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SPRINGDALE WEST

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SPRINGDALE WEST 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 3130 EAST BROADWAY ROAD  
Zip Code 85204  
Phone 4809247777  
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
204-957-3467 
108.94
Total Number of Residents
144 
91.25
Percent of Occupied Beds
71 %
83.65 %
Health Survey Date 6/25/2012  
Fire Survey Date 6/26/2012  
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? No  45.1% Nursing Homes USA don't 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 24  
Staff Information
Number of Residents
144 
91.38
Number of RN Hours Per Resident Per Day
0.69 
0.77
Number of LPN/LVN Hours Per Resident Per Day
1.57 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
2.26 
1.59
Number of CNA Hours Per Resident Per Day
0.07 
5.49
Number Therapy Hours Per Resident Per Day
0.07 
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: 01/14/2010
date Of Correction: 02/23/2010 
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: 10/03/2011
date Of Correction: 11/29/2011 
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: 10/03/2011
date Of Correction: 11/29/2011 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 01/14/2010
date Of Correction: 02/23/2010 
Resident Rights Deficiencies
Deficiency #1 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: 03/13/2012
date Of Correction: 05/30/2012 
Deficiency #2 Scope: Few
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: 10/03/2011
date Of Correction: 11/29/2011 
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: 10/03/2011
date Of Correction: 11/29/2011 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.
survey Date: 09/22/2010
date Of Correction: 09/24/2010 
Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 01/14/2010
date Of Correction: 02/23/2010 
Deficiency #6 Scope: Some
level Of Harm: 2
deficiency: Make Sure Each Resident Has The Right To Have A Choice Over Activities, Their Schedules And Health Care According To His Or Her Interests, Assessment, And Plan Of Care.
survey Date: 01/14/2010
date Of Correction: 02/23/2010 
Deficiency #7 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: 06/04/2009
date Of Correction: 06/26/2009 
Deficiency #8 Scope: Few
level Of Harm: 2
deficiency: Help And Prepare Each Resident For A Safe And Easy Discharge And Transfer From The Nursing Home.
survey Date: 06/04/2009
date Of Correction: 06/26/2009 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 03/13/2012
date Of Correction: 05/30/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Give The Right Treatment And Services To Residents Who Have Mental Or Psychosocial Problems Adjusting.
survey Date: 10/03/2011
date Of Correction: 11/29/2011 
Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 10/03/2011
date Of Correction: 11/29/2011 
Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 09/22/2010
date Of Correction: 09/24/2010 
Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 09/22/2010
date Of Correction: 09/24/2010 
Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 06/23/2010
date Of Correction: 07/20/2010 
Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 06/04/2009
date Of Correction: 06/26/2009 
Deficiency #8 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: 06/04/2009
date Of Correction: 06/26/2009 
Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 10/03/2011
date Of Correction: 11/29/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Employ Qualified Full-time, Part-time Or Consultant Professionals That Must Be Licensed, Certified, Or Registered Staff To Give Needed Services.
survey Date: 06/23/2010
date Of Correction: 07/20/2010 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 03/13/2012
date Of Correction: 03/13/2012 
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: 06/23/2010
date Of Correction: 07/20/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
27.1 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
0.2 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
9 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
10 %
12.58 %
Percent of long-stay residents who lose too much weight
7.1 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder 14.7:1 % 
Percent of long-stay residents with a urinary tract infection 9.4 / 10.4 % 
Percent of long-stay residents who have depressive symptoms
11.4 %
28.38 %
Percent of long-stay residents who were physically restrained
6.7 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
27.2 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
74.5 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
74 %
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
27.7 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
0.2 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
11.9 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers 8.9 / 9.9 % 
Percent of long-stay residents who lose too much weight
4.1 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
36.8 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder 14.7:1 % 
Percent of long-stay residents with a urinary tract infection 9.4 / 10.4 % 
Percent of long-stay residents who have depressive symptoms
13 %
19.86 %
Percent of long-stay residents who were physically restrained
7 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
0.8 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
29.6 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
73.8 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
75.4 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
9.5 %
17.34 %

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