Fountain View Village - Fountain Hills Nursing Home
General Information
UPDATEFederal Provider Number
35260
Provider Name
FOUNTAIN VIEW VILLAGE
Provider Address
16455 EAST AVENUE OF THE FOUNTAINS
FOUNTAIN HILLS, AZ 85268
FOUNTAIN HILLS, AZ 85268
Provider Phone Number
4808364800
Provider SSA County
60
Provider County Name
Maricopa
Ownership Type
For profit - Corporation
Number of Certified Beds
64
Number of Residents in Certified Beds
38
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
SL FOUNTAIN VIEW VILLAGE, LLC
Date First Approved to Provide Medicare and Medicaid services
2001-11-26
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.99737
Reported LPN Staffing Hours per Resident per Day
0.61842
Reported RN Staffing Hours per Resident per Day
1.87237
Reported Licensed Staffing Hours per Resident per Day
2.49079
Reported Total Nurse Staffing Hours per Resident per Day
5.48816
Reported Physical Therapist Staffing Hours per Resident Per Day
0.22237
Expected CNA Staffing Hours per Resident per Day
2.52620
Expected LPN Staffing Hours per Resident per Day
0.70261
Expected RN Staffing Hours per Resident per Day
1.43850
Expected Total Nurse Staffing Hours per Resident per Day
4.66731
Adjusted CNA Staffing Hours per Resident per Day
2.91134
Adjusted LPN Staffing Hours per Resident per Day
0.73054
Adjusted RN Staffing Hours per Resident per Day
0.97257
Adjusted Total Nurse Staffing Hours per Resident per Day
4.73982
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-02-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-11-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-10-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
17.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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