CARING HOUSE
Address
PO BOX 2187
SACATON, AZ 85247
(520) 562-7400
Nursing Home Ratings
Health Inspections | |
Quality Measures | |
Nursing Staff | |
R.N. Staff Only | |
Overall Rating |
Percent of Beds Occupied
Number of Residents and Certified Beds
- Residents: 84
- Certified Beds: 100
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By Non Profit - Corporation
- Offers Only Resident Counseling
- This Facility is Not Part of a Chain or Franchise
Nearby Cities:
SellsResident Services
The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Caring House. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
Resident Services | Resident Conditions | Percent of Service Days |
Ultra-High Rehabilitation
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
ADL Index Range: 0-5 | 5.8% |
Total Percent: | 5.8% |
Very High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 1.6% |
ADL Index Range: 6-10 | 4.8% |
ADL Index Range: 0-5 | 18.9% |
Total Percent: | 25.4% |
High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 18.0% |
ADL Index Range: 6-10 | 13.6% |
ADL Index Range: 0-5 | 15.0% |
Total Percent: | 46.6% |
Medium Rehabilitation
- Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-16 | 7.8% |
ADL Index Range: 6-10 | 3.6% |
ADL Index Range: 0-5 | 0.3% |
Total Percent: | 11.8% |
Special Care High
- Comatose
- Septicemia
- Diabetes with daily injections and a change of order two or more days
- Quadriplegia with ADL score greater or equal to 5
- Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
- Fever with pneumonia, or vomiting, or weight loss, or feeding tube
- Parenteral/IV feedings
- Respiratory therapy for 7 days
- Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16 - Signs of depression | 1.3% |
Total Percent: | 1.3% |
Special Care Low
- Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
- Respiratory failure and oxygen therapy while a resident
- Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
- Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
- Ulcers: 2 or more venous or arterial ulcers
- Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
- Foot infection/diabetic foot ulcer/open lesions of foot with treatment
- Radiation therapy while a resident
- Dialysis while a resident
- Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 6-10 - No Signs of depression | 1.6% |
ADL Index Range: 2-5 - No Signs of depression | 1.5% |
Total Percent: | 3.1% |
Clinically Complex
- Pneumonia, hemiplegia with ADL score >=5
- Surgical wounds or open lesions with treatment
- Burns
- Chemotherapy while a resident
- Oxygen therapy while a resident
- IV medications or transfusions while a resident
- Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 15-16 - No Signs of depression | 1.4% |
ADL Index Range: 6-10 - No Signs of depression | 0.2% |
ADL Index Range: 2-5 - No Signs of depression | 3.8% |
ADL Index Range: 0-1 - No Signs of depression | 0.7% |
Total Percent: | 6.1% |
Rating Details For Caring House
Nursing Staff -
The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.
Nursing Hours Per Resident Per Day | Reported | Expected |
Registered Nurse (RN) Hours | 53 Minutes | 1 Hour and 12 Minutes |
Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 1 Hour | 41 Minutes |
Certified Nursing Assistant (CNA) Hours | 3 Hours and 26 Minutes | 2 Hours and 13 Minutes |
Total Licensed Nurse Hours | 1 Hour and 54 Minutes | 1 Hour and 53 Minutes |
Total Nurse Hours | 5 Hours and 20 Minutes | 4 Hours and 6 Minutes |
Quality of Care -
Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Arizona are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
This Facility | Arizona Average |
Long-Term Stay Preventive Actions
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 87% |
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 87% |
Long-Term Stay Deficiencies
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | - | 3% |
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 4% | 6% |
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 22% | 14% |
Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 13% | 9% |
Percent of Long-Stay Residents Who Are More Depressed or Anxious | 6% | 12% |
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 6% | 10% |
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 14% | 10% |
Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 6% | 5% |
Percent of Long-Stay Residents Who Were Physically Restrained | 1% | 3% |
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 12% | 6% |
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 41% | 54% |
Percent of Long-Stay Residents Who Lose Too Much Weight | 7% | 7% |
Short-Term Stay Preventive Actions
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 86% |
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 85% |
Short-Term Stay Deficiencies
Percent of Short-Stay Residents Who Have Delirium | - | 2% |
Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 40% | 28% |
Percent of Short-Stay Residents Who Have Pressure Sores | 13% | 11% |
Health Inspection Details -
All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 04/29/2011.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Environmental
Provide Needed Housekeeping and Maintenance.
| ||
Have a Program to Keep Infection from Spreading.
| ||
Provide at Least One Room to Use As a Dining Room and for Activities, That is a Good Size, with Good Lighting, Airflow and Furniture.
| ||
Have a Program to Keep Infection from Spreading.
|
Mistreatment
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
| ||
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.
|
Nutrition and Dietary
Make Sure That the Attending Doctor Orders Special Diets.
| ||
Store, Cook, and Give out Food in a Safe and Clean Way.
|
Pharmacy Service
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.
| ||
Properly Mark Drugs and Other Similar Products.
| ||
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.
|
Quality Care
Give Professional Services That Meet a Professional Standard of Quality.
| ||
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
| ||
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
| ||
Make Sure That Each Residents' Abilities to Take Care of Themselves Does Not Lessen, Unless a Change Cannot Be Avoided.
| ||
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
| ||
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
|
Resident Assessment
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
| ||
Assess the Resident when the Resident Enters the Nursing Home, in a Timely Manner.
| ||
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
| ||
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
|
Resident Rights
Tell the Resident Completely About His or Her Health Status.
| ||
Keep Each Resident's Personal and Medical Records Private and Confidential.
| ||
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
| ||
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
| ||
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
| ||
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
| ||
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
| ||
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
| ||
Bill Properly: Charged Resident for Items That Medicare or Medicaid Pays For.
| ||
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
|
Fire Safety
Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Caring House had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 05/06/2011.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Automatic Sprinkler Systems
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
|
Building Service Equipment
Restrictions on the Use of Portable Space Heaters.
|
Corridor Walls and Doors
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
| ||
Corridor and Hallway Doors That Block Smoke.
|
Electrical
Properly Installed Electrical Wiring and Equipment.
|
Hazardous Area
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
|
Medical Gases and Anesthetizing Areas
Proper Medical Gas Storage and Administration Areas.
|