Advanced Healthcare Of Mesa - Mesa Nursing Home
General Information
UPDATEFederal Provider Number
35266
Provider Name
ADVANCED HEALTHCARE OF MESA
Provider Address
5755 EAST MAIN STREET
MESA, AZ 85205
MESA, AZ 85205
Provider Phone Number
(480) 214-2400
Provider SSA County
60
Provider County Name
Maricopa
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
38
Number of Residents in Certified Beds
36
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
AHC OF MESA LLC
Date First Approved to Provide Medicare and Medicaid services
2006-04-26
Continuing Care Retirement Community
N
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
5
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
3.59167
Reported LPN Staffing Hours per Resident per Day
0.80139
Reported RN Staffing Hours per Resident per Day
1.43611
Reported Licensed Staffing Hours per Resident per Day
2.23750
Reported Total Nurse Staffing Hours per Resident per Day
5.82917
Reported Physical Therapist Staffing Hours per Resident Per Day
0.67361
Expected CNA Staffing Hours per Resident per Day
2.33445
Expected LPN Staffing Hours per Resident per Day
0.64925
Expected RN Staffing Hours per Resident per Day
1.48567
Expected Total Nurse Staffing Hours per Resident per Day
4.46937
Adjusted CNA Staffing Hours per Resident per Day
3.77514
Adjusted LPN Staffing Hours per Resident per Day
1.02449
Adjusted RN Staffing Hours per Resident per Day
0.72227
Adjusted Total Nurse Staffing Hours per Resident per Day
5.25729
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-12-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-09-04
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-08-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
8.66700
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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