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LIFESTREAM AT COOK HEALTH CARE

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LIFESTREAM AT COOK HEALTH CARE VS
Nursing Homes USA
General
City YOUNGTOWN   0% Nursing Homes USA have YOUNGTOWN
State attribute explanation AZ   0.9% Nursing Homes USA have AZ
Street 11527 W PEORIA AVE  
Zip Code 85363  
Phone 6239334683  
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
128 
108.94
Total Number of Residents
106 
91.25
Percent of Occupied Beds
83 %
83.65 %
Health Survey Date 3/30/2011  
Fire Survey Date 5/12/2011  
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 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 Both  29.8% Nursing Homes USA have Both
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 19  
Staff Information
Number of Residents
106 
91.38
Number of RN Hours Per Resident Per Day
0.29 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.82 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.11 
1.59
Number of CNA Hours Per Resident Per Day
0.05 
5.49
Number Therapy Hours Per Resident Per Day
0.05 
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: 10/20/2009
date Of Correction: 12/23/2009 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Maintain Comfortable Sound Levels.
survey Date: 10/20/2009
date Of Correction: 12/23/2009 
Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.
survey Date: 12/31/2009
date Of Correction: 02/08/2010 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 10/20/2009
date Of Correction: 12/23/2009 
Deficiency #3 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: 10/20/2009
date Of Correction: 12/23/2009 
Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 10/20/2009
date Of Correction: 12/23/2009 
Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Provide Care For Each Resident In A Way That Keeps Or Builds The Resident's Quality Of Life.
survey Date: 10/20/2009
date Of Correction: 12/23/2009 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.
survey Date: 10/20/2009
date Of Correction: 12/23/2009 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Give Each Resident A Notice Of Rights, Rules, Services And Charges. Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items And Services Medicaid Covers And Which The Resident Must Pay For.
survey Date: 10/20/2009
date Of Correction: 12/23/2009 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Give The Resident's Representative The Ability To Exercise The Resident's Rights.
survey Date: 10/20/2009
date Of Correction: 12/23/2009 
Quality Care Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Use A Registered Nurse At Least 8 Hours A Day, 7 Days A Week.
survey Date: 10/20/2009
date Of Correction: 12/23/2009 
Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.
survey Date: 10/20/2009
date Of Correction: 12/23/2009 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 10/20/2009
date Of Correction: 12/23/2009 
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: 10/20/2009
date Of Correction: 12/23/2009 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.
survey Date: 10/20/2009
date Of Correction: 12/23/2009 
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: 10/20/2009
date Of Correction: 12/23/2009 
Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Employ Or Obtain Outside Professional Resources Providing Services In The Nursing Home That Meet Professional Standards.
survey Date: 12/31/2009
date Of Correction: 02/08/2010 
Deficiency #2 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: 10/20/2009
date Of Correction: 12/23/2009 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Nurse Aides Show They Have The Skills And Techniques To Be Able To Care For Residents' Needs.
survey Date: 10/20/2009
date Of Correction: 12/23/2009 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
34.5 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
3.2 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain 8.6:1 % 
Percent of long-stay high-risk residents with pressure ulcers
3.7 %
12.58 %
Percent of long-stay residents who lose too much weight
6.7 %
11.83 %
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
6.7 %
13.46 %
Percent of long-stay residents who have depressive symptoms
2.20 %
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
34.9 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
84.8 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
75 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
2.1 %
45.90 %
Percent of long-stay residents experiencing one or more falls with major injury
4.4 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
37.5 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
1.9 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
13.6-28 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
6.2 %
9.22 %
Percent of long-stay residents who lose too much weight
12 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
25 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
0.8 %
10.65 %
Percent of long-stay residents with a urinary tract infection
6.4 %
9.58 %
Percent of long-stay residents who have depressive symptoms
4.6 %
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
5.3 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
30.3 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
80.7 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
69.3 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
1.8 %
17.34 %

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