Avalon Southwest Health & Rehabilitation - Tucson Nursing Home
General Information
UPDATEFederal Provider Number
35099
Provider Name
AVALON SOUTHWEST HEALTH & REHABILITATION
Provider Address
2900 EAST MILBER STREET
TUCSON, AZ 85714
TUCSON, AZ 85714
Provider Phone Number
(520) 294-0005
Provider SSA County
90
Provider County Name
Pima
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
240
Number of Residents in Certified Beds
181
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AVALON CARE CENTER - TUCSON, LLC
Date First Approved to Provide Medicare and Medicaid services
1985-02-05
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
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.58840
Reported LPN Staffing Hours per Resident per Day
1.26133
Reported RN Staffing Hours per Resident per Day
0.75552
Reported Licensed Staffing Hours per Resident per Day
2.01685
Reported Total Nurse Staffing Hours per Resident per Day
5.60525
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05414
Expected CNA Staffing Hours per Resident per Day
2.39801
Expected LPN Staffing Hours per Resident per Day
0.58044
Expected RN Staffing Hours per Resident per Day
0.90021
Expected Total Nurse Staffing Hours per Resident per Day
3.87866
Adjusted CNA Staffing Hours per Resident per Day
3.67174
Adjusted LPN Staffing Hours per Resident per Day
1.80365
Adjusted RN Staffing Hours per Resident per Day
0.62710
Adjusted Total Nurse Staffing Hours per Resident per Day
5.82526
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-03-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
22
Cycle 2 Number of Standard Health Deficiencies
22
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
108
Cycle 2 Standard Health Survey Date
2013-01-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
108
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2011-10-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
68.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
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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