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MONTECITO POST ACUTE CARE AND REHABILITATION

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MONTECITO POST ACUTE CARE AND REHABILITATION 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 51 SOUTH 48TH STREET  
Zip Code 85206  
Phone 4808328333  
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
222 
108.94
Total Number of Residents
140 
91.25
Percent of Occupied Beds
63 %
83.65 %
Health Survey Date 10/24/2011  
Fire Survey Date 10/18/2011  
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? 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 36  
Staff Information
Number of Residents
140 
91.38
Number of RN Hours Per Resident Per Day
0.85 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.89 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.74 
1.59
Number of CNA Hours Per Resident Per Day
0.11 
5.49
Number Therapy Hours Per Resident Per Day
0.11 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure That A Working Call System Is Available In Each Resident's Room Or Bathroom And Bathing Area.
survey Date: 10/24/2011
date Of Correction: 11/25/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 10/24/2011
date Of Correction: 11/25/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 08/17/2011
date Of Correction: 09/21/2011 
Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests.
survey Date: 08/13/2010
date Of Correction: 10/05/2010 
Deficiency #5 Scope: Many
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 07/19/2010
date Of Correction: 09/24/2010 
Deficiency #6 Scope: Some
level Of Harm: 2
deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests.
survey Date: 09/10/2009
date Of Correction: 10/06/2009 
Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 08/13/2010
date Of Correction: 10/05/2010 
Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.
survey Date: 08/13/2010
date Of Correction: 10/05/2010 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 07/19/2010
date Of Correction: 09/24/2010 
Deficiency #3 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: 07/19/2010
date Of Correction: 09/24/2010 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Or Obtain Dental Services For Each Resident.
survey Date: 10/24/2011
date Of Correction: 11/25/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 10/24/2011
date Of Correction: 11/25/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 10/24/2011
date Of Correction: 11/25/2011 
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: 08/17/2011
date Of Correction: 09/21/2011 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Provide Or Obtain Dental Services For Each Resident.
survey Date: 08/13/2010
date Of Correction: 10/05/2010 
Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Specialized Rehabilitative Services Per The Patient's Assessment Or Plan Of Care.
survey Date: 08/13/2010
date Of Correction: 10/05/2010 
Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.
survey Date: 08/13/2010
date Of Correction: 10/05/2010 
Deficiency #8 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: 08/13/2010
date Of Correction: 10/05/2010 
Deficiency #9 Scope: Some
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 08/13/2010
date Of Correction: 10/05/2010 
Deficiency #10 Scope: Many
level Of Harm: 2
deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.
survey Date: 07/19/2010
date Of Correction: 09/24/2010 
Deficiency #11 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: 07/19/2010
date Of Correction: 09/24/2010 
Deficiency #12 Scope: Some
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 07/19/2010
date Of Correction: 09/24/2010 
Deficiency #13 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 07/19/2010
date Of Correction: 09/24/2010 
Deficiency #14 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 07/19/2010
date Of Correction: 09/24/2010 
Deficiency #15 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Receive Treatment/services To Not Only Continue, But Improve The Ability To Care For Themselves.
survey Date: 09/10/2009
date Of Correction: 10/06/2009 
Deficiency #16 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Specialized Rehabilitative Services Per The Patient's Assessment Or Plan Of Care.
survey Date: 05/07/2009
date Of Correction: 06/10/2009 
Deficiency #17 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: 05/07/2009
date Of Correction: 06/10/2009 
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: 10/24/2011
date Of Correction: 11/25/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Review Or Revise The Resident's Care Plan After Any Major Change In A Resident's Physical Or Mental Health.
survey Date: 07/19/2010
date Of Correction: 09/24/2010 
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: 07/19/2010
date Of Correction: 09/24/2010 
Deficiency #2 Scope: Many
level Of Harm: 1
deficiency: Post Nurse Staffing Information/data On A Daily Basis.
survey Date: 07/19/2010
date Of Correction: 09/24/2010 
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: 10/24/2011
date Of Correction: 11/25/2011 
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: 08/13/2010
date Of Correction: 10/05/2010 
Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 08/13/2010
date Of Correction: 10/05/2010 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Special Eating Equipment And Utensils For Each Resident Who Needs Them.
survey Date: 08/13/2010
date Of Correction: 10/05/2010 
Deficiency #3 Scope: Many
level Of Harm: 2
deficiency: Hire Sufficient Dietary Support Personnel.
survey Date: 07/19/2010
date Of Correction: 09/24/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
18.8 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
0.4 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
32.5 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
5.2 %
12.58 %
Percent of long-stay residents who lose too much weight
7.5 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
49.1 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.5 %
15.63 %
Percent of long-stay residents with a urinary tract infection
4.6 %
13.46 %
Percent of long-stay residents who have depressive symptoms
8.3 %
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
34.6 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
98.7 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
99 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
2.9 %
45.90 %
Percent of long-stay residents experiencing one or more falls with major injury
4.5 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
21.7 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
0.9 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
27 %
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
5.5 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
47.7 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.4 %
10.65 %
Percent of long-stay residents with a urinary tract infection
4.8 %
9.58 %
Percent of long-stay residents who have depressive symptoms
6.7 %
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
3.2 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
35.7 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
98.9 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
98.5 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
3.7 %
17.34 %

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