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Mission Palms Of Mesa Health And Rehabilitation Ce
6458 EAST BROADWAY ROAD
Mesa, AZ 85206
(480) 832-5160
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 100 |
| Number of Residents: | 61 |
| Percent of Occupied Beds: | 61% |
| Sprinkler Status: | Fully Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | For profit - Partnership |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | Yes |
| Resident and Family Councils? | Resident |
| Continuing Care Retirement Community? | No |
| Quality Indicator Survey? | No |
| Special Focus Facility? | No |
| Overall: |  |
| Health Inspection: | |
| Nurse Staffing: |  |
| Quality Measures: |  |
| RN Only: | |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20080116 | Health | Resident Assessment Deficiencies | 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. | Isolated | Minimal harm or potential for actual harm | 20080320 |
| 20080116 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Isolated | Actual harm | 20080320 |
| 20080116 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | 20080320 |
| 20080116 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Actual harm | 20080320 |
| 20080116 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Pattern | Actual harm | 20080320 |
| 20080116 | Health | Quality Care Deficiencies | Use a registered nurse at least 8 hours a day, 7 days a week. | Pattern | Minimal harm or potential for actual harm | 20080320 |
| 20080116 | Health | Administration Deficiencies | Be administered in a way that leads to the highest possible level of well being for each resident. | Pattern | Minimal harm or potential for actual harm | 20080320 |
| 20080116 | Health | Administration Deficiencies | 1) Set up a group that is legally responsible for writing and setting up policies for leading and running the nursing home; or 2) hire a properly licensed administrator. | Isolated | Minimal harm or potential for actual harm | 20080320 |
| 20080116 | Health | Administration Deficiencies | Set up or keep a group of people to review and ensure quality. | Widespread | Minimal harm or potential for actual harm | 20080320 |
| 20080116 | Health | 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. | Isolated | Actual harm | 20080320 |
| 20080116 | Health | Mistreatment Deficiencies | Keep each resident free from physical restraints, unless needed for medical treatment. | Isolated | Minimal harm or potential for actual harm | 20080320 |
| 20080116 | Health | 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. | Isolated | Minimal harm or potential for actual harm | 20080320 |
| 20080116 | Health | Resident Rights Deficiencies | Provide care in a way that keeps or builds each resident's dignity and self respect. | Isolated | Minimal harm or potential for actual harm | 20080320 |
| 20080808 | Health | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Isolated | Minimal harm or potential for actual harm | 20080916 |
| 20090326 | Health | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Isolated | Minimal harm or potential for actual harm | 20090420 |
| 20090326 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Minimal harm or potential for actual harm | 20090420 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 99 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 100 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 4 | |
| Percent of long-stay residents who have moderate to severe pain: | 1 | |
| Percent of high-risk long-stay residents who have pressure sores: | 12 | |
| Percent of low-risk long-stay residents who have pressure sores: | Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure. | |
| Percent of long-stay residents who were physically restrained: | 0 | |
| Percent of long-stay residents who are more depressed or anxious: | 13 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 58 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 6 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 1 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 2 | |
| Percent of long-stay residents who had a urinary tract infection: | 10 | |
| Percent of long-stay residents who lose too much weight: | 11 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 99 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 100 | |
| Percent of short-stay residents who have delirium: | 2 | |
| Percent of short-stay residents who had moderate to severe pain: | 30 | |
| Percent of short-stay residents who have pressure sores: | 14 | |
| # of Residents: | 61 |
| # RN Hours per Resident: | 0.63 |
| # LPN Hours per Resident: | 1.1 |
| # CNA Hours per Resident: | 2.08 |
| Total Staff Hours per Resident: | 1.73 |
