US Nursing Home Finder: DESERT HIGHLANDS CARE CENTER KINGMAN AZ

General Information: DESERT HIGHLANDS CARE CENTER
Nursing home name	DESERT HIGHLANDS CARE CENTER
Address	1081 KATHLEEN AVE KINGMAN, AZ 86401
Phone number	(928) 753-5580
Located within a hospital	No
Type of ownership	For profit - Corporation
Owner operates multiple homes	Yes
Accept Medicare or Medicaid	Medicare and Medicaid
Continue Care Retirement Community	No
Resident and family councils	RESIDENT
Certified number of beds	120
Total number of residents	73
Perc of occupied beds	61
Sprinkler status	fully sprinklered
Last health survey date	02/13/2009
Fire survey date:	02/23/2009

Ratings Summary: DESERT HIGHLANDS CARE CENTER
Overall rating	2 out of 5 stars
Nursing Home Staffing	4 out of 5 stars
Registered Nurses only	3 out of 5 stars
Health Inspections	1 out of 5 stars
Quality Measures	4 out of 5 stars

Nursing Home Staffing Info: DESERT HIGHLANDS CARE CENTER
	National Average	DESERT HIGHLANDS CARE CENTER
Overall staff rating	Not Available.	4 out of 5 stars
Registered Nurses only rating	Not Available	3 out of 5 stars
Total Number of Residents	94.2	73
Total Number of Licensed Nurse Staff Hours per Resident per Day	1.4 hours	1.57 hours
Registered Nurses Hours per Residents per Day	0.6 hours	0.68 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day	0.8 hours	0.89 hours
Certified Nursing Assistants Hours per Residents per Day	0.6 hours	0.68 hours

Health Inpections: DESERT HIGHLANDS CARE CENTER
Inspection Results: 02/13/2009
Corrected	Category	Deficiency	Severity
04/08/2009	Administration Deficiencies	Set up or keep a group of people to review and ensure quality.	E
04/08/2009	Administration Deficiencies	Keep accurate and appropriate medical records.	B
04/08/2009	Environmental Deficiencies	Have a program to keep infection from spreading.	E
04/08/2009	Quality Care Deficiencies	Give or get dental care for each resident.	D
04/08/2009	Quality Care Deficiencies	Develop/implement required procedures for the administration of immunizations.	E
04/08/2009	Pharmacy Service Deficiencies	Make sure that residents are safe from serious medication errors.	D
04/08/2009	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.	D
04/08/2009	Quality Care Deficiencies	Make sure that each resident's nutritional needs were met.	D
04/08/2009	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	D
04/08/2009	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.	D
04/08/2009	Quality Care Deficiencies	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	D
04/08/2009	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	D
04/08/2009	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	D
04/08/2009	Mistreatment Deficiencies	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	E
04/08/2009	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.	E
04/08/2009	Resident Rights Deficiencies	Tell the resident completely about his or her health status.	D
04/08/2009	Resident Rights Deficiencies	Give the resident's legal representative the same rights as the resident.	D
Inspection Results: 11/30/2007
Corrected	Category	Deficiency	Severity
02/14/2008	Pharmacy Service Deficiencies	Make sure that residents are safe from serious medication errors.	D
02/14/2008	Administration Deficiencies	Keep accurate and appropriate medical records.	E
03/18/2008	Administration Deficiencies	Keep complete, dated lab records in the resident's file.	D
03/18/2008	Administration Deficiencies	Give or get lab tests to meet the needs of residents.	G
02/14/2008	Environmental Deficiencies	Put firmly secured handrails on each side of hallways.	D
02/14/2008	Environmental Deficiencies	Keep all essential equipment working safely.	D
02/14/2008	Environmental Deficiencies	Have a program to keep infection from spreading.	E
02/14/2008	Pharmacy Service Deficiencies	Properly mark drugs and other similar products.	D
02/14/2008	Pharmacy Service Deficiencies	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	D
03/18/2008	Administration Deficiencies	Set up or keep a group of people to review and ensure quality.	E
02/14/2008	Pharmacy Service Deficiencies	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	E
03/18/2008	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.	D
02/14/2008	Quality Care Deficiencies	Make sure that each resident's nutritional needs were met.	D
01/18/2008	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	E
02/14/2008	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	D
02/14/2008	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	E
03/18/2008	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	E
03/18/2008	Resident Assessment Deficiencies	1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan.	D
02/14/2008	Resident Rights Deficiencies	Let residents give themselves their drugs if they are able.	D
03/18/2008	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	D
03/18/2008	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	D
Inspection Results: 09/14/2006
Corrected	Category	Deficiency	Severity
10/29/2006	Administration Deficiencies	Keep accurate and appropriate medical records.	D
10/29/2006	Environmental Deficiencies	Have a program to keep infection from spreading.	D
10/29/2006	Pharmacy Service Deficiencies	Properly mark drugs and other similar products.	D
10/29/2006	Pharmacy Service Deficiencies	At least once a month, have a licensed pharmacist check the drugs that each resident takes.	D
10/29/2006	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	E
10/29/2006	Administration Deficiencies	post nurse staffing information.	B
10/29/2006	Pharmacy Service Deficiencies	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	D
09/25/2006	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	G
10/29/2006	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.	D
10/29/2006	Quality Care Deficiencies	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	D
10/29/2006	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	D
10/29/2006	Resident Assessment Deficiencies	Get doctor orders for the resident's immediate care when admitted.	D
10/29/2006	Environmental Deficiencies	Provide needed housekeeping and maintenance.	B
10/29/2006	Resident Rights Deficiencies	Provide services to meet the needs and preferences of each resident.	D
10/29/2006	Resident Rights Deficiencies	Provide care in a way that keeps or builds each resident's dignity and self respect.	D

Fire Safety Inpections: DESERT HIGHLANDS CARE CENTER
Inspection Results: 02/23/2009
Corrected	Category	Deficiency	Severity
04/03/2009	Hazardous Area Deficiencies	properly installed hallway dispensers for alcohol-based hand rub.	D
04/03/2009	Exits and Egress Deficiencies	exits that are accessible at all times.	D
04/03/2009	Hazardous Area Deficiencies	construction that can resist fire for one hour or an approved fire extinguishing system.	E
04/03/2009	Corridor Walls and Doors Deficiencies	corridor and hallway doors that block smoke.	D
Inspection Results: 12/04/2007
Corrected	Category	Deficiency	Severity
01/31/2008	Emergency Plans and Fire Drills Deficiencies	record of quarterly fire drills for each shift under varying conditions.	F
01/31/2008	Medical Gases and Anesthetizing Areas Deficiencies	proper medical gas storage and administration areas.	E
01/31/2008	Hazardous Area Deficiencies	properly installed hallway dispensers for alcohol-based hand rub.	F
01/31/2008	Corridor Walls and Doors Deficiencies	corridor and hallway doors that block smoke.	D
Inspection Results: 09/25/2006
Corrected	Category	Deficiency	Severity
10/29/2006	Automatic Sprinkler Systems Deficiencies	an approved automatic sprinkler system connected to the fire alarm system.	C
10/29/2006	Building Service Equipment Deficiencies	properly protected cooking facilities.	C
10/29/2006	Fire Alarm Systems Deficiencies	properly maintained smoke detectors.	C
10/29/2006	Exits and Egress Deficiencies	exits that are accessible at all times.	B
10/29/2006	Hazardous Area Deficiencies	construction that can resist fire for one hour or an approved fire extinguishing system.	B
10/29/2006	Smoke Compartmentation and Control Deficiencies	smoke barrier doors that can resist smoke for at least 20 minutes.	C

Resident Complaints: DESERT HIGHLANDS CARE CENTER
Date Complaint Substantiated: 12/11/2008
Corrected	Category	Deficiency	Severity
01/13/2009	Administration Deficiencies	Give or get lab tests to meet the needs of residents.	D
01/13/2009	Quality Care Deficiencies	Give or get special rehabilitation if in the patient's plan of care.	E
01/13/2009	Nutrition and Dietary Deficiencies	Provide a tasty and well-balanced diet that meets the nutritional needs of each resident.	D
01/13/2009	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.	E
01/13/2009	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	E
01/13/2009	Quality Care Deficiencies	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	D
01/13/2009	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	E
01/13/2009	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	E
01/13/2009	Quality Care Deficiencies	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.	D
01/13/2009	Resident Rights Deficiencies	Provide services to meet the needs and preferences of each resident.	E

Quality Measures: DESERT HIGHLANDS CARE CENTER
Quality Measures	National Average	DESERT HIGHLANDS CARE CENTER
Overall quality rating	Not Available	4 out of 5 stars
Long-Stay Residents
Percent of long-stay residents who had a urinary tract infection	9%	10%
Percent of long-stay residents whose ability to move about in and around their room got worse	11%	4%
Percent of long-stay residents who are more depressed or anxious	14%	4%
Percent of long-stay residents who were physically restrained	3%	0%
Percent of long-stay residents who spend most of their time in bed or in a chair	4%	5%
Percent of low-risk long-stay residents who have pressure sores	2%	10%
Percent of low-risk long-stay residents who lose control of their bowels or bladder	50%	60%
Percent of high-risk long-stay residents who have pressure sores	11%	17%
Percent of long-stay residents who have moderate to severe pain	3%	5%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder	5%	4%
Percent of long-stay residents who were assessed and given pneumococcal vaccination	89%	90+%
Percent of long-stay residents whose need for help with daily activities has increased	14%	7%
Percent of long-stay residents given influenza vaccination during the flu season	91%	90+%
Percent of long-stay residents who lose too much weight	8%	6%
Short-Stay Residents
Percent of short-stay residents given influenza vaccination during the flu season	83%	90+%
Percent of short-stay residents who were assessed and given pneumococcal vaccination	83%	90+%
Percent of short-stay residents who have pressure sores	13%	18%
Percent of short-stay residents who had moderate to severe pain	19%	23%
Percent of short-stay residents who have delirium	2%	0%

Severity Codes Explanation. Note: The higher the letter, the higher the severity.
A	Isolated /Potential for minimal harm
B	Pattern /Potential for minimal harm
C	Widespread /Potential for minimal harm
D	Isolated /Minimal harm or potential for actual harm
E	Pattern /Minimal harm or potential for actual harm
F	Widespread /Minimal harm or potential for actual harm
G	Isolated /Actual harm
H	Pattern /Actual harm
I	Widespread /Actual harm
J	Isolated /Immediate jeopardy to resident health or safety
K	Pattern /Immediate jeopardy to resident health or safety
L	Widespread /Immediate jeopardy to resident health or safety

US Nursing Home Finder™: DESERT HIGHLANDS CARE CENTER KINGMAN AZ