General Information: MESA CHRISTIAN HEALTH AND REHABILITATION CENTER
Nursing home name MESA CHRISTIAN HEALTH AND REHABILITATION CENTER
Address255 WEST BROWN ROAD
MESA, AZ 85201
Phone number (480) 833-3988
Located within a hospital No
Type of ownership For profit - Partnership
Owner operates multiple homesYes
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Resident
Certified number of beds 191
Total number of residents 112
Perc of occupied beds 58
Sprinkler status Yes
Number of Facility Reported Incidents0
Number of Substantiated Complaints2
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: MESA CHRISTIAN HEALTH AND REHABILITATION CENTER
Overall rating 5
5
Nursing Home Staffing 2
2
Registered Nurses only 2
2
Health Inspections 4
4
Quality Measures 5
5
Nursing Home Staffing Info: MESA CHRISTIAN HEALTH AND REHABILITATION CENTER
National AverageArizona AverageMESA CHRISTIAN HEALTH AND REHABILITATION CENTER
Overall staff rating NA NA 2
2
Registered Nurses only rating NANA 2
2
Total Number of Residents NA NA 112
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.56 hours 3.75 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.94 hours 1.42 hours
Registered Nurses Hours per Residents per Day 0.81 hours 1.03 hours 0.44 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.91 hours 0.97 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.62 hours 2.33 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.16 hours 0.05 hours
Health Survey: MESA CHRISTIAN HEALTH AND REHABILITATION CENTER
Heath Survey Summary on 2013-05-01
Total Number of Health Deficiencies 0
Scope and Severity of most Severe Health Deficiency
Heath Survey Summary on 2012-02-23
Total Number of Health Deficiencies 8
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2011-02-01
Total Number of Health Deficiencies 3
Scope and Severity of most Severe Health Deficiency Isolated/Actual harm
Health Survey Details: MESA CHRISTIAN HEALTH AND REHABILITATION CENTER
Inspection Results: 02/23/2012
Corrected Deficiency Scope and Severity
03/22/2012 Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. Isolated/Minimal harm or potential for actual harm
03/22/2012 Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Isolated/Minimal harm or potential for actual harm
03/22/2012 Conduct initial and periodic assessments of each resident's functional capacity. Isolated/Minimal harm or potential for actual harm
03/22/2012 Make sure that a working call system is available in each resident's room or bathroom and bathing area. Isolated/Minimal harm or potential for actual harm
03/22/2012 Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern/Minimal harm or potential for actual harm
03/22/2012 Ensure each resident receives an accurate assessment by a qualified health professional. Isolated/Minimal harm or potential for actual harm
03/22/2012 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
03/22/2012 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
Inspection Results: 02/01/2011
Corrected Deficiency Scope and Severity
04/12/2011 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated/Actual harm
04/12/2011 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
04/12/2011 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm

Fire Safety Survey: MESA CHRISTIAN HEALTH AND REHABILITATION CENTER
Fire Safety Survey Summary on 2013-05-07
Total Number of Fire SafetyDeficiencies 3
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-03-01
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 2011-02-02
Total Number of Fire SafetyDeficiencies 4
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey: MESA CHRISTIAN HEALTH AND REHABILITATION CENTER
Fire Safety Survey Results: 05/07/2013
Corrected Deficiency Severity
06/11/2013 Smoke barrier doors that can resist smoke for at least 20 minutes. Isolated/Minimal harm or potential for actual harm
06/11/2013 Automatic sprinkler systems that have been maintained in working order. Isolated/Minimal harm or potential for actual harm
06/11/2013 Properly protected cooking facilities. Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Results: 03/01/2012
Corrected Deficiency Severity
03/28/2012 Emergency lighting that can last at least 1 1/2 hours. Pattern/Minimal harm or potential for actual harm
03/28/2012 Properly installed electrical wiring and equipment. Isolated/Minimal harm or potential for actual harm
03/28/2012 Corridor and hallway doors that block smoke. Isolated/Minimal harm or potential for actual harm
03/28/2012 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
03/28/2012 Smoke barrier doors that can resist smoke for at least 20 minutes. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 02/02/2011
Corrected Deficiency Severity
03/18/2011 Corridor and hallway doors that block smoke. Pattern/Minimal harm or potential for actual harm
03/18/2011 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
03/18/2011 Automatic sprinkler systems that have been maintained in working order. Pattern/Minimal harm or potential for actual harm
03/18/2011 Properly installed electrical wiring and equipment. Pattern/Minimal harm or potential for actual harm

Resident Complaints: MESA CHRISTIAN HEALTH AND REHABILITATION CENTER
Date Complaint Substantiated: 07/06/2012
CorrectedCategoryDeficiencySeverity
07/24/2012Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. E

Quality Measures: MESA CHRISTIAN HEALTH AND REHABILITATION CENTER
Quality Measures National Average Arizona Average MESA CHRISTIAN HEALTH AND REHABILITATION CENTER
Overall quality rating NA NA 5
5
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 15.3% 12.4%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 10.7% 1.7%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 6.1% 2.0%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 6.7% 2.4%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 51.5% 73.3%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 4.5% 0.8%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 6.2% 3.5%
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% 0.0%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 2.7% 0.4%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 95.0% 100.0%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 95.9% 99.6%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 20.3% 18.8%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 23.7% 17.0%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 0.7% 0.1%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 89.9% 97.2%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 88.9% 98.3%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.0% 2.0%

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