TRILLIUM SPECIALTY HOSPITAL-WEST VALLEY

The information listed below provides an in-depth look into the type and quality of care offered at Trillium Specialty Hospital-West Valley. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

TRILLIUM SPECIALTY HOSPITAL-WEST VALLEY
13818 NORTH THUNDERBIRD BOULEVARD
SUN CITY, AZ 85351
(623) 977-1325

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

83%

Number of Residents and Certified Beds

  • Residents: 50
  • Certified Beds: 60

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Partnership
  • Offers Only Resident Counseling
  • Located Inside of a Hospital Facility
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Youngtown | Peoria | Surprise

Resident 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 "Extensive Services". 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 Trillium Specialty Hospital-West Valley. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

High Rehabilitation Plus Extensive Services

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-107.3%
Total Percent:7.3%
 

Medium Rehabilitation Plus Extensive Services

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-1612.3%
Total Percent:12.3%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 6-103.7%
ADL Index Range: 0-510.5%
Total Percent:14.2%
 

Extensive Services

  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-16
- Tracheostomy care and ventilator/respirator
21.5%
ADL Index Range: 2-16
- Tracheostomy care or ventilator/respirator
7.8%
ADL Index Range: 2-16
- Isolation for active infectious disease
25.1%
Total Percent:54.3%
 

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
1.4%
Total Percent:1.4%
 

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: 6-10
- No Signs of depression
10.5%
Total Percent:10.5%
 

Rating Details For Trillium Specialty Hospital-West Valley

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 DayReportedExpected
Registered Nurse (RN) Hours1 Hour and 47 Minutes1 Hour and 55 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 38 Minutes1 Hour and 16 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 37 Minutes2 Hours and 45 Minutes
Total Licensed Nurse Hours3 Hours and 24 Minutes3 Hours and 11 Minutes
Total Nurse Hours6 Hours and 2 Minutes5 Hours and 56 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 FacilityArizona Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination24%87%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season47%87%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair84%6%
Percent of Long-Stay Residents Who Were Physically Restrained-3%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain6%5%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection15%9%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder14%6%
Percent of Long-Stay Residents Who Lose Too Much Weight27%7%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores25%10%
Percent of Long-Stay Residents Who Are More Depressed or Anxious6%12%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season61%85%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination29%86%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores3%11%
Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain41%28%

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 03/22/2011.

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 InspectorsDegree of HarmResidents Affected

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 08/28/2008
  • Correction Date: 09/05/2008
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
  • Inspection Date: 08/28/2008
  • Correction Date: 09/05/2008
Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 11/19/2009
  • Correction Date: 02/10/2010

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.
  • Inspection Date: 11/19/2009
  • Correction Date: 02/10/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 08/28/2008
  • Correction Date: 09/05/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 08/28/2008
  • Correction Date: 09/05/2008
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Inspection Date: 11/19/2009
  • Correction Date: 02/10/2010

Resident Assessment

Get Doctor Orders for the Resident's Immediate Care when Admitted.
  • Inspection Date: 11/19/2009
  • Correction Date: 02/10/2010
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 11/19/2009
  • Correction Date: 02/10/2010
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
  • Inspection Date: 11/19/2009
  • Correction Date: 02/10/2010
Do an Assessment of the Resident Every Year.
  • Inspection Date: 11/19/2009
  • Correction Date: 02/10/2010

Resident Rights

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.
  • Inspection Date: 11/19/2009
  • Correction Date: 02/10/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Trillium Specialty Hospital-West Valley, as well as complaints by residents or their family in the previous three years.

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
Formal ComplaintsDegree of HarmResidents Affected

Administration

Get Services Outside the Nursing Home That Meet Professional Standards.
  • Complaint Filed: 08/28/2008
  • Correction Date: 09/05/2008
1) Set Up a Group That is Legally Responsible for Writing and Setting Up Policies for Leading and Running the Nursing Home; or 2) Hire a Properly Licensed Administrator.
  • Complaint Filed: 05/04/2009
  • Correction Date: 05/04/2009
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 11/19/2009
  • Correction Date: 02/10/2010
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 03/22/2011
  • Correction Date: 04/28/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 11/19/2009
  • Correction Date: 02/10/2010
Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 11/19/2009
  • Correction Date: 02/10/2010
Keep All Essential Equipment Working Safely.
  • Complaint Filed: 11/19/2009
  • Correction Date: 02/10/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 03/22/2011
  • Correction Date: 04/28/2011
Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 03/22/2011
  • Correction Date: 04/28/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 03/22/2011
  • Correction Date: 04/28/2011

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors.
  • Complaint Filed: 11/19/2009
  • Correction Date: 02/10/2010
Properly Mark Drugs and Other Similar Products.
  • Complaint Filed: 03/22/2011
  • Correction Date: 04/28/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 11/19/2009
  • Correction Date: 02/10/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 11/19/2009
  • Correction Date: 02/10/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 11/19/2009
  • Correction Date: 02/10/2010
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Complaint Filed: 11/19/2009
  • Correction Date: 02/10/2010
Give or Get Dental Care for Each Resident.
  • Complaint Filed: 11/19/2009
  • Correction Date: 02/10/2010
Provide Activities to Meet the Needs of Each Resident.
  • Complaint Filed: 11/19/2009
  • Correction Date: 02/10/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Complaint Filed: 03/22/2011
  • Correction Date: 04/28/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 03/22/2011
  • Correction Date: 04/28/2011
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 03/22/2011
  • Correction Date: 04/28/2011

Resident Assessment

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.
  • Complaint Filed: 11/19/2009
  • Correction Date: 02/10/2010
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record.
  • Complaint Filed: 11/19/2009
  • Correction Date: 02/10/2010
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Complaint Filed: 11/19/2009
  • Correction Date: 02/10/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 11/19/2009
  • Correction Date: 02/10/2010
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Complaint Filed: 03/22/2011
  • Correction Date: 04/28/2011
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.
  • Complaint Filed: 03/22/2011
  • Correction Date: 04/28/2011

Resident Rights

Send and Promptly Deliver Unopened Mail to Residents.
  • Complaint Filed: 03/22/2011
  • Correction Date: 04/28/2011
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Complaint Filed: 03/22/2011
  • Correction Date: 04/28/2011
Give Enough Notice to the Resident Before Changing the Resident's Room or Roommate.
  • Complaint Filed: 03/22/2011
  • Correction Date: 04/28/2011

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 Trillium Specialty Hospital-West Valley 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 03/04/2011.

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 InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 03/04/2011
  • Correction Date: 04/18/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 11/19/2009
  • Correction Date: 12/30/2009
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 03/04/2011
  • Correction Date: 04/18/2011
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 03/04/2011
  • Correction Date: 04/18/2011

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 11/19/2009
  • Correction Date: 12/30/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 11/19/2009
  • Correction Date: 12/30/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 11/19/2009
  • Correction Date: 12/30/2009
Source: Medicare Nursing Home Compare; Department of Health Services of Arizona - Assurance and Licensure Division of Long Term Care - Retrieved 2011