PAYSON CARE CENTER AZ DEFICIENCY REPORT

	Nursing Home Deficiency Report current as of November 25, 2009
Date	Deficiency	Scope	Level of Harm
05/04/2010	Keep each resident's personal and medical records private and confidential.	Isolated	Minimal harm or potential for actual harm
05/04/2010	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.	Isolated	Minimal harm or potential for actual harm
05/04/2010	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	Isolated	Minimal harm or potential for actual harm
05/04/2010	Provide care in a way that keeps or builds each resident's dignity and self respect.	Isolated	Minimal harm or potential for actual harm
05/04/2010	Provide activities to meet the needs of each resident.	Pattern	Minimal harm or potential for actual harm
05/04/2010	Make a complete assessment that covers all questions for areas that are listed in official regulations.	Pattern	Potential for minimal harm
05/04/2010	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	Pattern	Minimal harm or potential for actual harm
05/04/2010	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
05/04/2010	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Minimal harm or potential for actual harm
05/04/2010	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	Isolated	Minimal harm or potential for actual harm
05/04/2010	Make sure that the nursing home area is free of dangers that cause accidents.	Isolated	Minimal harm or potential for actual harm
05/04/2010	Make sure that each resident's nutritional needs were met.	Isolated	Minimal harm or potential for actual harm
05/04/2010	1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects.	Pattern	Minimal harm or potential for actual harm
05/04/2010	Store, cook, and give out food in a safe and clean way.	Isolated	Minimal harm or potential for actual harm
05/04/2010	Properly mark drugs and other similar products.	Isolated	Minimal harm or potential for actual harm
05/04/2010	Have a program to keep infection from spreading.	Isolated	Minimal harm or potential for actual harm
05/04/2010	Give or get lab tests to meet the needs of residents.	Isolated	Minimal harm or potential for actual harm
05/04/2010	Set up or keep a group of people to review and ensure quality.	Pattern	Minimal harm or potential for actual harm
04/27/2010	corridor and hallway doors that block smoke.	Pattern	Minimal harm or potential for actual harm
04/27/2010	construction that can resist fire for one hour or an approved fire extinguishing system.	Widespread	Minimal harm or potential for actual harm
04/27/2010	properly maintained smoke detectors.	Widespread	Minimal harm or potential for actual harm
04/27/2010	proper medical gas storage and administration areas.	Widespread	Potential for minimal harm
04/27/2010	weekly inspections and monthly testing of generators.	Isolated	Minimal harm or potential for actual harm
01/13/2009	corridor and hallway doors that block smoke.	Isolated	Minimal harm or potential for actual harm
01/13/2009	smoke barrier doors that can resist smoke for at least 20 minutes.	Widespread	Potential for minimal harm
01/13/2009	construction that can resist fire for one hour or an approved fire extinguishing system.	Isolated	Minimal harm or potential for actual harm
01/13/2009	proper backup exit lighting.	Isolated	Minimal harm or potential for actual harm
01/08/2009	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.	Isolated	Minimal harm or potential for actual harm
01/08/2009	Keep safe, clean and homelike surroundings.	Pattern	Potential for minimal harm
01/08/2009	Make a complete assessment that covers all questions for areas that are listed in official regulations.	Pattern	Potential for minimal harm
01/08/2009	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	Pattern	Potential for minimal harm
01/08/2009	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Isolated	Minimal harm or potential for actual harm
01/08/2009	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
01/08/2009	Make sure that doctors visit residents regularly, as required.	Pattern	Minimal harm or potential for actual harm
01/08/2009	Be administered in a way that leads to the highest possible level of well being for each resident.	Widespread	Minimal harm or potential for actual harm
01/08/2009	Keep complete, dated lab records in the resident's file.	Isolated	Minimal harm or potential for actual harm
01/08/2009	Keep accurate and appropriate medical records.	Isolated	Minimal harm or potential for actual harm
01/08/2009	Set up or keep a group of people to review and ensure quality.	Widespread	Minimal harm or potential for actual harm
11/01/2007	corridor and hallway doors that block smoke.	Isolated	Minimal harm or potential for actual harm
11/01/2007	proper backup exit lighting.	Pattern	Minimal harm or potential for actual harm
11/01/2007	did not have a written emergency evacuation plan.	Widespread	Potential for minimal harm
11/01/2007	properly maintained smoke detectors.	Widespread	Minimal harm or potential for actual harm
11/01/2007	proper medical gas storage and administration areas.	Pattern	Minimal harm or potential for actual harm
10/26/2007	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.	Isolated	Minimal harm or potential for actual harm
10/26/2007	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
10/26/2007	Make sure that doctors visit residents regularly, as required.	Isolated	Minimal harm or potential for actual harm

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Where does this data come from?

The data on this website describes nursing home characteristics, quality measures, inspection results, and nursing staff information.

The data come from 2 sources:

1. Centers for Medicare & Medicaid Services (CMS) have an Online Survey, Certification, and Reporting (OSCAR) database - Includes the nursing home characteristics and health deficiencies issued during the three most recent state inspections and recent complaint investigations.

   The survey inspection results are collected by the state survey agencies, who perform onsite visits to nursing homes . The inspections occur at least once during a 15-month period, or any time in between as a result of a complaint received by the state. The inspections ensure that the nursing home residents receive quality care and services in a safe and comfortable environment in accordance with rules established by CMS. Complaints may be reported and inspected during the year (outside of the 9-15 month survey cycle). Inspections about a complaint that result in the citation of a health deficiency are reported to CMS and included in this website. Sometimes the inspection finds a problem that the nursing home identified and corrected before the inspection occurred. The fact and the nature of these prior problems (deficiencies) may be included in this website.

   The information on the nursing homes' characteristics derived from OSCAR are prepared by each nursing home at the beginning of the regular State inspection. This information is reported by the nursing homes themselves. It is reviewed by nursing home inspectors, but not formally audited to ensure data accuracy. In addition, this information changes frequently as residents are discharged and admitted, or resident conditions change.

2. National database known as the Minimum Data Set (MDS) Repository

   The data for the quality measures come from the MDS Repository. The MDS is collected on regular intervals for every resident in a Medicare or Medicaid certified nursing home. Information is collected on the resident's health, physical functioning, mental status, and general well-being. These data are used by the nursing home to access the needs and develop a plan of care unique to each resident.

   Regulations require that a MDS assessment be performed at admission, quarterly, annually, and whenever the resident experiences a significant change in status. For residents in a Medicare Part A stay, the MDS is also used to determine the Medicare reimbursement rate. These assessments are performed on the 5th, 14th, 30th, 60th and 90th day of admission.

   All of this data is reported by the nursing homes themselves. It is reviewed by nursing home inspectors, but not formally audited to ensure that it is accurate. Every attempt is made to assure the accuracy and timeliness of this information. However, this information changes frequently as residents are discharged and admitted, or resident conditions change. We advise interpreting this information cautiously and supplementing it with information from the Ombudsman's office, the State Survey Agency, or other sources.

   Some MDS items used to calculate the quality measures consider the resident's condition during previous days prior to the assessment date. The following table provides these "observation" or "look back" time frames.

Signs of Nursing Home Abuse:

• Unexplained injuries or bruises
• Over or under medication
• Visible cuts, bruises, or welts
• Rapid weight loss or weight gain
• Dehydration, malnutrition, and bedsores
• Unsanitary living conditions
• Infections
• Broken bones
• Sudden death