)	vs	3.17	Compare similar Nurse Staffing Star Rating (2)
Quality Measures Star Rating	2 (1.31 lower than average)	vs	3.31	Compare similar Quality Measures Star Rating (2)
RN Only Star Rating	4 (0.83 higher than average)	vs	3.17	Compare similar RN Only Star Rating (4)
Number of Certified Beds	128 (19.06 higher than average)	vs	108.94	Compare similar Number of Certified Beds (128)
Total Number of Residents	80 (11.25 lower than average)	vs	91.25	Compare similar Total Number of Residents (80)
Percent of Occupied Beds	63 % (20.65 % lower than average)	vs	83.65 %	Compare similar Percent of Occupied Beds (63) %
Health Survey Date	5/14/2012
Fire Survey Date	5/17/2012
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	compare Medicare and Medicaid Nursing Homes USA
Type of Ownership	For Profit - Corporation	vs	56.7% Nursing Homes USA have For profit - Corporation	compare For profit - Corporation Nursing Homes USA
Located Within a Hospital?	No	vs	93.6% Nursing Homes USA don't have Located Within a Hospital?	Compare similar 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	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	1 (57.16 lower than average)	vs	58.16
Total Enforcement Actions Count	2 (54.31 lower than average)	vs	56.31
# of deficiencies	21

Staff Information
Number of Residents	80 (11.38 lower than average)	vs	91.38
Number of RN Hours Per Resident Per Day	0.84 (0.07 higher than average)	vs	0.77
Number of LPN/LVN Hours Per Resident Per Day	0.26 (0.58 lower than average)	vs	0.84
Total Number of Licensed Staff Hours Per Resident Per Day	1.1 (0.49 lower than average)	vs	1.59
Number of CNA Hours Per Resident Per Day	0.07 (5.42 lower than average)	vs	5.49
Number Therapy Hours Per Resident Per Day	0.07 (0.03 lower than average)	vs	0.10

Environmental Deficiencies
Deficiency #1		Scope: Some level Of Harm: 1 deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment. survey Date: 04/14/2011 date Of Correction: 06/28/2011
Deficiency #2		Scope: Many level Of Harm: 2 deficiency: Have Enough Backup Water Supply For Essential Areas Of The Nursing Home. survey Date: 12/09/2009 date Of Correction: 01/21/2010
Deficiency #3		Scope: Some level Of Harm: 3 deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents. survey Date: 12/09/2009 date Of Correction: 01/21/2010

Resident Rights Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Provide Written Records When A Resident Is Transferred Or Discharged. survey Date: 12/09/2009 date Of Correction: 01/21/2010

Quality Care Deficiencies
Deficiency #1		Scope: Few level Of Harm: 3 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 04/14/2011 date Of Correction: 06/28/2011
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 04/14/2011 date Of Correction: 06/28/2011
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care. survey Date: 04/14/2011 date Of Correction: 06/28/2011
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: 12/09/2009 date Of Correction: 01/21/2010
Deficiency #5		Scope: Few level Of Harm: 3 deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration. survey Date: 12/09/2009 date Of Correction: 01/21/2010
Deficiency #6		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: 12/09/2009 date Of Correction: 01/21/2010
Deficiency #7		Scope: Some level Of Harm: 2 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 12/09/2009 date Of Correction: 01/21/2010
Deficiency #8		Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 12/09/2009 date Of Correction: 01/21/2010
Deficiency #9		Scope: Few level Of Harm: 2 deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care. survey Date: 12/09/2009 date Of Correction: 01/21/2010

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: 04/14/2011 date Of Correction: 06/28/2011
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional. survey Date: 12/09/2009 date Of Correction: 01/21/2010

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: 04/14/2011 date Of Correction: 06/28/2011

Pharmacy Service Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist. survey Date: 04/14/2011 date Of Correction: 06/28/2011
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: 04/14/2011 date Of Correction: 06/28/2011
Deficiency #3		Scope: Some level Of Harm: 2 deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist. survey Date: 12/09/2009 date Of Correction: 01/21/2010
Deficiency #4		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: 12/09/2009 date Of Correction: 01/21/2010

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: 12/09/2009 date Of Correction: 01/21/2010

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication	28.8 % (3.71 % 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	28 % (11.34 % higher than average)	vs	16.66 %
Percent of long-stay high-risk residents with pressure ulcers	13.9 / 15.3 %
Percent of long-stay residents who lose too much weight	8.8 % (3.03 % lower than average)	vs	11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	75.2 % (59.57 % higher than average)	vs	15.63 %
Percent of long-stay residents with a urinary tract infection	7 % (6.46 % lower than average)	vs	13.46 %
Percent of long-stay residents who have depressive symptoms	14.8 % (13.58 % 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	36 % (10.98 % higher than average)	vs	25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	61.7 % (22.94 % lower than average)	vs	84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	53.8 % (30.14 % lower 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	1.6 % (13.92 % lower than average)	vs	15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication	30.8 % (5.41 % higher than average)	vs	25.39 %
Percent of long-stay residents whose need for help with daily activities has increased	2.6 / 3 %
Percent of long-stay residents who self-report moderate to severe pain	31.1 % (17 % higher than average)	vs	14.10 %
Percent of long-stay high-risk residents with pressure ulcers	11.2-20 % (1.98 % higher than average)	vs	9.22 %
Percent of long-stay residents who lose too much weight	12.6:1 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	41.2 % (2.18 % lower than average)	vs	43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	75.2 % (64.55 % higher than average)	vs	10.65 %
Percent of long-stay residents with a urinary tract infection	19.8 % (10.22 % higher than average)	vs	9.58 %
Percent of long-stay residents who have depressive symptoms	12.3:1 %
Percent of long-stay residents who were physically restrained	1.50 % (37.03 % lower than average)	vs	38.53 %
Percent of long-stay residents experiencing one or more falls with major injury	0.5 - 2.0 % (10.23 % lower than average)	vs	10.73 %
Percent of short-stay residents who self-report moderate to severe pain	41.3 % (16.54 % higher than average)	vs	24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	74.5 % (6.94 % lower than average)	vs	81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	63.7 % (11.05 % lower than average)	vs	74.75 %
Percent of short-stay residents who newly received an antipsychotic medication	1.8 % (15.54 % lower than average)	vs	17.34 %