Bella Vita Health And Rehabilitation Center - Glendale Nursing Home
General Information
UPDATEFederal Provider Number
35092
Provider Name
BELLA VITA HEALTH AND REHABILITATION CENTER
Provider Address
5125 NORTH 58TH AVE
GLENDALE, AZ 85301
GLENDALE, AZ 85301
Provider Phone Number
(623) 931-5800
Provider SSA County
60
Provider County Name
Maricopa
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
186
Number of Residents in Certified Beds
141
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GLENDALE HEALTHCARE ASSOCIATES LLC
Date First Approved to Provide Medicare and Medicaid services
1984-03-27
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.27979
Reported LPN Staffing Hours per Resident per Day
1.06383
Reported RN Staffing Hours per Resident per Day
0.67163
Reported Licensed Staffing Hours per Resident per Day
1.73546
Reported Total Nurse Staffing Hours per Resident per Day
4.01525
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09149
Expected CNA Staffing Hours per Resident per Day
2.38419
Expected LPN Staffing Hours per Resident per Day
0.63610
Expected RN Staffing Hours per Resident per Day
1.03804
Expected Total Nurse Staffing Hours per Resident per Day
4.05832
Adjusted CNA Staffing Hours per Resident per Day
2.34626
Adjusted LPN Staffing Hours per Resident per Day
1.38812
Adjusted RN Staffing Hours per Resident per Day
0.48345
Adjusted Total Nurse Staffing Hours per Resident per Day
3.98812
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
2013-10-25
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
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
2012-09-20
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2011-07-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
0.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
33638
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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