La Estancia Nursing And Rehabilitation Center - Phoenix Nursing Home
General Information
UPDATEFederal Provider Number
35270
Provider Name
LA ESTANCIA NURSING AND REHABILITATION CENTER
Provider Address
15810 SOUTH 42ND STREET
PHOENIX, AZ 85048
PHOENIX, AZ 85048
Provider Phone Number
4807590358
Provider SSA County
60
Provider County Name
Maricopa
Ownership Type
For profit - Corporation
Number of Certified Beds
192
Number of Residents in Certified Beds
67
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PINNACLE HEALTH FACILITIES XXV LP
Date First Approved to Provide Medicare and Medicaid services
2008-05-29
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.65448
Reported LPN Staffing Hours per Resident per Day
0.86418
Reported RN Staffing Hours per Resident per Day
0.79776
Reported Licensed Staffing Hours per Resident per Day
1.66194
Reported Total Nurse Staffing Hours per Resident per Day
3.31642
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17090
Expected CNA Staffing Hours per Resident per Day
2.41200
Expected LPN Staffing Hours per Resident per Day
0.71406
Expected RN Staffing Hours per Resident per Day
1.33600
Expected Total Nurse Staffing Hours per Resident per Day
4.46206
Adjusted CNA Staffing Hours per Resident per Day
1.68308
Adjusted LPN Staffing Hours per Resident per Day
1.00449
Adjusted RN Staffing Hours per Resident per Day
0.44617
Adjusted Total Nurse Staffing Hours per Resident per Day
2.99596
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-03-10
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-01-24
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
9
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2011-10-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
36.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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