Life Care Center Of South Mtn. - Phoenix Nursing Home
General Information
UPDATEFederal Provider Number
35241
Provider Name
LIFE CARE CENTER OF SOUTH MTN.
Provider Address
8008 S. JESSE OWENS PARKWAY
PHOENIX, AZ 85040
PHOENIX, AZ 85040
Provider Phone Number
6022432780
Provider SSA County
60
Provider County Name
Maricopa
Ownership Type
For profit - Corporation
Number of Certified Beds
124
Number of Residents in Certified Beds
101
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LIFE CARE CENTERS OF AMERICA, INC.
Date First Approved to Provide Medicare and Medicaid services
1997-03-25
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
5
Overall Rating Footnote
Health Inspection Rating
4
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
1.99109
Reported LPN Staffing Hours per Resident per Day
0.82624
Reported RN Staffing Hours per Resident per Day
0.70644
Reported Licensed Staffing Hours per Resident per Day
1.53267
Reported Total Nurse Staffing Hours per Resident per Day
3.52377
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04802
Expected CNA Staffing Hours per Resident per Day
2.67499
Expected LPN Staffing Hours per Resident per Day
0.72095
Expected RN Staffing Hours per Resident per Day
1.23481
Expected Total Nurse Staffing Hours per Resident per Day
4.63076
Adjusted CNA Staffing Hours per Resident per Day
1.82638
Adjusted LPN Staffing Hours per Resident per Day
0.95121
Adjusted RN Staffing Hours per Resident per Day
0.42748
Adjusted Total Nurse Staffing Hours per Resident per Day
3.06731
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
16
Cycle 1 Standard Survey Health Date
2014-12-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-08-08
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-05-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
27.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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
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Grace Healthcare Of Phoenix
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