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Sunset Hills Care And Rehab, Inc

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? No
Certified Beds 5
Continuing Care? No
Resident Council? No
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: 04/14/2011

Date of last standard health inspection: 04/14/2011
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, 00/09/2012

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure the activities program is directed by a qualified professional. 00/09/2012 02/01/2001 2 Some
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 00/09/2012 02/01/2001 2 Some
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 00/09/2012 02/01/2001 2 Many
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. 00/09/2012 02/01/2001 3 Some
Keep all essential equipment working safely. 00/09/2012 02/01/2001 2 Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 00/09/2012 02/01/2001 2 Many
Have enough backup water supply for essential areas of the nursing home. 00/09/2012 02/01/2001 2 Many
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep each resident free from physical restraints, unless needed for medical treatment. 00/09/2012 02/01/2001 2 Many
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. 00/09/2012 02/01/2001 2 Many
Make sure that special or therapeutic diets are ordered by the attending doctor. 00/09/2012 02/01/2001 2 Many
Store, cook, and serve food in a safe and clean way. 00/09/2012 02/01/2001 2 Few
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure 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. 00/09/2012 02/01/2001 2 Some
Ensure that residents are safe from serious medication errors. 00/09/2012 02/01/2001 2 Some
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 00/09/2012 02/01/2001 2 Some
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 00/09/2012 02/01/2001 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 00/09/2012 02/01/2001 2 Few
Provide medically-related social services to help each resident achieve the highest possible quality of life. 00/09/2012 02/01/2001 2 Few
Provide care by qualified persons according to each resident's written plan of care. 00/09/2012 02/01/2001 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/09/2012 02/01/2001 2 Few
Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. 00/09/2012 02/01/2001 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 00/09/2012 02/01/2001 2 Some
Ensure 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. 00/09/2012 02/01/2001 2 Few
Give each resident enough fluids to keep them healthy and prevent dehydration. 00/09/2012 02/01/2001 3 Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 00/09/2012 02/01/2001 2 Some
Give or get specialized rehabilitative services per the patient's assessment or plan of care. 00/09/2012 02/01/2001 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assure that each resident 00/09/2012 02/01/2001 2 Few
Ensure each resident receives an accurate assessment by a qualified health professional. 00/09/2012 02/01/2001 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents to self-administer drugs if determined safe. 00/09/2012 02/01/2001 2 Few
Provide written records when a resident is transferred or discharged. 00/09/2012 02/01/2001 2 Few

Inspection, 01/04/2005

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. 01/04/2005 01/03/2006 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. 01/04/2005 01/03/2006 2 Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 01/04/2005 01/03/2006 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. 01/04/2005 01/03/2006 2 Some
Store, cook, and serve food in a safe and clean way. 01/04/2005 01/03/2006 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure 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. 01/04/2005 01/03/2006 2 Some
Ensure that residents are safe from serious medication errors. 01/04/2005 01/03/2006 2 Some
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/04/2005 01/03/2006 2 Some
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. 01/04/2005 01/03/2006 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/04/2005 01/03/2006 2 Few
Ensure residents maintain acceptable nutritional status. 01/04/2005 01/03/2006 2 Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 01/04/2005 01/03/2006 2 Few
Provide or obtain dental services for each resident. 01/04/2005 01/03/2006 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Try to resolve each resident's complaints quickly. 01/04/2005 01/03/2006 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/04/2005 01/03/2006 2 Some

Inspection, 01/04/2004

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. 01/04/2004 02/08/2006 2 Few
Give or get x-rays and other tests in a timely manner to meet the needs of residents. 01/04/2004 02/08/2006 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/04/2004 02/08/2006 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. 01/04/2004 02/08/2006 1 Some
Have a program that investigates, controls and keeps infection from spreading. 01/04/2004 02/08/2006 2 Few
Keep all essential equipment working safely. 01/04/2004 02/08/2006 2 Few
Make sure that a working call system is available in each resident's room or bathroom and bathing area. 01/04/2004 02/08/2006 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure 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. 01/04/2004 02/08/2006 2 Few
Ensure that residents are safe from serious medication errors. 01/04/2004 02/08/2006 2 Few
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 01/04/2004 02/08/2006 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/04/2004 02/08/2006 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 01/04/2004 02/08/2006 2 Few
Provide care by qualified persons according to each resident's written plan of care. 01/04/2004 02/08/2006 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/04/2004 02/08/2006 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/04/2004 02/08/2006 3 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. 01/04/2004 02/08/2006 2 Few
Ensure residents maintain acceptable nutritional status. 01/04/2004 02/08/2006 2 Few
Develop policies and procedures for influenza and pneumococcal immunizations. 01/04/2004 02/08/2006 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide doctor's orders for the resident's immediate care at the time the resident was admitted. 01/04/2004 02/08/2006 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 01/04/2004 02/08/2006 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep residents' personal and medical records private and confidential. 01/04/2004 02/08/2006 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/04/2004 02/08/2006 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 4 out of 5 stars
Total Number of Residents 86 79 128
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 50 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 14 hours 24 minutes 15 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 15 hours 56 minutes 1 hour 57 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: 04/06/2011

Automatic Sprinkler Systems in all required areas 63
Date of last standard fire safety inspection: 04/06/2011
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, 01/05/2012

Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 01/05/2012 00/08/2001 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 01/05/2012 00/08/2001 2 Many
Properly installed electrical wiring and equipment. 01/05/2012 00/08/2001 2 Some
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. 01/05/2012 00/08/2001 2 Many
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. 01/05/2012 00/08/2001 2 Some
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 01/05/2012 00/08/2001 2 Few
Smoke barrier doors that can resist smoke for at least 20 minutes. 01/05/2012 00/08/2001 2 Some

Inspection, 01/07/2005

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 01/07/2005 00/08/2006 2 Some
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 01/07/2005 00/08/2006 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 01/07/2005 00/08/2006 2 Many
Properly installed electrical wiring and equipment. 01/07/2005 00/08/2006 2 Some
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. 01/07/2005 00/08/2006 2 Some
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 01/07/2005 00/08/2006 2 Few

Inspection, 00/06/2004

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 00/06/2004 01/00/2005 2 Some
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 00/06/2004 01/00/2005 2 Some
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. 00/06/2004 01/00/2005 2 Some
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. 00/06/2004 01/00/2005 2 Some
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 00/06/2004 01/00/2005 2 Few
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. 00/06/2004 01/00/2005 2 Some
 

1933 Peppertree Drive
Safford, AZ 85546

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