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GOOD SAMARITAN SOCIETY-MESA GOOD SHEPHERD

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GOOD SAMARITAN SOCIETY-MESA GOOD SHEPHERD VS
Nursing Homes USA
General
City MESA   0.1% Nursing Homes USA have MESA
State attribute explanation AZ   0.9% Nursing Homes USA have AZ
Street 5848 EAST UNIVERSITY DRIVE  
Zip Code 85205  
Phone 4809810098  
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
80 
108.94
Total Number of Residents
42 
91.25
Percent of Occupied Beds
53 %
83.65 %
Health Survey Date 6/20/2012  
Fire Survey Date 6/27/2012  
Sprinkler Status Partially Sprinklered  8.5% Nursing Homes USA have Partially Sprinklered
Program Participation Medicare And Medicaid  91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership Non Profit - Corporation  18.7% Nursing Homes USA have Non profit - Corporation
Located Within a Hospital? No  93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? Yes  54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? Yes  9.1% Nursing Homes USA 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 10  
Staff Information
Number of Residents
42 
91.38
Number of RN Hours Per Resident Per Day
1.1 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.73 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.83 
1.59
Number of CNA Hours Per Resident Per Day
0.12 
5.49
Number Therapy Hours Per Resident Per Day
0.12 
0.10
Environmental Deficiencies
Deficiency #1 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: 10/26/2010
date Of Correction: 12/21/2010 
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: 06/03/2011
date Of Correction: 07/07/2011 
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: 10/26/2010
date Of Correction: 12/21/2010 
Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Tell The Resident Completely About His Or Her Health Status, Care And Treatments.
survey Date: 06/03/2011
date Of Correction: 07/07/2011 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 06/03/2011
date Of Correction: 07/07/2011 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 06/03/2011
date Of Correction: 07/07/2011 
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: 06/03/2011
date Of Correction: 07/07/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 06/03/2011
date Of Correction: 07/07/2011 
Deficiency #3 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: 10/26/2010
date Of Correction: 12/21/2010 
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: 06/03/2011
date Of Correction: 07/07/2011 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
18.6 (65.5) %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
75.2 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
23 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers 2.6 / 3 % 
Percent of long-stay residents who lose too much weight 8.9 / 9.9 % 
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.3 %
15.63 %
Percent of long-stay residents with a urinary tract infection
4.4 %
13.46 %
Percent of long-stay residents who have depressive symptoms
2.3 %
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
30.9 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
66.7 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
58.1 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2 
45.90
Percent of long-stay residents experiencing one or more falls with major injury
75.2 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
16.4 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
0.4 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
22.6 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
3.3 %
9.22 %
Percent of long-stay residents who lose too much weight
7.3 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
57.1 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.9 %
10.65 %
Percent of long-stay residents with a urinary tract infection
10.9 %
9.58 %
Percent of long-stay residents who have depressive symptoms
4.5 %
19.86 %
Percent of long-stay residents who were physically restrained
75.2 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
75.2 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
30.4 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
76.9 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
56.7 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
11.3 %
17.34 %

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