Haven Of Cottonwood, Llc - Cottonwood Nursing Home
General Information
UPDATEFederal Provider Number
35093
Provider Name
HAVEN OF COTTONWOOD, LLC
Provider Address
197 SOUTH WILLARD STREET
COTTONWOOD, AZ 86326
COTTONWOOD, AZ 86326
Provider Phone Number
9286345548
Provider SSA County
120
Provider County Name
Yavapai
Ownership Type
For profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HAVEN OF COTTONWOOD LLC
Date First Approved to Provide Medicare and Medicaid services
1984-06-22
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
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
1.63860
Reported LPN Staffing Hours per Resident per Day
0.26140
Reported RN Staffing Hours per Resident per Day
1.19035
Reported Licensed Staffing Hours per Resident per Day
1.45175
Reported Total Nurse Staffing Hours per Resident per Day
3.09035
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21316
Expected CNA Staffing Hours per Resident per Day
2.33949
Expected LPN Staffing Hours per Resident per Day
0.62023
Expected RN Staffing Hours per Resident per Day
1.15301
Expected Total Nurse Staffing Hours per Resident per Day
4.11272
Adjusted CNA Staffing Hours per Resident per Day
1.71860
Adjusted LPN Staffing Hours per Resident per Day
0.34981
Adjusted RN Staffing Hours per Resident per Day
0.77140
Adjusted Total Nurse Staffing Hours per Resident per Day
3.02887
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-07-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2013-05-09
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-02-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
38.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
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
Haven Of Camp Verde
86 West Salt Mine Road |
CAMP VERDE AZ 86322 | 16 miles away
Good Samaritan Society-prescott Valley
3380 North Windsong Drive |
PRESCOTT VALLEY AZ 86314 | 19.9 miles away
Mountain View Manor
1045 Sandretto Drive |
PRESCOTT AZ 86305 | 26.3 miles away
Las Fuentes Care Center
1045 Scott Drive |
PRESCOTT AZ 86301 | 28.2 miles away
Good Samaritan Society-prescott Village
1030 Scott Drive |
PRESCOTT AZ 86301 | 28.2 miles away
Prescott Nursing And Rehabilitation Center
864 Dougherty Street |
PRESCOTT AZ 86305 | 29.1 miles away
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