Christian Care Nursing Center - Phoenix Nursing Home
General Information
UPDATEFederal Provider Number
35173
Provider Name
CHRISTIAN CARE NURSING CENTER
Provider Address
11812 NORTH 19TH AVE
PHOENIX, AZ 85029
PHOENIX, AZ 85029
Provider Phone Number
(602) 861-3241
Provider SSA County
60
Provider County Name
Maricopa
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
68
Number of Residents in Certified Beds
59
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHRISTIAN CARE NURSING CENTER INC.
Date First Approved to Provide Medicare and Medicaid services
1988-06-13
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
5
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
3.22373
Reported LPN Staffing Hours per Resident per Day
0.73475
Reported RN Staffing Hours per Resident per Day
0.80424
Reported Licensed Staffing Hours per Resident per Day
1.53898
Reported Total Nurse Staffing Hours per Resident per Day
4.76272
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03644
Expected CNA Staffing Hours per Resident per Day
2.38764
Expected LPN Staffing Hours per Resident per Day
0.60072
Expected RN Staffing Hours per Resident per Day
0.91903
Expected Total Nurse Staffing Hours per Resident per Day
3.90739
Adjusted CNA Staffing Hours per Resident per Day
3.31292
Adjusted LPN Staffing Hours per Resident per Day
1.01519
Adjusted RN Staffing Hours per Resident per Day
0.65387
Adjusted Total Nurse Staffing Hours per Resident per Day
4.91327
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
2014-06-27
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
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-05-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-02-28
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
6.66700
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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