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DESERT TERRACE HEALTHCARE CENTER

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DESERT TERRACE HEALTHCARE CENTER VS
Nursing Homes USA
General
Percent of short-stay residents with Pressure ulcers that are new or worsened 75.2 % 
City PHOENIX   0.2% Nursing Homes USA have PHOENIX
State attribute explanation AZ   0.9% Nursing Homes USA have AZ
Street 2509 NORTH 24TH STREET  
Zip Code 85008  
Phone 6022731347  
Overall Star Rating
3.11
Health Inspections Star Rating
2.83
Nurse Staffing Star Rating
3.17
Quality Measures Star Rating
3.31
RN Only Star Rating
3.17
Number of Certified Beds
108 
108.94
Total Number of Residents
83 
91.25
Percent of Occupied Beds
77 %
83.65 %
Health Survey Date 12/8/2011  
Fire Survey Date 12/14/2011  
Sprinkler Status Fully Sprinklered  90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership For Profit - Corporation  56.7% Nursing Homes USA have For profit - Corporation
Located Within a Hospital? No  93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? No  45.1% Nursing Homes USA don't have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? No  90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? Yes  31.3% Nursing Homes USA have Quality Indicator Survey?
Special Focus Facility? No  99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
75.2 
58.16
Total Enforcement Actions Count
75.2 
56.31
# of deficiencies 17  
Staff Information
Number of Residents
83 
91.38
Number of RN Hours Per Resident Per Day
0.81 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.9 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.71 
1.59
Number of CNA Hours Per Resident Per Day
0.07 
5.49
Number Therapy Hours Per Resident Per Day
0.07 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Keep All Essential Equipment Working Safely.
survey Date: 10/21/2010
date Of Correction: 12/02/2010 
Deficiency #2 Scope: Some
level Of Harm: 1
deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment.
survey Date: 08/27/2009
date Of Correction: 10/06/2009 
Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 1
deficiency: Give Notice To The Resident Before A Room Or Roommate Change.
survey Date: 10/21/2010
date Of Correction: 12/02/2010 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.
survey Date: 10/21/2010
date Of Correction: 12/02/2010 
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: 10/21/2010
date Of Correction: 12/02/2010 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Receive Proper Treatment And Assistive Devices To Maintain Their Vision And Hearing.
survey Date: 10/21/2010
date Of Correction: 12/02/2010 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 10/21/2010
date Of Correction: 12/02/2010 
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: 08/27/2009
date Of Correction: 10/06/2009 
Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 08/27/2009
date Of Correction: 10/06/2009 
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: 10/21/2010
date Of Correction: 12/02/2010 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 10/21/2010
date Of Correction: 12/02/2010 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Doctors Orders For The Resident's Immediate Care, At The Time The Resident Was Admitted.
survey Date: 10/21/2010
date Of Correction: 12/02/2010 
Administration Deficiencies
Deficiency #1 Scope: Some
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: 08/27/2009
date Of Correction: 10/06/2009 
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: 08/27/2009
date Of Correction: 10/06/2009 
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: 10/21/2010
date Of Correction: 12/02/2010 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 08/27/2009
date Of Correction: 10/06/2009 
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: 08/27/2009
date Of Correction: 10/06/2009 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
17 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
1.4 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
17.5 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers 14.7:1 % 
Percent of long-stay residents who lose too much weight
2 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
35.1 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
75.2 %
15.63 %
Percent of long-stay residents with a urinary tract infection
75.2 %
13.46 %
Percent of long-stay residents who have depressive symptoms
6.3 %
28.38 %
Percent of long-stay residents who were physically restrained
75.2 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
50 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
100 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
100 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
3 %
45.90 %
Percent of long-stay residents experiencing one or more falls with major injury
2 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
12.7 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
1.1 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
24.8 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
7.6 %
9.22 %
Percent of long-stay residents who lose too much weight
4.2 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
40.8 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.4 %
10.65 %
Percent of long-stay residents with a urinary tract infection
1.6 %
9.58 %
Percent of long-stay residents who have depressive symptoms
3.3 %
19.86 %
Percent of long-stay residents who were physically restrained
0.6 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
3.9 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
46.1 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
96.8 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
98.3 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication 15.9:1 % 

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