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Kindred Nursing And Rehabilitation-Hacienda

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About Kindred Nursing And Rehabilitation-Hacienda

General Information

Legal Business NameKindred Nursing Centers West LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJune 22, 1983 (33 years)
Capacity100
Residents64
Percent Occupied64%
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 Kindred Nursing And Rehabilitation-Hacienda

Kindred Nursing And Rehabilitation-Hacienda
was reviewed by Medicare to have a rating of 1 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

July 27, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmComplaint+InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmComplaint+InspectionDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
DFewPotential for HarmComplaint+Inspection1) Hire only people with 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.
DFewPotential for HarmComplaint+InspectionProtect each resident from all abuse, physical punishment, and involuntary separation from others.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmComplaint+InspectionProtect each resident from mistreatment, neglect and misappropriation of personal property.

July 21, 2015 - 17 months ago

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

March 19, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$30,550 fine
HSomeActual HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
ESomePotential for HarmComplaintSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
ESomePotential for HarmComplaintEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
ESomePotential for HarmComplaintEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
DFewPotential for HarmComplaint1) Hire only people with 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.
DFewPotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaintProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

May 1, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
GFewActual HarmHealth 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 InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmHealth InspectionProvide doctor's orders for the resident's immediate care at the time the resident was admitted.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Kindred Nursing And Rehabilitation-Hacienda 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.

2hr 20min
2hr 15min
ReportedExpected
CNA
30min
40min
ReportedExpected
LPN
55min
1hr 25min
ReportedExpected
RN
3hr 45min
4hr 20min
ReportedExpected
Total Nursing

This facility also provides approximately 1hr 10min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

79.2%
75.0%
75.0%
95.2%
Q1 2015Q2 2015Q3 2015AZ
Assessed and Appropriately Given the Seasonal Influenza Vaccine
82.4%
75.6%
67.4%
95.5%
Q1 2015Q2 2015Q3 2015AZ
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
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
21.6%
8.9%
18.6%
17.5%
Q1 2015Q2 2015Q3 2015AZ
Received an Antipsychotic Medication
17.8%
24.4%
29.7%
14.6%
Q1 2015Q2 2015Q3 2015AZ
Need for Help with ADLs has Increased
-
-
-
10.2%
Q1 2015Q2 2015Q3 2015AZ
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
8.0%
7.0%
4.7%
6.7%
Q1 2015Q2 2015Q3 2015AZ
Lose Too Much Weight
11.4%
9.4%
-
5.9%
Q1 2015Q2 2015Q3 2015AZ
* The data for this facility for some quarters is unavailable.
High Risk Residents With Pressure Ulcers
0.0%
2.6%
2.5%
3.1%
Q1 2015Q2 2015Q3 2015AZ
Have Depressive Symptoms
6.0%
7.0%
2.3%
4.8%
Q1 2015Q2 2015Q3 2015AZ
With a Urinary Tract Infection
5.9%
4.4%
4.7%
3.0%
Q1 2015Q2 2015Q3 2015AZ
Experiencing One or More Falls with Major Injury
1.4%
6.2%
5.4%
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

60.9%
55.0%
16.4%
88.6%
Q1 2015Q2 2015Q3 2015AZ
Assessed and Appropriately Given the Pneumococcal Vaccine
82.2%
74.5%
74.5%
87.4%
Q1 2015Q2 2015Q3 2015AZ
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
-
15.2%
11.1%
19.8%
Q1 2015Q2 2015Q3 2015AZ
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
0.9%
2.7%
5.0%
1.9%
Q1 2015Q2 2015Q3 2015AZ
Newly Received an Antipsychotic Medication
1.3%
1.0%
0.7%
0.6%
Q1 2015Q2 2015Q3 2015AZ
With Pressure Ulcers That Are New or Worsened