| General Information | ||
|---|---|---|
| Category:Participating in Medicare and Medicaid Evergreen Mesa Christian Hlth EVERGREEN MESA CHRISTIAN HLTH (480) 833-3988 255 WEST BROWN ROAD MESA AZ 85201 |
Last Inspected:2004-04-20 Certified Bed Count: 191 Total Residents:135 Occupancy: 71% Ownership:For profit - Corporation Inside Hospital: NO |
Resident Nurse: 0.23 LPN/LVN Care: 0.63 CNA Care:1.88 Total Staff:0 Total Licensed Staff:0 |
| Measure | Score | County Mean | State Mean | Updated |
|---|---|---|---|---|
| Percent of High-Risk Residents Who Have Pressure Sores | 2 | 13 | 12 | 2004-04-20 |
| Percent of Residents Who are More Depressed or Anxious | 7 | 10 | 11 | 2004-04-20 |
| Percent of Residents Who Have Moderate to Severe Pain | 16 | 8 | 9 | 2004-04-20 |
| Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 2 | 7 | 7 | 2004-04-20 |
| Percent of Residents Who Lose Too Much Weight | 7 | 9 | 9 | 2004-04-20 |
| Percent of Residents Who Spend Most of Their Time in Bed or in a Chair | 4 | 4 | 4 | 2004-04-20 |
| Percent of Residents Who Were Physically Restrained | 11 | 8 | 9 | 2004-04-20 |
| Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse | 6 | 10 | 11 | 2004-04-20 |
| Percent of Residents Whose Need for Help With Daily Activities Has Increased | 17 | 14 | 15 | 2004-04-20 |
| Percent of Residents With a Urinary Tract Infection | 7 | 11 | 10 | 2004-04-20 |
| Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder | 59 | 51 | 51 | 2004-04-20 |
| Percent of Low-Risk Residents Who Have Pressure Sores | 0 | 3 | 3 | 2004-04-20 |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 36 | 30 | 29 | 2004-04-20 |
| Percent of Short-Stay Residents With Delirium | 1 | 2 | 3 | 2004-04-20 |
| Percent of Short-Stay Residents With Pressure Sores | 5 | 18 | 18 | 2004-04-20 |
| Severity | Scope | Level of Nursing Home Neglect | Updated |
|---|---|---|---|
| Category | Deficiency | ||
58% | Isolated | Actual harm | 2005-04-14 |
| Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | ||
58% | Isolated | Actual harm | 2005-04-14 |
| Deficiencies Reported Between Inspections | Comply with program requirements between annual inspections; although it corrected these problems before the most recent inspection. | ||
50% | Widespread | Minimal harm or potential for actual harm | 2003-12-12 |
| Nutrition and Dietary Deficiencies | Provide food in a way that meets a resident's needs. | ||
42% | Pattern | Minimal harm or potential for actual harm | 2003-08-20 |
| Resident Assessment Deficiencies | Make a complete assessment that covers all questions for areas that are listed in official regulations. | ||
42% | Pattern | Minimal harm or potential for actual harm | 2003-08-20 |
| Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | ||
33% | Isolated | Minimal harm or potential for actual harm | 2004-01-06 |
| Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | ||
33% | Isolated | Minimal harm or potential for actual harm | 2003-04-15 |
| Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | ||
33% | Isolated | Minimal harm or potential for actual harm | 2003-12-12 |
| Nutrition and Dietary Deficiencies | Make sure that residents are well nourished. | ||
33% | Isolated | Minimal harm or potential for actual harm | 2005-04-14 |
| Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | ||
33% | Isolated | Minimal harm or potential for actual harm | 2003-04-15 |
| Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | ||
33% | Isolated | Minimal harm or potential for actual harm | 2004-11-10 |
| Mistreatment Deficiencies | 1) Hire only people who have 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. | ||
33% | Isolated | Minimal harm or potential for actual harm | 2003-12-12 |
| Quality Care Deficiencies | Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. | ||
33% | Isolated | Minimal harm or potential for actual harm | 2005-04-14 |
| Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | ||
33% | Isolated | Minimal harm or potential for actual harm | 2004-01-06 |
| Resident Rights Deficiencies | Provide enough notice before discharging or transferring a resident. | ||
33% | Isolated | Minimal harm or potential for actual harm | 2004-01-06 |
| Administration Deficiencies | Keep accurate and appropriate medical records. | ||
33% | Isolated | Minimal harm or potential for actual harm | 2004-01-06 |
| Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | ||
33% | Isolated | Minimal harm or potential for actual harm | 2005-04-14 |
| Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | ||
17% | Pattern | Potential for minimal harm | 2003-04-15 |
| Mistreatment Deficiencies | 1) Hire only people who have 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. | ||
17% | Pattern | Potential for minimal harm | 2003-04-15 |
| Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | ||
| Reviews | ||
|---|---|---|
| Date | Score | Review |
There are no reviews at the moment. | ||