Life Care Center Of North Glendale - Glendale Nursing Home
General Information
UPDATEFederal Provider Number
35126
Provider Name
LIFE CARE CENTER OF NORTH GLENDALE
Provider Address
13620 NORTH 55TH AVENUE
GLENDALE, AZ 85304
GLENDALE, AZ 85304
Provider Phone Number
(602) 843-8433
Provider SSA County
60
Provider County Name
Maricopa
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
223
Number of Residents in Certified Beds
176
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GLENDALE MEDICAL INVESTORS LP
Date First Approved to Provide Medicare and Medicaid services
1986-04-10
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
2
Health Inspection Rating Footnote
QM Rating
5
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
2.62528
Reported LPN Staffing Hours per Resident per Day
0.82756
Reported RN Staffing Hours per Resident per Day
1.12074
Reported Licensed Staffing Hours per Resident per Day
1.94830
Reported Total Nurse Staffing Hours per Resident per Day
4.57358
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08523
Expected CNA Staffing Hours per Resident per Day
2.60116
Expected LPN Staffing Hours per Resident per Day
0.70994
Expected RN Staffing Hours per Resident per Day
1.15575
Expected Total Nurse Staffing Hours per Resident per Day
4.46684
Adjusted CNA Staffing Hours per Resident per Day
2.47645
Adjusted LPN Staffing Hours per Resident per Day
0.96751
Adjusted RN Staffing Hours per Resident per Day
0.72457
Adjusted Total Nurse Staffing Hours per Resident per Day
4.12722
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
9
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2015-02-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-11-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-09-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
48.00000
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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