Hacienda Nursing Facility - Phoenix Nursing Home
General Information
UPDATEFederal Provider Number
35258
Provider Name
HACIENDA NURSING FACILITY
Provider Address
1402 EAST SOUTH MOUNTAIN AVENUE
PHOENIX, AZ 85040
PHOENIX, AZ 85040
Provider Phone Number
6022434231
Provider SSA County
60
Provider County Name
Maricopa
Ownership Type
Non profit - Corporation
Number of Certified Beds
74
Number of Residents in Certified Beds
58
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HACIENDA SKILLED NURSING FACILITY, INC
Date First Approved to Provide Medicare and Medicaid services
2000-12-04
Continuing Care Retirement Community
N
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
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
4.20086
Reported LPN Staffing Hours per Resident per Day
1.46897
Reported RN Staffing Hours per Resident per Day
2.06724
Reported Licensed Staffing Hours per Resident per Day
3.53621
Reported Total Nurse Staffing Hours per Resident per Day
7.73707
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10603
Expected CNA Staffing Hours per Resident per Day
2.65378
Expected LPN Staffing Hours per Resident per Day
0.98283
Expected RN Staffing Hours per Resident per Day
1.45675
Expected Total Nurse Staffing Hours per Resident per Day
5.09337
Adjusted CNA Staffing Hours per Resident per Day
3.88413
Adjusted LPN Staffing Hours per Resident per Day
1.24054
Adjusted RN Staffing Hours per Resident per Day
1.06033
Adjusted Total Nurse Staffing Hours per Resident per Day
6.12312
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
2014-06-05
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
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2013-04-18
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
5
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-02-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
30.66700
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
Nursiong Homes Nearby
Maravilla Care Center
8825 South 7th Street |
PHOENIX AZ 85042 | 0.8 mile away
Life Care Center Of South Mtn.
8008 S. Jesse Owens Parkway |
PHOENIX AZ 85040 | 1 mile away
Suncrest Healthcare Center
2211 East Southern Avenue |
PHOENIX AZ 85040 | 1.8 miles away
La Estancia Nursing And Rehabilitation Center
15810 South 42nd Street |
PHOENIX AZ 85048 | 5.8 miles away
Westchester Care Center
6100 South Rural Road |
TEMPE AZ 85283 | 7.1 miles away
Desert Terrace Healthcare Center
2509 North 24th Street |
PHOENIX AZ 85008 | 7.3 miles away
Desert Haven Care Center
2645 East Thomas Road |
PHOENIX AZ 85016 | 7.7 miles away
Arizona State Veteran Home-phx
4141 North S Herrera Way |
PHOENIX AZ 85012 | 8.8 miles away
Caremeridian-phoenix
5301 East Thomas Road |
PHOENIX AZ 85008 | 9 miles away
Grace Healthcare Of Phoenix
4202 North 20th Avenue |
PHOENIX AZ 85015 | 9.2 miles away
Camelback Post Acute And Rehabilitation
4635 North 14th Street |
PHOENIX AZ 85014 | 9.2 miles away
Brookdale North Chandler
2555 North Price Road |
CHANDLER AZ 85224 | 9.5 miles away
The Gardens Of Scottsdale
6001 East Thomas Road |
SCOTTSDALE AZ 85251 | 9.5 miles away
The Health Care Center At Friendship Village
2525 East Southern Avenue |
TEMPE AZ 85282 | 9.8 miles away
Scottsdale Village Square
2620 North 68th Street |
SCOTTSDALE AZ 85257 | 9.9 miles away
Reviews: Be the first to review this provider.
Share your experience with Hacienda Nursing Facility. You can help others by writing a review.
