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HIGHLAND MANOR HEALTH & REHAB

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HIGHLAND MANOR HEALTH & REHAB VS
Nursing Homes USA
General
City PHOENIX   0.2% Nursing Homes USA have PHOENIX
State attribute explanation AZ   0.9% Nursing Homes USA have AZ
Street 4635 NORTH 14TH STREET  
Zip Code 85014  
Phone 6022649039  
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
107 
108.94
Total Number of Residents
76 
91.25
Percent of Occupied Beds
71 %
83.65 %
Health Survey Date 8/29/2011  
Fire Survey Date 8/30/2011  
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 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? 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? 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
58.16
Total Enforcement Actions Count
56.31
# of deficiencies 9  
Staff Information
Number of Residents
76 
91.38
Number of RN Hours Per Resident Per Day
1.07 
0.77
Number of LPN/LVN Hours Per Resident Per Day
1.22 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
2.29 
1.59
Number of CNA Hours Per Resident Per Day
0.06 
5.49
Number Therapy Hours Per Resident Per Day
0.06 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Some
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: 08/29/2011
date Of Correction: 10/21/2011 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 08/29/2011
date Of Correction: 10/21/2011 
Deficiency #3 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: 11/17/2010 
Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Care For Each Resident In A Way That Keeps Or Builds The Resident's Quality Of Life.
survey Date: 01/23/2012
date Of Correction: 02/16/2012 
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: 06/07/2010
date Of Correction: 07/07/2010 
Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Coordinate Assessments With The Pre-admission Screening And Resident Review Program For Mentally-ill And Mentally-retarded Patients.
survey Date: 08/29/2011
date Of Correction: 10/21/2011 
Deficiency #2 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: 08/29/2011
date Of Correction: 10/21/2011 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 08/29/2011
date Of Correction: 04/06/2011 
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: 10/26/2010
date Of Correction: 11/17/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
18.9 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
0.6 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
9.1 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
4.9 %
12.58 %
Percent of long-stay residents who lose too much weight
1.9 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
3 %
15.63 %
Percent of long-stay residents with a urinary tract infection
1.9 %
13.46 %
Percent of long-stay residents who have depressive symptoms
7.5 %
28.38 %
Percent of long-stay residents who were physically restrained
3.7 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
22.8 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
96.7 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
96.7 %
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
22.9 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
0.7 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
15.6 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
12.2 %
9.22 %
Percent of long-stay residents who lose too much weight
0.6 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
63.8 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.2 %
10.65 %
Percent of long-stay residents with a urinary tract infection
1.9 %
9.58 %
Percent of long-stay residents who have depressive symptoms 13.1:1 % 
Percent of long-stay residents who were physically restrained
2.5 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
0.6 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
39.5 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
95.4 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
94.2 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication 19.4:1 % 

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