General Information: MONTECITO POST ACUTE CARE AND REHABILITATION
Nursing home name MONTECITO POST ACUTE CARE AND REHABILITATION
Address51 SOUTH 48TH STREET
MESA, AZ 85206
Phone number (480) 832-8333
Located within a hospital No
Type of ownership For profit - Corporation
Owner operates multiple homesYes
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Resident
Certified number of beds 222
Total number of residents 161
Perc of occupied beds 72
Sprinkler status Partial
Number of Facility Reported Incidents0
Number of Substantiated Complaints8
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: MONTECITO POST ACUTE CARE AND REHABILITATION
Overall rating 3
3
Nursing Home Staffing 3
3
Registered Nurses only 4
4
Health Inspections 3
3
Quality Measures 4
4
Nursing Home Staffing Info: MONTECITO POST ACUTE CARE AND REHABILITATION
National AverageArizona AverageMONTECITO POST ACUTE CARE AND REHABILITATION
Overall staff rating NA NA 3
3
Registered Nurses only rating NANA 4
4
Total Number of Residents NA NA 161
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.56 hours 3.71 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.94 hours 1.64 hours
Registered Nurses Hours per Residents per Day 0.81 hours 1.03 hours 0.87 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.91 hours 0.77 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.62 hours 2.07 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.16 hours 0.13 hours
Health Survey: MONTECITO POST ACUTE CARE AND REHABILITATION
Heath Survey Summary on 2013-01-28
Total Number of Health Deficiencies 6
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2011-10-24
Total Number of Health Deficiencies 7
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2010-08-19
Total Number of Health Deficiencies 11
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Health Survey Details: MONTECITO POST ACUTE CARE AND REHABILITATION
Inspection Results: 01/28/2013
Corrected Deficiency Scope and Severity
02/06/2013 Protect each resident from mistreatment, neglect and misappropriation of personal property. Isolated/Minimal harm or potential for actual harm
02/06/2013 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 harm or potential for actual harm
02/06/2013 Give notice to the resident before a room or roommate change. Isolated/Minimal harm or potential for actual harm
02/06/2013 Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Pattern/Minimal harm or potential for actual harm
02/06/2013 Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern/Minimal harm or potential for actual harm
02/06/2013 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
Inspection Results: 10/24/2011
Corrected Deficiency Scope and Severity
11/25/2011 Make sure that a working call system is available in each resident's room or bathroom and bathing area. Pattern/Minimal harm or potential for actual harm
11/25/2011 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated/Minimal harm or potential for actual harm
11/25/2011 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated/Minimal harm or potential for actual harm
11/25/2011 Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated/Minimal harm or potential for actual harm
11/25/2011 Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated/Minimal harm or potential for actual harm
11/25/2011 Provide or obtain dental services for each resident. Isolated/Minimal harm or potential for actual harm
11/25/2011 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
Inspection Results: 08/19/2010
Corrected Deficiency Scope and Severity
10/05/2010 Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated/Minimal harm or potential for actual harm
10/05/2010 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 harm or potential for actual harm
10/05/2010 Give each resident enough fluids to keep them healthy and prevent dehydration. Isolated/Minimal harm or potential for actual harm
10/05/2010 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern/Minimal harm or potential for actual harm
10/05/2010 Ensure services provided by the nursing facility meet professional standards of quality. Pattern/Minimal harm or potential for actual harm
10/05/2010 Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated/Minimal harm or potential for actual harm
10/05/2010 Provide special eating equipment and utensils for each resident who needs them. Isolated/Minimal harm or potential for actual harm
10/05/2010 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
10/05/2010 Give or get specialized rehabilitative services per the patient's assessment or plan of care. Isolated/Minimal harm or potential for actual harm
10/05/2010 Provide or obtain dental services for each resident. Isolated/Minimal harm or potential for actual harm
10/05/2010 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Pattern/Minimal harm or potential for actual harm

Fire Safety Survey: MONTECITO POST ACUTE CARE AND REHABILITATION
Fire Safety Survey Summary on 2013-02-01
Total Number of Fire SafetyDeficiencies 7
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-10-18
Total Number of Fire SafetyDeficiencies 5
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2010-08-19
Total Number of Fire SafetyDeficiencies 7
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey: MONTECITO POST ACUTE CARE AND REHABILITATION
Fire Safety Survey Results: 02/01/2013
Corrected Deficiency Severity
02/21/2013 Corridor and hallway doors that block smoke. Pattern/Minimal harm or potential for actual harm
02/21/2013 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Widespread /Minimal harm or potential for actual harm
02/21/2013 Exits that are accessible at all times. Isolated/Minimal harm or potential for actual harm
02/21/2013 Corridors or aisles that are unobstructed and are at least 8 feet in width. Isolated/Minimal harm or potential for actual harm
02/21/2013 Record of quarterly fire drills for each shift under varying conditions. Pattern/Minimal harm or potential for actual harm
02/21/2013 Properly constructed linen or trash chutes. Widespread /Minimal harm or potential for actual harm
02/21/2013 Properly installed electrical wiring and equipment. Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Results: 10/18/2011
Corrected Deficiency Severity
11/23/2011 Emergency lighting that can last at least 1 1/2 hours. Pattern/Potential for minimal harm
11/23/2011 Automatic sprinkler systems that have been maintained in working order. Isolated/Minimal harm or potential for actual harm
11/23/2011 Properly installed electrical wiring and equipment. Isolated/Minimal harm or potential for actual harm
11/23/2011 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Pattern/Minimal harm or potential for actual harm
11/23/2011 Corridor and hallway doors that block smoke. Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Results: 08/19/2010
Corrected Deficiency Severity
09/23/2010 Smoke barrier doors that can resist smoke for at least 20 minutes. Isolated/Minimal harm or potential for actual harm
09/23/2010 Corridor and hallway doors that block smoke. Pattern/Minimal harm or potential for actual harm
09/23/2010 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Isolated/Minimal harm or potential for actual harm
09/23/2010 Exits that are accessible at all times. Isolated/Minimal harm or potential for actual harm
09/23/2010 Automatic sprinkler systems that have been maintained in working order. Widespread /Minimal harm or potential for actual harm
09/23/2010 Proper medical gas storage and administration areas. Isolated/Minimal harm or potential for actual harm
09/23/2010 Properly installed electrical wiring and equipment. Pattern/Minimal harm or potential for actual harm

Resident Complaints: MONTECITO POST ACUTE CARE AND REHABILITATION
Date Complaint Substantiated: 08/17/2011
CorrectedCategoryDeficiencySeverity
09/21/2011Have a program that investigates, controls and keeps infection from spreading. D
09/21/2011Provide necessary care and services to maintain or improve the highest well being of each resident . D

Quality Measures: MONTECITO POST ACUTE CARE AND REHABILITATION
Quality Measures National Average Arizona Average MONTECITO POST ACUTE CARE AND REHABILITATION
Overall quality rating NA NA 4
4
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 15.3% 9.2%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 10.7% 17.3%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 6.1% 5.9%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 6.7% 1.8%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 51.5% 54.7%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 4.5% 1.4%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 6.2% 3.3%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 4.0% 1.6%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 0.7% 0.3%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 2.7% 4.4%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 95.0% 99.1%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 95.9% 100.0%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 20.3% 25.5%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 23.7% 37.2%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 0.7% 0.6%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 89.9% 97.7%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 88.9% 98.9%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.0% 1.2%

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