Arizona State Veteran Home-tucson - Tucson Nursing Home

General Information

UPDATE
Federal Provider Number
35284
Provider Name
ARIZONA STATE VETERAN HOME-TUCSON
Provider Address
555 EAST AJO WAY
TUCSON, AZ 85713
Provider Phone Number
5206382150
Provider SSA County
90
Provider County Name
Pima
Ownership Type
Government - State
Number of Certified Beds
120
Number of Residents in Certified Beds
113
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
UNIVERSITY OF ARIZONA
Date First Approved to Provide Medicare and Medicaid services
2012-02-23
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.18805
Reported LPN Staffing Hours per Resident per Day
0.82699
Reported RN Staffing Hours per Resident per Day
0.38850
Reported Licensed Staffing Hours per Resident per Day
1.21549
Reported Total Nurse Staffing Hours per Resident per Day
4.40354
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04027
Expected CNA Staffing Hours per Resident per Day
2.30791
Expected LPN Staffing Hours per Resident per Day
0.57824
Expected RN Staffing Hours per Resident per Day
0.80667
Expected Total Nurse Staffing Hours per Resident per Day
3.69282
Adjusted CNA Staffing Hours per Resident per Day
3.38943
Adjusted LPN Staffing Hours per Resident per Day
1.18706
Adjusted RN Staffing Hours per Resident per Day
0.35986
Adjusted Total Nurse Staffing Hours per Resident per Day
4.80669
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-08-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-05-09
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-02-23
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
32.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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