Brookdale Christown - Phoenix Nursing Home
General Information
UPDATEFederal Provider Number
35116
Provider Name
BROOKDALE CHRISTOWN
Provider Address
6246 NORTH 19TH AVENUE
PHOENIX, AZ 85015
PHOENIX, AZ 85015
Provider Phone Number
(602) 433-6300
Provider SSA County
60
Provider County Name
Maricopa
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
56
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EMERICARE INC
Date First Approved to Provide Medicare and Medicaid services
1985-09-19
Continuing Care Retirement Community
Y
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
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
1.74911
Reported LPN Staffing Hours per Resident per Day
0.85982
Reported RN Staffing Hours per Resident per Day
1.72857
Reported Licensed Staffing Hours per Resident per Day
2.58839
Reported Total Nurse Staffing Hours per Resident per Day
4.33750
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10179
Expected CNA Staffing Hours per Resident per Day
2.28116
Expected LPN Staffing Hours per Resident per Day
0.64969
Expected RN Staffing Hours per Resident per Day
1.23723
Expected Total Nurse Staffing Hours per Resident per Day
4.16809
Adjusted CNA Staffing Hours per Resident per Day
1.88140
Adjusted LPN Staffing Hours per Resident per Day
1.09844
Adjusted RN Staffing Hours per Resident per Day
1.04393
Adjusted Total Nurse Staffing Hours per Resident per Day
4.19474
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-06-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-04-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
23
Cycle 3 Number of Standard Health Deficiencies
17
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
164
Cycle 3 Standard Health Survey Date
2012-01-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
164
Total Weighted Health Survey Score
59.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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