Abuse.com - MARA VILLA CARE CENTER

Abuse.com Nursing Home Profile

Detailed information for MARA VILLA CARE CENTER

Nursing Home Results

Contact Information:

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

MARA VILLA CARE CENTER	As of 11/03/2003
8825 SOUTH 7TH STREET PHOENIX, AZ 85042 (602) 243-6121	Not located within a Hospital Resident Councils Only 194 Certified Beds
Initial Date of Certification: 11/07/1988 Type of Ownership: For profit - Corporation A Multi-Nursing home (chain) Ownership	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 MARA VILLA CARE CENTER	National Average
Percent of Residents Whose Need for Help With Daily Activities Has Increased	3%	16%
Percent of Residents Who Have Moderate to Severe Pain	5%	6%
Percent of High-Risk Residents Who Have Pressure Sores	NOT AVAILABLE	14%
Percent of Low-Risk Residents Who Have Pressure Sores	3%	3%
Percent of Residents Who Were Physically Restrained	3%	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	44%	47%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	7%	6%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair	1%	4%
Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse	4%	13%
Percent of Residents With a Urinary Tract Infection	5%	8%
Percent of Short-Stay Residents With Delirium	3%	3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain	28%	22%
Percent of Short-Stay Residents With Pressure Sores	32%	21%

Inspection Results

MARA VILLA CARE CENTER 8825 SOUTH 7TH STREET PHOENIX, AZ 85042 (602) 243-6121
Date of this inspection: 11/03/2003 Complaint Investigations During: 04/01/2003 - 06/30/2004 Total number of health deficiencies for this nursing home: 53 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. (09/18/2003)	01/22/2004	2 = Minimal harm or potential for actual harm	Few
2. 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. (11/03/2003)	02/04/2004	2 = Minimal harm or potential for actual harm	Some
3. Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. (11/03/2003)	02/04/2004	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)
4. Give professional services that follow each resident's written care plan. (04/17/2003)	05/15/2003	2 = Minimal harm or potential for actual harm	Few
5. Give professional services that meet a professional standard of quality. (04/17/2003)	05/15/2003	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. (04/17/2003)	05/15/2003	2 = Minimal harm or potential for actual harm	Few
7. Give each resident care and services to get or keep the highest quality of life possible. (11/03/2003)	02/04/2004	3 = Actual harm	Few
8. Give each resident enough fluids to keep them healthy and prevent dehydration. (11/03/2003)	02/04/2004	2 = Minimal harm or potential for actual harm	Some
9. Give or get special rehabilitation if in the patient's plan of care. (11/03/2003)	02/04/2004	2 = Minimal harm or potential for actual harm	Few
10. Give professional services that meet a professional standard of quality. (11/03/2003)	02/04/2004	2 = Minimal harm or potential for actual harm	Few
11. Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. (11/03/2003)	02/04/2004	2 = Minimal harm or potential for actual harm	Few
12. Make sure that each resident gets help to keep vision and hearing. (11/03/2003)	02/04/2004	2 = Minimal harm or potential for actual harm	Few
13. Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. (11/03/2003)	02/04/2004	2 = Minimal harm or potential for actual harm	Some
14. Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. (11/03/2003)	02/04/2004	3 = Actual harm	Few
15. Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. (11/03/2003)	02/04/2004	2 = Minimal harm or potential for actual harm	Few
16. Provide activities to meet the needs of each resident. (11/03/2003)	02/04/2004	2 = Minimal harm or potential for actual harm	Some
17. Provide social services for related medical problems to help each resident achieve the highest possible quality of life. (11/03/2003)	02/04/2004	2 = Minimal harm or potential for actual harm	Some
Resident Assessment Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
18. Make a complete assessment that covers all questions for areas that are listed in official regulations. (04/17/2003)	05/15/2003	2 = Minimal harm or potential for actual harm	Few
19. Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. (11/03/2003)	02/04/2004	3 = Actual harm	Few
20. Make a complete assessment that covers all questions for areas that are listed in official regulations. (11/03/2003)	02/04/2004	3 = Actual harm	Few
21. 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. (11/03/2003)	02/04/2004	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)
22. Allow residents to easily see the results of the nursing home's most recent survey. (11/03/2003)	02/04/2004	1 = Potential for minimal harm	Many
23. 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. (11/03/2003)	02/04/2004	2 = Minimal harm or potential for actual harm	Few
24. Keep each resident's personal and medical records private and confidential. (11/03/2003)	02/04/2004	1 = Potential for minimal harm	Some
25. Listen to the resident or family groups or act on their complaints or suggestions. (11/03/2003)	02/04/2004	1 = Potential for minimal harm	Some
26. Provide care in a way that keeps or builds each resident's dignity and self respect. (11/03/2003)	02/04/2004	2 = Minimal harm or potential for actual harm	Some
27. Provide services to meet the needs and preferences of each resident. (11/03/2003)	02/04/2004	2 = Minimal harm or potential for actual harm	Few
28. Tell the resident completely about his or her health status. (11/03/2003)	02/04/2004	2 = Minimal harm or potential for actual harm	Few
29. Try to resolve each resident's complaints quickly. (11/03/2003)	02/04/2004	1 = Potential for minimal harm	Many
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)
30. Make sure that residents are well nourished. (11/03/2003)	02/04/2004	2 = Minimal harm or potential for actual harm	Some
31. Provide food in a way that meets a resident's needs. (11/03/2003)	02/04/2004	2 = Minimal harm or potential for actual harm	Some
32. Provide special eating equipment and utensils for each resident who needs them. (11/03/2003)	02/04/2004	1 = Potential for minimal harm	Some
33. Store, cook, and give out food in a safe and clean way. (11/03/2003)	02/04/2004	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)
34. Act when the pharmacist reports something unusual. (11/03/2003)	02/04/2004	2 = Minimal harm or potential for actual harm	Some
35. Gradually lower the dose of residents' antipsychotic drugs, unless this causes negative medical effects. (11/03/2003)	02/04/2004	2 = Minimal harm or potential for actual harm	Few
36. Keep drugs and other similar products locked safely and properly stored. (11/03/2003)	02/04/2004	2 = Minimal harm or potential for actual harm	Few
37. Make sure that residents are safe from serious medication errors. (11/03/2003)	02/04/2004	2 = Minimal harm or potential for actual harm	Few
38. Properly mark drugs and other similar products. (11/03/2003)	02/04/2004	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)
39. Get rid of garbage properly. (11/03/2003)	02/04/2004	1 = Potential for minimal harm	Some
40. Have a program to keep infection from spreading. (11/03/2003)	02/04/2004	2 = Minimal harm or potential for actual harm	Some
41. Keep all essential equipment working safely. (11/03/2003)	02/04/2004	1 = Potential for minimal harm	Some
42. Keep safe, clean and homelike surroundings. (11/03/2003)	02/04/2004	1 = Potential for minimal harm	Some
43. Make sure that the nursing home area is free of dangers that cause accidents. (11/03/2003)	02/04/2004	2 = Minimal harm or potential for actual harm	Some
44. Make sure that the nursing home area is safe, easy to use, clean and comfortable. (11/03/2003)	02/04/2004	1 = Potential for minimal harm	Some
45. Provide clean bed and bath linens that are in good condition. (11/03/2003)	02/04/2004	1 = Potential for minimal harm	Some
46. Provide needed housekeeping and maintenance. (11/03/2003)	02/04/2004	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)
47. Keep accurate and appropriate medical records. (04/17/2003)	05/15/2003	2 = Minimal harm or potential for actual harm	Some
48. Follow all laws and professional standards. (11/03/2003)	02/04/2004	1 = Potential for minimal harm	Some
49. Get proof that a nurse aide has the training and skills that the State requires. (11/03/2003)	02/04/2004	1 = Potential for minimal harm	Some
50. Have licensed, certified, or registered staff to give needed services. (11/03/2003)	02/04/2004	1 = Potential for minimal harm	Some
51. Hire a qualified social worker; or in homes with more than 120 beds, hire a qualified full-time social worker. (11/03/2003)	02/04/2004	2 = Minimal harm or potential for actual harm	Some
52. Hold committee meetings every 3 months to review and ensure quality in the nursing home. (11/03/2003)	02/04/2004	2 = Minimal harm or potential for actual harm	Some
53. Quickly tell the resident's doctor the results of lab tests. (11/03/2003)	02/04/2004	3 = Actual harm	Few

Nursing Home Staffing

Nursing Staff Hours Per Resident Per Day
	MARA VILLA CARE CENTER	State Average in	National Average
Number of Residents	109	42.8	89.2
RN Hours per Resident per Day*	0.31	1.7	0.7
LPN/LVN Hours per Resident per Day*	0.75	0.7	0.8
CNA Hours per Resident per Day*	2.38	4	2.4
Total Number of Nursing Staff Hours per Resident per Day*	3.44	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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