Camelback Post Acute And Rehabilitation - Phoenix Nursing Home
General Information
UPDATEFederal Provider Number
35088
Provider Name
CAMELBACK POST ACUTE AND REHABILITATION
Provider Address
4635 NORTH 14TH STREET
PHOENIX, AZ 85014
PHOENIX, AZ 85014
Provider Phone Number
(602) 264-9039
Provider SSA County
60
Provider County Name
Maricopa
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
107
Number of Residents in Certified Beds
77
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HIGHLAND HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid services
1984-01-06
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
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
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
2.48377
Reported LPN Staffing Hours per Resident per Day
1.47792
Reported RN Staffing Hours per Resident per Day
1.19870
Reported Licensed Staffing Hours per Resident per Day
2.67662
Reported Total Nurse Staffing Hours per Resident per Day
5.16039
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09545
Expected CNA Staffing Hours per Resident per Day
2.43575
Expected LPN Staffing Hours per Resident per Day
0.67997
Expected RN Staffing Hours per Resident per Day
1.24294
Expected Total Nurse Staffing Hours per Resident per Day
4.35865
Adjusted CNA Staffing Hours per Resident per Day
2.50207
Adjusted LPN Staffing Hours per Resident per Day
1.80402
Adjusted RN Staffing Hours per Resident per Day
0.72061
Adjusted Total Nurse Staffing Hours per Resident per Day
4.77235
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
20
Cycle 1 Standard Survey Health Date
2015-02-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-11-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-10-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
28.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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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