Coronado Healthcare Center - Phoenix Nursing Home
General Information
UPDATEFederal Provider Number
35132
Provider Name
CORONADO HEALTHCARE CENTER
Provider Address
11411 NORTH 19TH AVE
PHOENIX, AZ 85029
PHOENIX, AZ 85029
Provider Phone Number
(602) 256-7500
Provider SSA County
60
Provider County Name
Maricopa
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
191
Number of Residents in Certified Beds
178
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NORTH MOUNTAIN HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid services
1986-08-05
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.88006
Reported LPN Staffing Hours per Resident per Day
1.43792
Reported RN Staffing Hours per Resident per Day
0.67416
Reported Licensed Staffing Hours per Resident per Day
2.11208
Reported Total Nurse Staffing Hours per Resident per Day
4.99214
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08230
Expected CNA Staffing Hours per Resident per Day
2.40853
Expected LPN Staffing Hours per Resident per Day
0.66145
Expected RN Staffing Hours per Resident per Day
1.07916
Expected Total Nurse Staffing Hours per Resident per Day
4.14914
Adjusted CNA Staffing Hours per Resident per Day
2.93407
Adjusted LPN Staffing Hours per Resident per Day
1.80434
Adjusted RN Staffing Hours per Resident per Day
0.46678
Adjusted Total Nurse Staffing Hours per Resident per Day
4.84987
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-06-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-03-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-01-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
36.00000
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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