Havasu Nursing Center - Lake Havasu City Nursing Home

General Information

UPDATE
Federal Provider Number
35100
Provider Name
HAVASU NURSING CENTER
Provider Address
3576 KEARSAGE DRIVE
LAKE HAVASU CITY, AZ 86406
Provider Phone Number
9284531500
Provider SSA County
70
Provider County Name
Mohave
Ownership Type
For profit - Corporation
Number of Certified Beds
118
Number of Residents in Certified Beds
66
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HAVASU NURSING CENTER #2 INC
Date First Approved to Provide Medicare and Medicaid services
1985-02-28
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
1.81364
Reported LPN Staffing Hours per Resident per Day
0.83636
Reported RN Staffing Hours per Resident per Day
0.84394
Reported Licensed Staffing Hours per Resident per Day
1.68030
Reported Total Nurse Staffing Hours per Resident per Day
3.49394
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08636
Expected CNA Staffing Hours per Resident per Day
2.26897
Expected LPN Staffing Hours per Resident per Day
0.63300
Expected RN Staffing Hours per Resident per Day
1.15740
Expected Total Nurse Staffing Hours per Resident per Day
4.05938
Adjusted CNA Staffing Hours per Resident per Day
1.96129
Adjusted LPN Staffing Hours per Resident per Day
1.09665
Adjusted RN Staffing Hours per Resident per Day
0.54483
Adjusted Total Nurse Staffing Hours per Resident per Day
3.46943
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-05-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
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
52
Cycle 2 Standard Health Survey Date
2013-03-21
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2011-12-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
41.33300
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

Nursiong Homes Nearby

Lake Hills Inn

2781 Osborn Drive | LAKE HAVASU CITY AZ 86406 | 1.7 miles away

Havasu Regional Medical Center, Llc

1811 East Mesquite Ave | LAKE HAVASU CITY AZ 86403 | 4.6 miles away

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