cms_AZ: 95
Data source: Big Local News · About: big-local-datasette
rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
95 | DESERT HAVEN CARE CENTER | 35062 | 2645 EAST THOMAS ROAD | PHOENIX | AZ | 85016 | 2017-02-03 | 520 | E | 0 | 1 | TPN311 | Based on concerns identified during the survey, staff interview and policy and procedures, the facility failed to identify quality concerns through their QA (Quality Assurance) program regarding consistently and thoroughly assessing pressure ulcers. Findings include: During the survey, concerns were identified that pressure ulcers were not being thoroughly and consistently assessed to include measurements and a description of the wound bed. During the survey, interviews were conducted with the interim Director of Nursing (DON/staff #1) and the wound nurse (LPN/staff #25), and both stated that there were no wound assessments performed during the time period when there was no wound nurse. During an interview conducted with the Administrator (staff# 48) on (MONTH) 3, (YEAR) at 12:30 p.m., he stated that they had not identified any issues in QA regarding pressure ulcers. A review of the Quality Assessment and Assurance Committee policy and procedure revealed the committee shall serve as the final authority for implementing the facility's quality assessment and assurance programs. The policy included the committe shall meet as necessary, but at least quarterly to assure that the QA program is meeting the needs of the facility. | 2020-09-01 |