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La Estancia Nursing And Rehabilitation Center

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About La Estancia Nursing And Rehabilitation Center

General Information

Legal Business NamePinnacle Health Facilities Xxv Lp
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMay 29, 2008 (9 years)
Capacity192
Residents85
Percent Occupied44%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for La Estancia Nursing And Rehabilitation Center

La Estancia Nursing And Rehabilitation Center
was reviewed by Medicare to have a rating of 3 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Arizona Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

May 7, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 17 days
GFewActual HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionProvide doctor's orders for the resident's immediate care at the time the resident was admitted.
DFewPotential for HarmComplaint+InspectionEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmComplaint+InspectionHelp and prepare each resident for a safe and easy discharge or transfer from the nursing home.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.

May 6, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
ESomePotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
ESomePotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
DFewPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
DFewPotential for HarmFire Safety InspectionPosted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
DFewPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
DFewPotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
DFewPotential for HarmFire Safety InspectionCorridors or aisles that are unobstructed and are at least 8 feet in width.

March 10, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaint+InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
ESomePotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
ESomePotential for HarmHealth InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
DFewPotential for HarmHealth InspectionGive notice to the resident before a room or roommate change.

March 4, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
ESomePotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of La Estancia Nursing And Rehabilitation Center require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

1hr 60min
2hr 35min
ReportedExpected
CNA
1hr 15min
45min
ReportedExpected
LPN
35min
1hr 20min
ReportedExpected
RN
3hr 50min
4hr 45min
ReportedExpected
Total Nursing

This facility also provides approximately 40min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

88.9%
85.1%
85.1%
95.2%
Q1 2015Q2 2015Q3 2015AZ
Assessed and Appropriately Given the Seasonal Influenza Vaccine
95.6%
95.8%
98.4%
95.5%
Q1 2015Q2 2015Q3 2015AZ
Assessed and Appropriately Given the Pneumococcal Vaccine
53.3%
-
57.5%
54.2%
Q1 2015Q2 2015Q3 2015AZ
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
6.8%
8.5%
13.1%
17.5%
Q1 2015Q2 2015Q3 2015AZ
Received an Antipsychotic Medication
4.9%
4.9%
5.6%
14.6%
Q1 2015Q2 2015Q3 2015AZ
Need for Help with ADLs has Increased
3.1%
3.9%
9.5%
10.2%
Q1 2015Q2 2015Q3 2015AZ
Self Report Moderate to Severe Pain
6.7%
4.2%
6.7%
6.7%
Q1 2015Q2 2015Q3 2015AZ
Lose Too Much Weight
0.0%
6.4%
1.7%
5.9%
Q1 2015Q2 2015Q3 2015AZ
High Risk Residents With Pressure Ulcers
0.0%
6.4%
8.6%
3.1%
Q1 2015Q2 2015Q3 2015AZ
Have Depressive Symptoms
4.4%
0.0%
0.0%
4.8%
Q1 2015Q2 2015Q3 2015AZ
With a Urinary Tract Infection
2.2%
2.1%
1.6%
3.0%
Q1 2015Q2 2015Q3 2015AZ
Experiencing One or More Falls with Major Injury
0.0%
2.3%
1.4%
3.5%
Q1 2015Q2 2015Q3 2015AZ
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.3%
Q1 2015Q2 2015Q3 2015AZ
Were Physically Restrained

Quality Measures for Short Stay Residents

88.2%
94.9%
95.2%
88.6%
Q1 2015Q2 2015Q3 2015AZ
Assessed and Appropriately Given the Pneumococcal Vaccine
80.3%
79.8%
79.8%
87.4%
Q1 2015Q2 2015Q3 2015AZ
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
32.3%
29.4%
24.5%
19.8%
Q1 2015Q2 2015Q3 2015AZ
Self Report Moderate to Severe Pain
1.5%
2.1%
1.0%
1.9%
Q1 2015Q2 2015Q3 2015AZ
Newly Received an Antipsychotic Medication
0.0%
0.0%
0.3%
0.6%
Q1 2015Q2 2015Q3 2015AZ
With Pressure Ulcers That Are New or Worsened