Caremeridian-phoenix - Phoenix Nursing Home
General Information
UPDATEFederal Provider Number
35274
Provider Name
CAREMERIDIAN-PHOENIX
Provider Address
5301 EAST THOMAS ROAD
PHOENIX, AZ 85008
PHOENIX, AZ 85008
Provider Phone Number
(602) 687-1100
Provider SSA County
60
Provider County Name
Maricopa
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
31
Number of Residents in Certified Beds
14
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARE MERIDIAN LLC
Date First Approved to Provide Medicare and Medicaid services
2009-09-15
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
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
8.26429
Reported LPN Staffing Hours per Resident per Day
0.30714
Reported RN Staffing Hours per Resident per Day
3.83929
Reported Licensed Staffing Hours per Resident per Day
4.14643
Reported Total Nurse Staffing Hours per Resident per Day
12.41072
Reported Physical Therapist Staffing Hours per Resident Per Day
0.42857
Expected CNA Staffing Hours per Resident per Day
2.65490
Expected LPN Staffing Hours per Resident per Day
0.88468
Expected RN Staffing Hours per Resident per Day
1.45617
Expected Total Nurse Staffing Hours per Resident per Day
4.99576
Adjusted CNA Staffing Hours per Resident per Day
7.63798
Adjusted LPN Staffing Hours per Resident per Day
0.28815
Adjusted RN Staffing Hours per Resident per Day
1.97004
Adjusted Total Nurse Staffing Hours per Resident per Day
10.01377
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
2014-01-16
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
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
115
Cycle 2 Standard Health Survey Date
2012-12-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
115
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2011-11-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
40.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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