Haven Of Safford, Llc - Safford Nursing Home
General Information
UPDATEFederal Provider Number
35172
Provider Name
HAVEN OF SAFFORD, LLC
Provider Address
1933 PEPPERTREE DRIVE
SAFFORD, AZ 85546
SAFFORD, AZ 85546
Provider Phone Number
9284284910
Provider SSA County
40
Provider County Name
Graham
Ownership Type
For profit - Corporation
Number of Certified Beds
128
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HAVEN OF SAFFORD LLC
Date First Approved to Provide Medicare and Medicaid services
1988-04-28
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.31600
Reported LPN Staffing Hours per Resident per Day
0.14667
Reported RN Staffing Hours per Resident per Day
1.24867
Reported Licensed Staffing Hours per Resident per Day
1.39533
Reported Total Nurse Staffing Hours per Resident per Day
3.71134
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09067
Expected CNA Staffing Hours per Resident per Day
2.48029
Expected LPN Staffing Hours per Resident per Day
0.58327
Expected RN Staffing Hours per Resident per Day
0.86538
Expected Total Nurse Staffing Hours per Resident per Day
3.92895
Adjusted CNA Staffing Hours per Resident per Day
2.29117
Adjusted LPN Staffing Hours per Resident per Day
0.20871
Adjusted RN Staffing Hours per Resident per Day
1.07814
Adjusted Total Nurse Staffing Hours per Resident per Day
3.80765
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-11-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
88
Cycle 2 Standard Health Survey Date
2013-08-01
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
0
Cycle 3 Health Deficiency Score
92
Cycle 3 Standard Health Survey Date
2012-05-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
92
Total Weighted Health Survey Score
68.66700
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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