Desert Haven Care Center - Phoenix Nursing Home
General Information
UPDATEFederal Provider Number
35062
Provider Name
DESERT HAVEN CARE CENTER
Provider Address
2645 EAST THOMAS ROAD
PHOENIX, AZ 85016
PHOENIX, AZ 85016
Provider Phone Number
6029568000
Provider SSA County
60
Provider County Name
Maricopa
Ownership Type
For profit - Corporation
Number of Certified Beds
115
Number of Residents in Certified Beds
80
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SRCV HAVEN, LLC
Date First Approved to Provide Medicare and Medicaid services
1975-02-04
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
2
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
3.51063
Reported LPN Staffing Hours per Resident per Day
1.55938
Reported RN Staffing Hours per Resident per Day
0.58563
Reported Licensed Staffing Hours per Resident per Day
2.14500
Reported Total Nurse Staffing Hours per Resident per Day
5.65564
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.22854
Expected LPN Staffing Hours per Resident per Day
0.52549
Expected RN Staffing Hours per Resident per Day
0.74266
Expected Total Nurse Staffing Hours per Resident per Day
3.49669
Adjusted CNA Staffing Hours per Resident per Day
3.86532
Adjusted LPN Staffing Hours per Resident per Day
2.46303
Adjusted RN Staffing Hours per Resident per Day
0.58921
Adjusted Total Nurse Staffing Hours per Resident per Day
6.51969
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
9
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-12-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-08-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2012-06-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
52.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
Number of Fines
1
Total Amount of Fines in Dollars
24375
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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