Citadel Care Center - Mesa Nursing Home
General Information
UPDATEFederal Provider Number
35103
Provider Name
CITADEL CARE CENTER
Provider Address
5121 EAST BROADWAY ROAD
MESA, AZ 85206
MESA, AZ 85206
Provider Phone Number
(480) 832-5555
Provider SSA County
60
Provider County Name
Maricopa
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
128
Number of Residents in Certified Beds
86
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LIFE CARE CENTERS OF AMERICA, INC.
Date First Approved to Provide Medicare and Medicaid services
1985-03-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
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
2.33953
Reported LPN Staffing Hours per Resident per Day
1.01628
Reported RN Staffing Hours per Resident per Day
0.92907
Reported Licensed Staffing Hours per Resident per Day
1.94535
Reported Total Nurse Staffing Hours per Resident per Day
4.28488
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06802
Expected CNA Staffing Hours per Resident per Day
2.61166
Expected LPN Staffing Hours per Resident per Day
0.71782
Expected RN Staffing Hours per Resident per Day
1.24838
Expected Total Nurse Staffing Hours per Resident per Day
4.57786
Adjusted CNA Staffing Hours per Resident per Day
2.19803
Adjusted LPN Staffing Hours per Resident per Day
1.17510
Adjusted RN Staffing Hours per Resident per Day
0.55608
Adjusted Total Nurse Staffing Hours per Resident per Day
3.77292
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
16
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
16
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
96
Cycle 2 Standard Health Survey Date
2013-10-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
96
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-09-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
50.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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