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THE PEAKS, A SENIOR LIVING COMMUNITY

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THE PEAKS, A SENIOR LIVING COMMUNITY VS
Nursing Homes USA
General
City EAST FLAGSTAFF   0% Nursing Homes USA have EAST FLAGSTAFF
State attribute explanation AZ   0.9% Nursing Homes USA have AZ
Street 3150 NORTH WINDING BROOK ROAD  
Zip Code 86001  
Phone 9287747106  
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
58 
108.94
Total Number of Residents
52 
91.25
Percent of Occupied Beds
90 %
83.65 %
Health Survey Date 11/18/2011  
Fire Survey Date 11/22/2011  
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 - Other  1.9% Nursing Homes USA have Non profit - Other
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? Yes  9.1% Nursing Homes USA have Continuing Care Retirement Community?
Quality Indicator Survey? No  68.7% Nursing Homes USA don't 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 10  
Staff Information
Number of Residents
52 
91.38
Number of RN Hours Per Resident Per Day
1.95 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.53 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
2.47 
1.59
Number of CNA Hours Per Resident Per Day
0.46 
5.49
Number Therapy Hours Per Resident Per Day
0.46 
0.10
Quality Care Deficiencies
Deficiency #1 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: 09/03/2010
date Of Correction: 10/01/2010 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 09/03/2010
date Of Correction: 10/01/2010 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 09/03/2010
date Of Correction: 10/01/2010 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 05/21/2009
date Of Correction: 06/18/2009 
Resident Assessment Deficiencies
Deficiency #1 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: 09/03/2010
date Of Correction: 10/01/2010 
Deficiency #2 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: 09/03/2010
date Of Correction: 10/01/2010 
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: 11/18/2011
date Of Correction: 01/04/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 05/21/2009
date Of Correction: 06/18/2009 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 05/21/2009
date Of Correction: 06/18/2009 
Deficiency #2 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: 05/21/2009
date Of Correction: 06/18/2009 
Quality Measures Q1
Percent of long-stay residents whose need for help with daily activities has increased
2 %
32.95 %
Percent of short-stay residents who self-report moderate to severe pain
27.9 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
95.2 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
96.1 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
1.4 %
45.90 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
6.7 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
1.50 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
3.1 %
14.10 %
Percent of long-stay residents who lose too much weight 11.6:1 % 
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.1 %
10.65 %
Percent of long-stay residents with a urinary tract infection 11.6:1 % 
Percent of long-stay residents who have depressive symptoms
2.3 %
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
75.2 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
28 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
94.7 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
94.8 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
0.8 %
17.34 %

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