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Chinle Nursing Home

Details

Type of Ownership Non profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 79
Continuing Care? No
Resident Council? Yes
Family Council? No
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 09/30/2011

Date of last standard health inspection: 09/30/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in AZ: 4
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in AZ: 0 - 12

Inspection, 03/00/2009

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident. 03/00/2009 00/09/2011 2 Some
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility 03/00/2009 00/09/2011 2 Some
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. 03/00/2009 00/07/2011 2 Few
Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. 03/00/2009 00/07/2011 2 Few
Keep complete, dated laboratory records in the resident's file. 03/00/2009 00/00/0000 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 03/00/2009 00/09/2011 2 Many
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 03/00/2009 00/09/2011 2 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 03/00/2009 02/09/2002 3 Few
Have a program that investigates, controls and keeps infection from spreading. 03/00/2009 02/09/2002 2 Many
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop 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. 03/00/2009 00/00/0000 2 Few
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 03/00/2009 00/00/0000 2 Some
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 03/00/2009 00/09/2011 4 Some
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 03/00/2009 00/09/2011 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 03/00/2009 01/04/2003 2 Some
Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable. 03/00/2009 00/09/2011 3 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 03/00/2009 00/00/0000 2 Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 03/00/2009 00/09/2011 2 Few
Ensure 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. 03/00/2009 00/00/0000 2 Some
Give or get specialized rehabilitative services per the patient's assessment or plan of care. 03/00/2009 02/07/2001 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure each resident receives an accurate assessment by a qualified health professional. 03/00/2009 00/00/0000 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 03/00/2009 00/00/0000 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide proof that residents' personal money that is deposited with the nursing home is secure. 03/00/2009 00/00/0000 2 Some
Keep residents' personal and medical records private and confidential. 03/00/2009 00/09/2011 2 Some

Inspection, 01/07/2009

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/07/2009 01/00/2012 1 Many
Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. 01/07/2009 01/00/2012 2 Some
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility 01/07/2009 00/08/2012 2 Many
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. 01/07/2009 00/08/2012 2 Few
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. 01/07/2009 00/08/2012 2 Many
Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. 01/07/2009 00/08/2012 2 Many
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. 01/07/2009 00/08/2012 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/07/2009 00/08/2012 2 Few
Train all employees on what to do in an emergency, and carry out unannounced staff drills. 01/07/2009 00/08/2012 2 Few
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 01/07/2009 00/08/2012 2 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 01/07/2009 01/00/2012 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/07/2009 01/00/2012 2 Some
Dispose of garbage and refuse properly. 01/07/2009 01/00/2012 1 Some
Have a program that investigates, controls and keeps infection from spreading. 01/07/2009 01/00/2012 2 Few
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 01/07/2009 01/00/2012 2 Some
Have enough backup water supply for essential areas of the nursing home. 01/07/2009 01/00/2012 2 Many
Provide housekeeping and maintenance services. 01/07/2009 00/08/2012 1 Some
Maintain comfortable and safe temperature levels. 01/07/2009 00/08/2012 1 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/07/2009 00/08/2012 2 Some
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. 01/07/2009 00/08/2012 2 Some
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) 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. 01/07/2009 01/00/2012 2 Few
Develop 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. 01/07/2009 01/00/2012 2 Few
Develop 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. 01/07/2009 00/08/2012 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 01/07/2009 03/00/2010 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 01/07/2009 01/00/2012 1 Some
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 01/07/2009 01/00/2012 1 Some
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/07/2009 01/00/2012 2 Some
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 01/07/2009 00/08/2012 2 Many
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 01/07/2009 00/08/2012 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/07/2009 00/08/2012 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care by qualified persons according to each resident's written plan of care. 01/07/2009 01/00/2012 3 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/07/2009 01/00/2012 3 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/07/2009 01/00/2012 2 Some
Allow residents the right to participate in the planning or revision of care and treatment. 01/07/2009 01/00/2012 1 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents a notice of rights, rules, services and charges. 01/07/2009 01/00/2012 1 Many
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 01/07/2009 01/00/2012 2 Few
Provide proof that residents' personal money that is deposited with the nursing home is secure. 01/07/2009 01/00/2012 1 Some
Provide written records when a resident is transferred or discharged. 01/07/2009 01/00/2012 2 Few
Tell the resident or the resident 01/07/2009 01/00/2012 2 Few

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in AZ Golden Living Center, Asheville
RN Staff Only1 N/A N/A 2 out of 5 stars
Total Number of Residents 86 79 60
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 15 hours 10 minutes 1 hour 6 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 14 hours 17 minutes 18 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 14 hours 24 minutes 48 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 15 hours 56 minutes 3 hours 36 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 09/27/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 09/27/2011
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in AZ: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in AZ: 0 - 0

Inspection, 02/08/2009

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved automatic sprinkler system connected to the fire alarm system. 02/08/2009 03/01/2012 2 Few
Properly working alarms on sprinkler valves. 02/08/2009 03/01/2012 2 Many
Automatic sprinkler systems that have been maintained in working order. 02/08/2009 03/01/2012 2 Many
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 02/08/2009 03/01/2012 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/08/2009 03/01/2012 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 02/08/2009 03/01/2012 2 Few
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Record of quarterly fire drills for each shift under varying conditions. 02/08/2009 03/01/2012 2 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Rooms that can be unlocked from inside without a key. 02/08/2009 03/01/2012 2 Few
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly maintained smoke detectors. 02/08/2009 03/01/2012 2 Many
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 02/08/2009 03/01/2012 2 Many

Inspection, 02/07/2009

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved automatic sprinkler system connected to the fire alarm system. 02/07/2009 01/04/2003 2 Some
Automatic sprinkler systems that have been maintained in working order. 02/07/2009 01/04/2003 2 Few
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. 02/07/2009 01/04/2003 2 Many
An externally vented heating system. 02/07/2009 01/04/2003 2 Few
Properly protected cooking facilities. 02/07/2009 01/04/2003 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/07/2009 01/04/2003 2 Few
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 02/07/2009 01/04/2003 2 Some
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved installation, maintenance and testing program for fire alarm systems. 02/07/2009 01/04/2003 2 Few
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 02/07/2009 01/04/2003 2 Many
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Emergency lighting that can last at least 1 1/2 hours. 02/07/2009 01/04/2003 2 Few
Interior Finish Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Fire resistant interior walls. 02/07/2009 01/04/2003 2 Few

Inspection, 02/04/2009

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 02/04/2009 02/00/2010 2 Many
Portable fire extinguishers. 02/04/2009 01/09/2011 2 Many
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 02/04/2009 01/09/2011 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/04/2009 01/09/2010 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 02/04/2009 02/00/2010 2 Few
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Record of quarterly fire drills for each shift under varying conditions. 02/04/2009 01/09/2011 2 Few
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 02/04/2009 01/09/2010 2 Some
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly maintained smoke detectors. 02/04/2009 00/09/2012 2 Many
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Smoke barrier doors that can resist smoke for at least 20 minutes. 02/04/2009 01/09/2011 2 Many
 

Po Box 910
Chinle, AZ 86503

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