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LA ESTANCIA NURSING AND REHABILITATION CENTER

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LA ESTANCIA NURSING AND REHABILITATION CENTER 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 15810 SOUTH 42ND STREET  
Zip Code 85048  
Phone 4807590358  
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
192 
108.94
Total Number of Residents
64 
91.25
Percent of Occupied Beds
33 %
83.65 %
Health Survey Date 10/28/2011  
Fire Survey Date 10/28/2011  
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 - Partnership  7.9% Nursing Homes USA have For profit - Partnership
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
75.2 
58.16
Total Enforcement Actions Count
75.2 
56.31
# of deficiencies 11  
Staff Information
Number of Residents
64 
91.38
Number of RN Hours Per Resident Per Day
0.53 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.97 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.50 
1.59
Number of CNA Hours Per Resident Per Day
0.2 
5.49
Number Therapy Hours Per Resident Per Day
0.2 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 08/27/2010
date Of Correction: 09/30/2010 
Mistreatment Deficiencies
Deficiency #1 Scope: Some
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: 10/28/2011
date Of Correction: 12/22/2011 
Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Establish And Follow A Written Policy That Permits A Resident To Return To The Nursing Home After Hospitalization.
survey Date: 07/02/2010
date Of Correction: 07/26/2010 
Deficiency #2 Scope: Some
level Of Harm: 1
deficiency: Allow Residents To Easily View The Results Of The Nursing Home's Most Recent Survey.
survey Date: 07/02/2010
date Of Correction: 07/26/2010 
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: 10/28/2011
date Of Correction: 12/22/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 08/27/2010
date Of Correction: 09/30/2010 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 08/27/2010
date Of Correction: 09/30/2010 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 05/27/2009
date Of Correction: 06/23/2009 
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: 08/21/2009
date Of Correction: 08/22/2009 
Pharmacy Service Deficiencies
Deficiency #1 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: 10/28/2011
date Of Correction: 12/22/2011 
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: 08/27/2010
date Of Correction: 09/30/2010 
Quality Measures Q1
Percent of long-stay residents whose need for help with daily activities has increased
1.3 %
32.95 %
Percent of short-stay residents who self-report moderate to severe pain
28.9 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
97.3 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
98.4 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
0.8 %
45.90 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
18.9 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
1.6 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
75.2 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
11.4 %
9.22 %
Percent of long-stay residents who lose too much weight
10.5 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
58.1 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
3 %
10.65 %
Percent of long-stay residents with a urinary tract infection
6.5 %
9.58 %
Percent of long-stay residents who have depressive symptoms
1.3 %
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 2.6 / 3 % 
Percent of short-stay residents who self-report moderate to severe pain
32.8 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
98 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
97.4 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
4.9 %
17.34 %

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