RIM COUNTRY HEALTH & RETIREMENT COMMUNITY
The information listed below provides an in-depth look into the type and quality of care offered at Rim Country Health & Retirement Community. 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
RIM COUNTRY HEALTH & RETIREMENT COMMUNITY
807 WEST LONGHORN ROAD
PAYSON, AZ 85541
(928) 474-1120
807 WEST LONGHORN ROAD
PAYSON, AZ 85541
(928) 474-1120
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
94%Number of Residents and Certified Beds
- Residents: 102
- Certified Beds: 109
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By For Profit - Corporation
- Offers Only Resident Counseling
- This Facility is Not Part of a Chain or Franchise
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 "Ultra-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 Rim Country Health & Retirement Community. 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
Rehabilitation 720 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
| ADL Index Range: 11-16 | 13.5% |
| ADL Index Range: 6-10 | 15.5% |
| ADL Index Range: 0-5 | 23.2% |
| Total Percent: | 52.2% |
Very High Rehabilitation
Rehabilitation 500 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 13.7% |
| ADL Index Range: 6-10 | 16.6% |
| ADL Index Range: 0-5 | 16.9% |
| Total Percent: | 47.1% |
High Rehabilitation
Rehabilitation 325 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 0-5 | 0.7% |
| Total Percent: | 0.7% |
Rating Details For Rim Country Health & Retirement Community
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 | 32 Minutes | 1 Hour |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 53 Minutes | 37 Minutes |
| Certified Nursing Assistant (CNA) Hours | 2 Hours and 30 Minutes | 2 Hours and 11 Minutes |
| Total Licensed Nurse Hours | 1 Hour and 24 Minutes | 1 Hour and 37 Minutes |
| Total Nurse Hours | 3 Hours and 54 Minutes | 3 Hours and 48 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 Who Were Assessed and Given Pneumococcal Vaccination | 70% | 87% |
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 88% | 87% |
Long-Term Stay Deficiencies
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 1% | 6% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 4% | 10% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 8% | 10% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 16% | 12% |
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | - | 3% |
| Percent of Long-Stay Residents Who Were Physically Restrained | - | 3% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 8% | 9% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 26% | 14% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 5% | 5% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 11% | 7% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 5% | 6% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 41% | 54% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 62% | 86% |
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 84% | 85% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 21% | 28% |
| Percent of Short-Stay Residents Who Have Delirium | 2% | 2% |
| Percent of Short-Stay Residents Who Have Pressure Sores | 12% | 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 06/11/2010.
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 |
Administration
Give or Get Lab Tests to Meet the Needs of Residents.
|  |  |
Keep Accurate and Appropriate Medical Records.
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Give or Get Lab Tests to Meet the Needs of Residents.
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Environmental
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Have a Program to Keep Infection from Spreading.
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Keep Safe, Clean and Homelike Surroundings.
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Have a Program to Keep Infection from Spreading.
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Provide Enough Emergency Electricity.
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Mistreatment
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.
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Nutrition and Dietary
1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day.
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Store, Cook, and Give out Food in a Safe and Clean Way.
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Pharmacy Service
Properly Mark Drugs and Other Similar Products.
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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.
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Quality Care
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
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Give Professional Services That Meet a Professional Standard of Quality.
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Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
|  | |
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
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Resident Assessment
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
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Make Sure That Doctors Visit Residents Regularly, As Required.
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Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
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Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record.
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Make Sure That Doctors Visit Residents Regularly, As Required.
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Resident Rights
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care.
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Enforcement
Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.
| Action Taken | Date | Amount |
| Civil Money Penalty (CMP) | 02/27/2009 | $6,500 |
| Civil Money Penalty (CMP) | 12/11/2008 | $21,386 |
| Denial of Payment for New Admission (DPNA) | 12/11/2008 | - |
| Denial of Payment for New Admission (DPNA) | 02/27/2009 | - |
Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Rim Country Health & Retirement Community, 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 Complaints | Degree of Harm | Residents Affected |
Administration
Set Up or Keep a Group of People to Review and Ensure Quality.
| | |
Keep Accurate and Appropriate Medical Records.
| | |
Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
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Environmental
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
| | |
Have a Program to Keep Infection from Spreading.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
| | |
Mistreatment
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
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Keep Each Resident Free from Drugs That Restrain Them, Unless Needed for Medical Treatment.
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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.
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Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
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Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
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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
Store, Cook, and Give out Food in a Safe and Clean Way.
| | |
Store, Cook, and Give out Food in a Safe and Clean Way.
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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.
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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.
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Quality Care
Give Professional Services That Meet a Professional Standard of Quality.
| | |
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
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Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
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Resident Assessment
Get Doctor Orders for the Resident's Immediate Care when Admitted.
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Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
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Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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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.
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Resident Rights
Give Enough Notice to the Resident Before Changing the Resident's Room or Roommate.
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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 Rim Country Health & Retirement Community 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 06/10/2010.
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
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System.
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Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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Building Service Equipment
Properly Protected Cooking Facilities.
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Corridor Walls and Doors
Corridor and Hallway Doors That Block Smoke.
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Corridor and Hallway Doors That Block Smoke.
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Electrical
Weekly Inspections and Monthly Testing of Generators.
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Properly Installed Electrical Wiring and Equipment.
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Emergency Plans and Fire Drills
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
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Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
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Exits and Egress
Exits That Are Accessible at All Times.
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Fire Alarm Systems
An Approved Back-Up Procedure for a Faulty Fire Alarm System.
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Hazardous Area
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub.
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Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Illumination and Emergency Power
Proper Backup Exit Lighting.
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Medical Gases and Anesthetizing Areas
Proper Medical Gas Storage and Administration Areas.
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Miscellaneous
Fire Safety Features Required by Current Fire Safety Codes.
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Smoke Compartmentation and Control
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
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Smoking Regulations
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
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Source: Medicare Nursing Home Compare; Department of Health Services of Arizona - Assurance and Licensure Division of Long Term Care - Retrieved 2011
