General Information: SUNCREST HEALTHCARE CENTER, LLC
Nursing home name SUNCREST HEALTHCARE CENTER, LLC
Address2211 EAST SOUTHERN AVENUE
PHOENIX, AZ 85040
Phone number (602) 305-7134
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 115
Total number of residents 61
Perc of occupied beds 53
Sprinkler status Yes
Number of Facility Reported Incidents0
Number of Substantiated Complaints36
Number of Fines1
Total Amount of Fines$66495
Total Number of Penalties0
Total Number of Penalties1
Ratings Summary: SUNCREST HEALTHCARE CENTER, LLC
Overall rating 1
1
Nursing Home Staffing 3
3
Registered Nurses only 2
2
Health Inspections 1
1
Quality Measures 3
3
Nursing Home Staffing Info: SUNCREST HEALTHCARE CENTER, LLC
National AverageArizona AverageSUNCREST HEALTHCARE CENTER, LLC
Overall staff rating NA NA 3
3
Registered Nurses only rating NANA 2
2
Total Number of Residents NA NA 61
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.56 hours 3.67 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.94 hours 1.46 hours
Registered Nurses Hours per Residents per Day 0.81 hours 1.03 hours 0.42 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.91 hours 1.04 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.62 hours 2.21 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.16 hours 0.1 hours
Health Survey: SUNCREST HEALTHCARE CENTER, LLC
Heath Survey Summary on 2013-10-24
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 2012-09-11
Total Number of Health Deficiencies 38
Scope and Severity of most Severe Health Deficiency Pattern/Actual harm
Heath Survey Summary on 2011-07-25
Total Number of Health Deficiencies 9
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Health Survey Details: SUNCREST HEALTHCARE CENTER, LLC
Inspection Results: 10/24/2013
Corrected Deficiency Scope and Severity
11/29/2013 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
11/29/2013 Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated/Minimal harm or potential for actual harm
11/29/2013 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
11/29/2013 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm
11/29/2013 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. Isolated/Minimal harm or potential for actual harm
11/29/2013 Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern/Minimal harm or potential for actual harm
11/29/2013 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
Inspection Results: 09/11/2012
Corrected Deficiency Scope and Severity
11/15/2012 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
11/15/2012 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
11/15/2012 Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Pattern/Minimal harm or potential for actual harm
11/15/2012 Train all employees on what to do in an emergency, and carry out unannounced staff drills. Isolated/Minimal harm or potential for actual harm
11/15/2012 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
11/15/2012 Quickly tell the resident's doctor the results of laboratory tests. Isolated/Minimal harm or potential for actual harm
11/15/2012 Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. Isolated/Minimal harm or potential for actual harm
11/15/2012 Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. Isolated/Minimal harm or potential for actual harm
11/15/2012 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Isolated/Minimal harm or potential for actual harm
11/15/2012 Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. Pattern/Minimal harm or potential for actual harm
11/15/2012 Keep all essential equipment working safely. Isolated/Minimal harm or potential for actual harm
11/15/2012 Have a program that investigates, controls and keeps infection from spreading. Widespread /Minimal harm or potential for actual harm
11/15/2012 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern/Minimal harm or potential for actual harm
11/15/2012 Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated/Minimal harm or potential for actual harm
11/15/2012 Provide or obtain dental services for each resident. Isolated/Minimal harm or potential for actual harm
11/15/2012 Give or get specialized rehabilitative services per the patient's assessment or plan of care. Pattern/Potential for minimal harm
11/15/2012 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
11/15/2012 Post nurse staffing information/data on a daily basis. Isolated/Minimal harm or potential for actual harm
11/15/2012 Ensure that residents are safe from serious medication errors. Isolated/Minimal harm or potential for actual harm
11/15/2012 Give residents a notice of rights, rules, services and charges. Pattern/Potential for minimal harm
11/15/2012 Ensure residents maintain acceptable nutritional status. Isolated/Minimal harm or potential for actual harm
11/15/2012 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern/Actual harm
11/15/2012 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
11/15/2012 Send unopened mail from residents and promptly deliver unopened mail to residents. Isolated/Minimal harm or potential for actual harm
11/15/2012 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated/Minimal harm or potential for actual harm
11/15/2012 Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. Isolated/Minimal harm or potential for actual harm
11/15/2012 Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated/Minimal harm or potential for actual harm
11/15/2012 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Actual harm
11/15/2012 Provide care by qualified persons according to each resident's written plan of care. Isolated/Minimal harm or potential for actual harm
11/15/2012 Allow residents the right to participate in the planning or revision of care and treatment. Isolated/Minimal harm or potential for actual harm
11/15/2012 Review or revise the resident's care plan after any major change in physical or mental health. Isolated/Minimal harm or potential for actual harm
11/15/2012 Conduct initial and periodic assessments of each resident's functional capacity. Isolated/Minimal harm or potential for actual harm
11/15/2012 Provide adequate and comfortable lighting levels in all areas. Pattern/Potential for minimal harm
11/15/2012 Provide housekeeping and maintenance services. Isolated/Minimal harm or potential for actual harm
11/15/2012 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated/Minimal harm or potential for actual harm
11/15/2012 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
11/15/2012 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. Pattern/Minimal harm or potential for actual harm
11/15/2012 Keep each resident free from physical restraints, unless needed for medical treatment. Isolated/Minimal harm or potential for actual harm
Inspection Results: 07/25/2011
Corrected Deficiency Scope and Severity
08/19/2011 Reasonably accommodate the needs and preferences of each resident. Isolated/Minimal harm or potential for actual harm
08/19/2011 Allow residents the right to participate in the planning or revision of care and treatment. Isolated/Minimal harm or potential for actual harm
08/19/2011 Provide care by qualified persons according to each resident's written plan of care. Isolated/Minimal harm or potential for actual harm
08/19/2011 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
08/19/2011 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. Pattern/Minimal harm or potential for actual harm
08/19/2011 Give each resident enough fluids to keep them healthy and prevent dehydration. Isolated/Minimal harm or potential for actual harm
08/19/2011 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
08/19/2011 Use a registered nurse at least 8 hours a day, 7 days a week. Pattern/Minimal harm or potential for actual harm
08/19/2011 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm

Fire Safety Survey: SUNCREST HEALTHCARE CENTER, LLC
Fire Safety Survey Summary on 2013-10-31
Total Number of Fire SafetyDeficiencies 4
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-09-11
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 2011-07-27
Total Number of Fire SafetyDeficiencies 10
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey: SUNCREST HEALTHCARE CENTER, LLC
Fire Safety Survey Results: 10/31/2013
Corrected Deficiency Severity
11/25/2013 Corridor and hallway doors that block smoke. Isolated/Minimal harm or potential for actual harm
11/25/2013 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
11/25/2013 Restrictions on the use of highly flammable decorations. Isolated/Minimal harm or potential for actual harm
11/25/2013 Properly installed electrical wiring and equipment. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 09/11/2012
Corrected Deficiency Severity
10/22/2012 Properly installed electrical wiring and equipment. Isolated/Minimal harm or potential for actual harm
10/22/2012 Exits that are free from obstructions and can be used at all times. Isolated/Minimal harm or potential for actual harm
10/22/2012 Corridor and hallway doors that block smoke. Pattern/Minimal harm or potential for actual harm
10/22/2012 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
10/22/2012 Exits that are accessible at all times. Widespread /Minimal harm or potential for actual harm
10/22/2012 Portable fire extinguishers. Widespread/Potential for minimal harm
10/22/2012 Proper medical gas storage and administration areas. Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Results: 07/27/2011
Corrected Deficiency Severity
08/19/2011 Record of quarterly fire drills for each shift under varying conditions. Pattern/Minimal harm or potential for actual harm
08/19/2011 Automatic sprinkler systems that have been maintained in working order. Widespread /Minimal harm or potential for actual harm
08/19/2011 Approved construction type or materials. Pattern/Minimal harm or potential for actual harm
08/19/2011 Corridor and hallway doors that block smoke. Isolated/Minimal harm or potential for actual harm
08/19/2011 Walls that prevent smoke from passing through and would resist fire for at least one hour. Widespread /Minimal harm or potential for actual harm
08/19/2011 Exits that are accessible at all times. Isolated/Minimal harm or potential for actual harm
08/19/2011 Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Widespread /Minimal harm or potential for actual harm
08/19/2011 Proper medical gas storage and administration areas. Isolated/Minimal harm or potential for actual harm
08/19/2011 Weekly inspections and monthly testing of generators. Widespread/Potential for minimal harm
08/19/2011 Properly installed electrical wiring and equipment. Isolated/Minimal harm or potential for actual harm

Resident Complaints: SUNCREST HEALTHCARE CENTER, LLC
Date Complaint Substantiated: 12/20/2011
CorrectedCategoryDeficiencySeverity
01/18/2012Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. D

Quality Measures: SUNCREST HEALTHCARE CENTER, LLC
Quality Measures National Average Arizona Average SUNCREST HEALTHCARE CENTER, LLC
Overall quality rating NA NA 3
3
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 15.3% 2.5%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 10.7% 16.0%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 6.1% 10.2%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 6.7% 7.9%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 51.5% 39.6%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 4.5% 3.7%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 6.2% 12.9%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 4.0% 9.1%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 0.7% 5.0%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 2.7% 0.6%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 95.0% 98.9%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 95.9% 95.6%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 20.3% 40.6%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 23.7% 55.6%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 0.7% 0.0%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 89.9% 93.8%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 88.9% 92.3%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.0% 8.6%

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