Abuse.com - EVERGREEN FOOTHILLS HEALTH AND REHABILITATION CENT

Abuse.com Nursing Home Profile

Detailed information for EVERGREEN FOOTHILLS HEALTH AND REHABILITATION CENT

Nursing Home Results

Contact Information:

	Long Term Care Ombudsman	Not Available
	State Survey Agency	Not Available
	State Quality Improvement Organization	Not Available

EVERGREEN FOOTHILLS HEALTH AND REHABILITATION CENT	As of 08/11/2003
15810 SOUTH 42ND ST. PHOENIX, AZ 85048 (480) 759-0358	Not located within a Hospital Both Resident and Family Councils 192 Certified Beds
Initial Date of Certification: 08/11/1998 Type of Ownership: For profit - Corporation A Multi-Nursing home (chain) Ownership Date of Last Change of Ownership: 10/01/2002	Medicare Certified Medicaid Certified

Medicare.gov is pleased to provide information about Quality Measures, Inspection Results and Nursing Home Staffing for the nursing home you have selected.

Quality Measures information comes from resident assessment data that nursing homes routinely collect on all residents at specific intervals during their stay. The information collected pertains to the resident’s physical, clinical conditions and abilities.

Inspection Results information refers to the regulatory requirement that the nursing home failed to meet but does not reflect the entire inspection report.

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

Quality Measures

Quality Measures	Percentage for EVERGREEN FOOTHILLS HEALTH AND REHABILITATION CENT	National Average
Percent of Residents Whose Need for Help With Daily Activities Has Increased	25%	16%
Percent of Residents Who Have Moderate to Severe Pain	2%	6%
Percent of High-Risk Residents Who Have Pressure Sores	8%	14%
Percent of Low-Risk Residents Who Have Pressure Sores	NOT AVAILABLE	3%
Percent of Residents Who Were Physically Restrained	5%	8%
Percent of Residents Who are More Depressed or Anxious	9%	15%
Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder	53%	47%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	6%	6%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair	6%	4%
Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse	27%	13%
Percent of Residents With a Urinary Tract Infection	3%	8%
Percent of Short-Stay Residents With Delirium	2%	3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain	34%	22%
Percent of Short-Stay Residents With Pressure Sores	26%	21%

Inspection Results

EVERGREEN FOOTHILLS HEALTH AND REHABILITATION CENT 15810 SOUTH 42ND ST. PHOENIX, AZ 85048 (480) 759-0358
Date of this inspection: 08/11/2003 Complaint Investigations During: 04/01/2003 - 06/30/2004 Total number of health deficiencies for this nursing home: 41 Average number of Health Deficiencies in : 5 Average number of Health Deficiencies in the United States: 7 Range of Health Deficiencies in : 1 - 12 View Previous Inspection Results
Mistreatment Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
1. 1) Hire only people who have 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. (05/21/2003)	07/10/2003	2 = Minimal harm or potential for actual harm	Few
2. Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. (08/11/2003)	09/30/2003	2 = Minimal harm or potential for actual harm	Few
Quality Care Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
3. Give each resident a special diet to help when there is a nutritional problem. (08/11/2003)	09/30/2003	2 = Minimal harm or potential for actual harm	Few
4. Give each resident care and services to get or keep the highest quality of life possible. (08/11/2003)	09/30/2003	2 = Minimal harm or potential for actual harm	Few
5. Give professional services that meet a professional standard of quality. (08/11/2003)		2 = Minimal harm or potential for actual harm	Few
6. Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. (08/11/2003)	09/30/2003	2 = Minimal harm or potential for actual harm	Some
7. Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. (08/11/2003)	09/30/2003	2 = Minimal harm or potential for actual harm	Some
8. Make sure that residents with loss of bladder control receive treatment or service to prevent infections and help get normal bladder control. (08/11/2003)	09/30/2003	2 = Minimal harm or potential for actual harm	Few
9. Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. (08/11/2003)	09/30/2003	3 = Actual harm	Few
10. Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. (08/11/2003)	09/30/2003	2 = Minimal harm or potential for actual harm	Few
11. Provide social services for related medical problems to help each resident achieve the highest possible quality of life. (08/11/2003)	09/30/2003	2 = Minimal harm or potential for actual harm	Few
Resident Assessment Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
12. Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. (08/11/2003)	09/30/2003	2 = Minimal harm or potential for actual harm	Some
13. Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. (08/11/2003)	09/30/2003	1 = Potential for minimal harm	Some
14. Screen residents when they are first admitted to send them to an area with special care for people with developmental disabilities or mental illness, if needed. (08/11/2003)	09/30/2003	2 = Minimal harm or potential for actual harm	Few
Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
15. Allow residents to easily see the results of the nursing home's most recent survey. (08/11/2003)	09/30/2003	1 = Potential for minimal harm	Many
16. Have a private telephone available for use. (08/11/2003)	09/30/2003	1 = Potential for minimal harm	Many
17. Honor all of the resident's rights as a resident of the nursing home and as a citizen or resident of the United States. (08/11/2003)	09/30/2003	1 = Potential for minimal harm	Some
18. Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. (08/11/2003)	09/30/2003	2 = Minimal harm or potential for actual harm	Few
19. Keep each resident's personal and medical records private and confidential. (08/11/2003)	09/30/2003	2 = Minimal harm or potential for actual harm	Few
20. Properly hold, secure and manage each resident's personal money which is deposited with the nursing home. (08/11/2003)	09/30/2003	2 = Minimal harm or potential for actual harm	Many
21. Provide care in a way that keeps or builds each resident's dignity and self respect. (08/11/2003)	09/30/2003	2 = Minimal harm or potential for actual harm	Few
22. Provide proof that all residents' personal money which is deposited with the nursing home, is secure. (08/11/2003)	09/30/2003	2 = Minimal harm or potential for actual harm	Many
23. Try to resolve each resident's complaints quickly. (08/11/2003)	09/30/2003	2 = Minimal harm or potential for actual harm	Some
Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
24. 1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day. (06/10/2003)	07/10/2003	1 = Potential for minimal harm	Some
25. Make sure that residents are well nourished. (08/11/2003)	09/30/2003	2 = Minimal harm or potential for actual harm	Some
26. Provide food in a way that meets a resident's needs. (08/11/2003)	09/30/2003	2 = Minimal harm or potential for actual harm	Some
27. Store, cook, and give out food in a safe and clean way. (08/11/2003)	09/30/2003	2 = Minimal harm or potential for actual harm	Some
Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
28. Provide drugs and related services needed by each resident. (06/24/2003)	07/16/2003	2 = Minimal harm or potential for actual harm	Few
29. Provide drugs and related services needed by each resident. (08/11/2003)		2 = Minimal harm or potential for actual harm	Some
30. Provide drugs and related services needed by each resident. (09/30/2003)	11/14/2003	2 = Minimal harm or potential for actual harm	Some
Environmental Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
31. Provide needed housekeeping and maintenance. (06/10/2003)	07/10/2003	1 = Potential for minimal harm	Many
32. Get rid of garbage properly. (06/24/2003)	07/16/2003	2 = Minimal harm or potential for actual harm	Some
33. Have a program to keep infection from spreading. (08/11/2003)	09/30/2003	2 = Minimal harm or potential for actual harm	Some
34. Provide needed housekeeping and maintenance. (08/11/2003)	09/30/2003	1 = Potential for minimal harm	Many
Administration Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
35. Give or get lab tests by a certified laboratory. (08/11/2003)	09/30/2003	2 = Minimal harm or potential for actual harm	Some
36. Give or get lab tests to meet the needs of residents. (08/11/2003)		3 = Actual harm	Few
37. Hire a qualified social worker; or in homes with more than 120 beds, hire a qualified full-time social worker. (08/11/2003)	09/30/2003	2 = Minimal harm or potential for actual harm	Some
38. Hold committee meetings every 3 months to review and ensure quality in the nursing home. (08/11/2003)		2 = Minimal harm or potential for actual harm	Few
39. Keep accurate and appropriate medical records. (08/11/2003)	09/30/2003	1 = Potential for minimal harm	Some
40. Keep complete, dated lab records in the resident's file. (08/11/2003)		2 = Minimal harm or potential for actual harm	Few
41. Quickly tell the resident's doctor the results of lab tests. (08/11/2003)		2 = Minimal harm or potential for actual harm	Some

Nursing Home Staffing

Nursing Staff Hours Per Resident Per Day
	EVERGREEN FOOTHILLS HEALTH AND REHABILITATION CENT	State Average in	National Average
Number of Residents	120	42.8	89.2
RN Hours per Resident per Day*	0.27	1.7	0.7
LPN/LVN Hours per Resident per Day*	0.89	0.7	0.8
CNA Hours per Resident per Day*	1.7	4	2.4
Total Number of Nursing Staff Hours per Resident per Day*	2.86	6.4	3.9

*Hours per resident per day is the average daily work (in hours) given by the entire group of nurses or nursing assistants divided by total number of residents. The amount of care given to each resident varies.

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Page Last Updated: January 22, 2004
Data Last Updated: August 2, 2004

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