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Pueblo Springs Rehabilitation Center

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 143
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: 05/26/2011

Date of last standard health inspection: 05/26/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 2
Average number of Health Deficiencies in AZ: 4
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in AZ: 0 - 12
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. 02/09/2012 02/01/2001 2 Some
Give or get specialized rehabilitative services per the patient's assessment or plan of care. 02/09/2012 02/01/2001 2 Few

Inspection, 02/02/2011

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. 02/02/2011 02/00/2012 2 Few

Inspection, 03/00/2010

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
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 03/00/2010 01/03/2011 2 Many

Inspection, 02/08/2006

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. 02/08/2006 02/09/2006 2 Some
Train all employees on what to do in an emergency, and carry out unannounced staff drills. 02/08/2006 02/09/2006 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. 02/08/2006 02/09/2006 2 Some
Dispose of garbage and refuse properly. 02/08/2006 02/09/2006 1 Some
Dispose of garbage and refuse properly. 02/08/2006 02/09/2006 1 Some
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%. 02/08/2006 02/09/2006 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. 02/08/2006 02/09/2006 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents the right to participate in the planning or revision of care and treatment. 02/08/2006 02/09/2006 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give notice to the resident before a room or roommate change. 02/08/2006 02/09/2006 2 Few

Inspection, 02/09/2005

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. 02/09/2005 03/01/2005 2 Few

Inspection, 02/06/2005

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 02/06/2005 01/05/2006 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents to easily view the results of the nursing home's most recent inspection. 02/06/2005 01/05/2006 1 Many
Allow residents to easily view the results of the nursing home's most recent inspection. 02/06/2005 01/05/2006 1 Many

Inspection, 02/07/2001

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. 02/07/2001 02/04/2002 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 02/07/2001 02/04/2002 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 01/03/2001

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Employ staff that are licensed, certified, or registered in accordance with state laws. 01/03/2001 01/07/2002 2 Few
Keep complete, dated laboratory records in the resident's file. 01/03/2001 01/07/2002 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/03/2001 01/07/2002 2 Few
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. 01/03/2001 01/07/2002 2 Few
Have a program that investigates, controls and keeps infection from spreading. 01/03/2001 01/07/2002 2 Few
Keep all essential equipment working safely. 01/03/2001 01/07/2002 2 Some
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep each resident free from physical restraints, unless needed for medical treatment. 01/03/2001 01/07/2002 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/03/2001 01/07/2002 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 01/03/2001 01/07/2002 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/03/2001 01/07/2002 2 Some
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 01/03/2001 01/07/2002 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. 01/03/2001 01/07/2002 1 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/03/2001 01/07/2002 2 Some

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 4 out of 5 stars
Total Number of Residents 86 79 93
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 15 hours 10 minutes 1 hour 33 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 14 hours 17 minutes 48 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 14 hours 24 minutes 45 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 15 hours 56 minutes 2 hours 24 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: 06/01/2011

Automatic Sprinkler Systems in all required areas Partial
Date of last standard fire safety inspection: 06/01/2011
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, 00/03/2007

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 00/03/2007 02/07/2007 2 Some
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 00/03/2007 02/07/2007 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 00/03/2007 02/07/2007 1 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 00/03/2007 02/07/2007 2 Few

Inspection, 00/01/2006

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 00/01/2006 01/05/2006 2 Some
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 00/01/2006 01/05/2006 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. 00/01/2006 01/05/2006 2 Few

Inspection, 02/00/2001

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 02/00/2001 02/07/2001 2 Some
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 02/00/2001 02/07/2001 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. 02/00/2001 02/07/2001 2 Few
 

5545 East Lee Street
Tucson, AZ 85712

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