Avalon Care Center - Shadow Mountain - Scottsdale Nursing Home
General Information
UPDATEFederal Provider Number
35105
Provider Name
AVALON CARE CENTER - SHADOW MOUNTAIN
Provider Address
11150 NORTH 92ND STREET
SCOTTSDALE, AZ 85260
SCOTTSDALE, AZ 85260
Provider Phone Number
4808601766
Provider SSA County
60
Provider County Name
Maricopa
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
73
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AVALON CARE CENTER - SCOTTSDALE, LLC
Date First Approved to Provide Medicare and Medicaid services
1985-04-09
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
1.76370
Reported LPN Staffing Hours per Resident per Day
0.54589
Reported RN Staffing Hours per Resident per Day
1.10137
Reported Licensed Staffing Hours per Resident per Day
1.64726
Reported Total Nurse Staffing Hours per Resident per Day
3.41096
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11164
Expected CNA Staffing Hours per Resident per Day
2.51511
Expected LPN Staffing Hours per Resident per Day
0.66274
Expected RN Staffing Hours per Resident per Day
1.02315
Expected Total Nurse Staffing Hours per Resident per Day
4.20100
Adjusted CNA Staffing Hours per Resident per Day
1.72063
Adjusted LPN Staffing Hours per Resident per Day
0.68366
Adjusted RN Staffing Hours per Resident per Day
0.80433
Adjusted Total Nurse Staffing Hours per Resident per Day
3.27285
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2015-02-12
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
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-11-07
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
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-09-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
52.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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
Nursiong Homes Nearby
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SCOTTSDALE AZ 85257 | 8.1 miles away
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