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Capri At The Pointe Rehab
1501 E ORANGEWOOD AVENUE
Phoenix, AZ 85020
(602) 944-1574
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 133 |
| Number of Residents: | 103 |
| Percent of Occupied Beds: | 77% |
| Sprinkler Status: | Partially Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | For profit - Corporation |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | No |
| 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 |
| 20080415 | 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 | 20080526 |
| 20080415 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm | 20080526 |
| 20081114 | 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 | 20081218 |
| 20081114 | Health | Mistreatment Deficiencies | Keep each resident free from physical restraints, unless needed for medical treatment. | Isolated | Minimal harm or potential for actual harm | 20081218 |
| 20090210 | 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 | Minimal harm or potential for actual harm | 20090217 |
| 20090902 | 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 | Minimal harm or potential for actual harm | 20091216 |
| 20090902 | Health | Resident Rights Deficiencies | Keep each resident's personal and medical records private and confidential. | Pattern | Minimal harm or potential for actual harm | 20091216 |
| 20090902 | Health | Resident Rights Deficiencies | Allow residents to easily see the results of the nursing home's most recent survey. | Pattern | Potential for minimal harm | 20091216 |
| 20090902 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm | 20091216 |
| 20090902 | Health | Resident Rights Deficiencies | Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help. | Isolated | Minimal harm or potential for actual harm | 20091216 |
| 20090902 | Health | Quality Care Deficiencies | Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | Isolated | Minimal harm or potential for actual harm | 20091216 |
| 20090902 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | 20091116 |
| 20090902 | Health | Resident Assessment Deficiencies | Keep assessments completed in the preceding 15 months in the resident's active record. | Pattern | Potential for minimal harm | 20091116 |
| 20090902 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Pattern | Minimal harm or potential for actual harm | 20091216 |
| 20090902 | Health | Mistreatment Deficiencies | Keep each resident free from physical restraints, unless needed for medical treatment. | Widespread | Minimal harm or potential for actual harm | 20091116 |
| 20090902 | Health | Mistreatment Deficiencies | Protect each resident from all abuse, physical punishment, and being separated from others. | Isolated | Minimal harm or potential for actual harm | 20091216 |
| 20090902 | 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 | 20091216 |
| 20090902 | Health | Resident Rights Deficiencies | Provide care in a way that keeps or builds each resident's dignity and self respect. | Pattern | Minimal harm or potential for actual harm | 20091216 |
| 20090902 | Health | Resident Rights Deficiencies | Make sure each resident has the right to choose activities, schedules and health care according to his or her interests, assessment, and plan of care. | Pattern | Minimal harm or potential for actual harm | 20091216 |
| 20090902 | Health | Resident Rights Deficiencies | Provide services to meet the needs and preferences of each resident. | Pattern | Minimal harm or potential for actual harm | 20091216 |
| 20090902 | Health | Quality Care Deficiencies | Provide activities to meet the needs of each resident. | Pattern | Minimal harm or potential for actual harm | 20091216 |
| 20090902 | Health | Quality Care Deficiencies | Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | Pattern | Minimal harm or potential for actual harm | 20091216 |
| 20090902 | Health | Environmental Deficiencies | Keep safe, clean and homelike surroundings. | Pattern | Minimal harm or potential for actual harm | 20091216 |
| 20090902 | Health | Environmental Deficiencies | Provide needed housekeeping and maintenance. | Pattern | Minimal harm or potential for actual harm | 20091216 |
| 20090902 | Health | Environmental Deficiencies | Keep sound levels comfortable. | Pattern | Minimal harm or potential for actual harm | 20091116 |
| 20090902 | Health | Resident Assessment Deficiencies | Check and update (if needed) each resident's assessment every 3 months. | Isolated | Minimal harm or potential for actual harm | 20091116 |
| 20090902 | 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. | Pattern | Minimal harm or potential for actual harm | 20091116 |
| 20090902 | Health | Administration Deficiencies | Set up or keep a group of people to review and ensure quality. | Widespread | Minimal harm or potential for actual harm | 20091216 |
| 20090902 | Health | Administration Deficiencies | Give lab tests only when the attending doctor ordered them. | Isolated | Minimal harm or potential for actual harm | 20091116 |
| 20090902 | Health | Administration Deficiencies | Keep complete, dated lab records in the resident's file. | Isolated | Minimal harm or potential for actual harm | 20091116 |
| 20090902 | Health | Administration Deficiencies | Keep signed and dated reports of x-rays and other tests. | Isolated | Minimal harm or potential for actual harm | 20091116 |
| 20090902 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Pattern | Potential for minimal harm | 20091216 |
| 20090902 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Pattern | Minimal harm or potential for actual harm | 20091216 |
| 20090902 | Health | Quality Care Deficiencies | Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Isolated | Minimal harm or potential for actual harm | 20091216 |
| 20090902 | Health | Nutrition and Dietary Deficiencies | Provide food in a way that meets a resident's needs. | Isolated | Minimal harm or potential for actual harm | 20091116 |
| 20090902 | Health | Pharmacy Service Deficiencies | Properly mark drugs and other similar products. | Pattern | Minimal harm or potential for actual harm | 20091216 |
| 20090902 | Health | Environmental Deficiencies | Have a program to keep infection from spreading. | Widespread | Minimal harm or potential for actual harm | 20091216 |
| 20090902 | Health | Environmental Deficiencies | Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Isolated | Minimal harm or potential for actual harm | 20091116 |
| 20090902 | Health | Environmental Deficiencies | Provide at least one room to use as a dining room and for activities, that is a good size, with good lighting, airflow and furniture. | Isolated | Minimal harm or potential for actual harm | 20091216 |
| 20090902 | Health | Environmental Deficiencies | Put firmly secured handrails on each side of hallways. | Isolated | Minimal harm or potential for actual harm | 20091116 |
| 20100607 | Health | Administration Deficiencies | Give or get lab tests to meet the needs of residents. | Isolated | Minimal harm or potential for actual harm | 20100621 |
| 20100607 | Health | Administration Deficiencies | Keep complete, dated lab records in the resident's file. | Isolated | Minimal harm or potential for actual harm | 20100621 |
| 20100607 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Pattern | Minimal harm or potential for actual harm | 20100621 |
| 20100607 | Health | Quality Care Deficiencies | Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Pattern | Minimal harm or potential for actual harm | 20100621 |
| 20100607 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm | 20100621 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 100 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 99 | |
| 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: | 10 | |
| Percent of high-risk long-stay residents who have pressure sores: | 18 | |
| Percent of low-risk long-stay residents who have pressure sores: | 8 | |
| Percent of long-stay residents who were physically restrained: | 4 | |
| Percent of long-stay residents who are more depressed or anxious: | 3 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 77 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 7 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 16 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 3 | |
| Percent of long-stay residents who had a urinary tract infection: | 10 | |
| Percent of long-stay residents who lose too much weight: | 16 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 100 | |
| 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: | 28 | |
| Percent of short-stay residents who have pressure sores: | 13 | |
| # of Residents: | 103 |
| # RN Hours per Resident: | 0.83 |
| # LPN Hours per Resident: | 1.1 |
| # CNA Hours per Resident: | 2.28 |
| Total Staff Hours per Resident: | 1.93 |
