North Mountain Medical And Rehabilitation Center

9155 NORTH THIRD STREET
Phoenix, AZ 85020
(602) 944-1666
General
Ratings
Deficiencies
Resident Stats
Staff Stats
Certified Beds: 155
Number of Residents: 151
Percent of Occupied Beds: 97%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital? No
Multi Nursing Home Ownership? Yes
Resident and Family Councils? Both
Continuing Care Retirement Community? No
Quality Indicator Survey? Yes
Special Focus Facility? No
Overall: 1 Star Overall Rating
Health Inspection: 1 Star Health Inspection Rating
Nurse Staffing: 4 Star Nurse Staffing Rating
Quality Measures: 1 Star Quality Measures Rating
RN Only: 3 Star RN Only Rating
Date Type Category Deficiency Scope Level of Harm Date of Correction
20070906 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Isolated Minimal harm or potential for actual harm 20071003
20070906 Health Resident Rights Deficiencies Provide care in a way that keeps or builds each resident's dignity and self respect. Isolated Minimal harm or potential for actual harm 20071003
20071205 Health Resident Rights Deficiencies Provide services to meet the needs and preferences of each resident. Isolated Minimal harm or potential for actual harm 20080107
20071205 Health Quality Care Deficiencies Provide social services for related medical problems to help each resident achieve the highest possible quality of life. Pattern Minimal harm or potential for actual harm 20080107
20071205 Health Mistreatment Deficiencies Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. Pattern Potential for minimal harm 20080107
20071205 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Isolated Minimal harm or potential for actual harm 20080107
20071205 Health Quality Care Deficiencies Give professional services that follow each resident's written care plan. Isolated Minimal harm or potential for actual harm 20080107
20071205 Health Quality Care Deficiencies Make sure that each resident gets help to keep vision and hearing. Isolated Minimal harm or potential for actual harm 20080107
20071205 Health Quality Care Deficiencies Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. Isolated Minimal harm or potential for actual harm 20080107
20071205 Health Quality Care Deficiencies Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated Minimal harm or potential for actual harm 20080107
20071205 Health Administration Deficiencies Get services outside the nursing home that meet professional standards. Isolated Minimal harm or potential for actual harm 20080107
20081006 Health Administration Deficiencies Give or get lab tests to meet the needs of residents. Isolated Minimal harm or potential for actual harm 20081031
20081006 Health Administration Deficiencies Keep complete, dated lab records in the resident's file. Isolated Minimal harm or potential for actual harm 20081031
20081006 Health Administration Deficiencies Keep accurate and appropriate medical records. Isolated Minimal harm or potential for actual harm 20081031
20081006 Health Nutrition and Dietary Deficiencies Provide a tasty and well-balanced diet that meets the nutritional needs of each resident. Isolated Minimal harm or potential for actual harm 20081031
20081006 Health Quality Care Deficiencies Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated Minimal harm or potential for actual harm 20081031
20081006 Health Quality Care Deficiencies Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. Isolated Minimal harm or potential for actual harm 20081031
20081006 Health Quality Care Deficiencies Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable. Isolated Minimal harm or potential for actual harm 20081031
20081006 Health Quality Care Deficiencies 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 20081031
20081006 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Isolated Minimal harm or potential for actual harm 20081031
20081006 Health Resident Assessment Deficiencies Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. Pattern Potential for minimal harm 20081031
20090127 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Minimal harm or potential for actual harm 20090312
20090127 Health Resident Rights Deficiencies Make sure each resident has the right to choose activities, schedules and health care according to his or her interests, assessment, and plan of care. Isolated Minimal harm or potential for actual harm 20090312
20090127 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Actual harm 20090312
20090127 Health Resident Rights Deficiencies Tell the resident completely about his or her health status. Isolated Minimal harm or potential for actual harm 20090312
20090415 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Minimal harm or potential for actual harm 20090508
20090415 Health Quality Care Deficiencies Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated Minimal harm or potential for actual harm 20090508
20090415 Health Pharmacy Service Deficiencies 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. Isolated Minimal harm or potential for actual harm 20090508
20090415 Health Pharmacy Service Deficiencies Make sure that residents are safe from serious medication errors. Isolated Minimal harm or potential for actual harm 20090508
20090415 Health Resident Assessment Deficiencies Get doctor orders for the resident's immediate care when admitted. Pattern Potential for minimal harm 20090508
20090415 Health Mistreatment Deficiencies Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. Pattern Minimal harm or potential for actual harm 20090508
20090415 Health Resident Rights Deficiencies Try to resolve each resident's complaints quickly. Isolated Minimal harm or potential for actual harm 20090508
20090415 Health Mistreatment Deficiencies 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 20090508
20090415 Health Quality Care Deficiencies Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated Minimal harm or potential for actual harm 20090508
20090622 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Actual harm 20090826
20090827 Health Resident Rights Deficiencies 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 20091007
  Value Notes
Percent of long-stay residents given influenza vaccination during the flu season: 72
Percent of long-stay residents who were assessed and given pneumococcal vaccination: 65
Percent of long-stay residents whose need for help with daily activities has increased: 10
Percent of long-stay residents who have moderate to severe pain: 11
Percent of high-risk long-stay residents who have pressure sores: 13
Percent of low-risk long-stay residents who have pressure sores: 3
Percent of long-stay residents who were physically restrained: 1
Percent of long-stay residents who are more depressed or anxious: 6
Percent of low-risk long-stay residents who lose control of their bowels or bladder: 61
Percent of long-stay residents who have/had a catheter inserted and left in their bladder: 19
Percent of long-stay residents who spend most of their time in bed or in a chair: 12
Percent of long-stay residents whose ability to move about in and around their room got worse: 13
Percent of long-stay residents who had a urinary tract infection: 14
Percent of long-stay residents who lose too much weight: 5
Percent of short-stay residents given influenza vaccination during the flu season: 68
Percent of short-stay residents who were assessed and given pneumococcal vaccination: 72
Percent of short-stay residents who have delirium: 4
Percent of short-stay residents who had moderate to severe pain: 58
Percent of short-stay residents who have pressure sores: 22
# of Residents: 151
# RN Hours per Resident: 0.93
# LPN Hours per Resident: 1.41
# CNA Hours per Resident: 2.75
Total Staff Hours per Resident: 2.34