Life Care Center Of Sierra Vista - Sierra Vista Nursing Home
General Information
UPDATEFederal Provider Number
35136
Provider Name
LIFE CARE CENTER OF SIERRA VISTA
Provider Address
2305 EAST WILCOX DRIVE
SIERRA VISTA, AZ 85635
SIERRA VISTA, AZ 85635
Provider Phone Number
(520) 458-1050
Provider SSA County
10
Provider County Name
Cochise
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
152
Number of Residents in Certified Beds
97
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SIERRA VISTA MEDICAL INVESTORS, LP
Date First Approved to Provide Medicare and Medicaid services
1986-10-02
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
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
2.10515
Reported LPN Staffing Hours per Resident per Day
0.74742
Reported RN Staffing Hours per Resident per Day
1.21598
Reported Licensed Staffing Hours per Resident per Day
1.96340
Reported Total Nurse Staffing Hours per Resident per Day
4.06855
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11546
Expected CNA Staffing Hours per Resident per Day
2.63622
Expected LPN Staffing Hours per Resident per Day
0.75530
Expected RN Staffing Hours per Resident per Day
1.28332
Expected Total Nurse Staffing Hours per Resident per Day
4.67484
Adjusted CNA Staffing Hours per Resident per Day
1.95940
Adjusted LPN Staffing Hours per Resident per Day
0.82134
Adjusted RN Staffing Hours per Resident per Day
0.70799
Adjusted Total Nurse Staffing Hours per Resident per Day
3.50812
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-06-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-03-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-01-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
42.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
Number of Fines
1
Total Amount of Fines in Dollars
34000
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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