PRESCOTT NURSING AND REHABILITATION CENTER

Nursing Home Inspector

864 DOUGHERTY STREET
PRESCOTT, AZ 86305
Yavapai County
Phone: 928-778-9667
Provider Number: 035127
Last Inspection: 02/09/2017

About the Nursing Home

Number of Beds: 64
Number of Residents: 58
Beds Available: 6
Percent Occupancy: 91%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

0

Facility
14

County
12

AZ
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

0

2017
16

2015
6

2014

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

11/18/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 1) Hire only people with 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 3 12/19/2015
 
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Isolated : Minimal 3 12/19/2015
 
Failed To: Assure that each resident’s assessment is updated at least once every 3 months. Isolated : Minimal 3 12/19/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 12/19/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 12/19/2015
 

9/12/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give notice to the resident before a room or roommate change. Isolated : Minimal 3 9/15/2014
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 9/15/2014
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

No Complaint Deficiencies Reported

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg AZ State Avg
Number of Residents 58 55.00 76.42
Registered Nurses 1.32 1.26 1.03
Licensed Practical / Vocational Nurses 0.32 0.37 0.99
Certified Nursing Assistants 2.13 2.04 2.51
Total Staff Hours 3.76 3.66 4.53

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% AZ State Avg%
of high risk long-stay residents with pressure ulcers 2 4 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 97 96
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 96 96
of long-stay residents experiencing one or more falls with major injury 5 4 2
of long-stay residents who have depressive symptoms 0 2 2
of long-stay residents who lose too much weight 8 9 6
of long-stay residents who received an antianxiety or hypnotic medication 26 27 22
of long-stay residents who received an antipsychotic medication 31 12 14
of long-stay residents who self-report moderate to severe pain 13 15 7
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 18 19 19
of long-stay residents whose need for help with daily activities has increased 22 13 13
of long-stay residents with a catheter inserted and left in their bladder 2 1 2
of long-stay residents with a urinary tract infection 0 1 2
of low risk long-stay residents who lose control of their bowels or bladder 70 56 58
of short-stay residents assessed and appropriately given the pneumococcal vaccine 94 92 91
of short-stay residents who had an outpatient emergency department visit 17 14 11
of short-stay residents who made improvements in function 81 66 64
of short-stay residents who newly received an antipsychotic medication 2 1 1
of short-stay residents who self-report moderate to severe pain 17 24 16
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 93 92 87
of short-stay residents who were rehospitalized after a nursing home admission 15 16 21
of short-stay residents who were successfully discharged to the community 63 64 64
of short-stay residents with pressure ulcers that are new or worsened 0 0 0