Acacia Health Center - Phoenix Nursing Home
General Information
UPDATEFederal Provider Number
35279
Provider Name
ACACIA HEALTH CENTER
Provider Address
4555 EAST MAYO BLVD
PHOENIX, AZ 85050
PHOENIX, AZ 85050
Provider Phone Number
(480) 384-5600
Provider SSA County
60
Provider County Name
Maricopa
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
38
Number of Residents in Certified Beds
35
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
LCS-WESTMINSTER PARTNERSHIP IV LLP
Date First Approved to Provide Medicare and Medicaid services
2011-03-03
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
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
2.90714
Reported LPN Staffing Hours per Resident per Day
0.78429
Reported RN Staffing Hours per Resident per Day
1.86143
Reported Licensed Staffing Hours per Resident per Day
2.64571
Reported Total Nurse Staffing Hours per Resident per Day
5.55286
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16286
Expected CNA Staffing Hours per Resident per Day
2.37711
Expected LPN Staffing Hours per Resident per Day
0.62107
Expected RN Staffing Hours per Resident per Day
1.00055
Expected Total Nurse Staffing Hours per Resident per Day
3.99873
Adjusted CNA Staffing Hours per Resident per Day
3.00081
Adjusted LPN Staffing Hours per Resident per Day
1.04812
Adjusted RN Staffing Hours per Resident per Day
1.39010
Adjusted Total Nurse Staffing Hours per Resident per Day
5.59753
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-10-01
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-06-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-04-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
20.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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