Arizona Nursing Homes >> Youngtown Nursing Homes >> Lifestream At Cook Health Care

Lifestream At Cook Health Care - Youngtown Nursing Home

General Information

UPDATE
Federal Provider Number
35137
Provider Name
LIFESTREAM AT COOK HEALTH CARE
Provider Address
11527 WEST PEORIA AVE
YOUNGTOWN, AZ 85363
Provider Phone Number
6239334683
Provider SSA County
60
Provider County Name
Maricopa
Ownership Type
Non profit - Corporation
Number of Certified Beds
128
Number of Residents in Certified Beds
98
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LIFESTREAM COMPLETE SENIOR LIVING INC.
Date First Approved to Provide Medicare and Medicaid services
1986-06-26
Continuing Care Retirement Community
Y
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
2.64592
Reported LPN Staffing Hours per Resident per Day
0.79082
Reported RN Staffing Hours per Resident per Day
0.48673
Reported Licensed Staffing Hours per Resident per Day
1.27755
Reported Total Nurse Staffing Hours per Resident per Day
3.92347
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01735
Expected CNA Staffing Hours per Resident per Day
2.40704
Expected LPN Staffing Hours per Resident per Day
0.61513
Expected RN Staffing Hours per Resident per Day
0.90130
Expected Total Nurse Staffing Hours per Resident per Day
3.92346
Adjusted CNA Staffing Hours per Resident per Day
2.69721
Adjusted LPN Staffing Hours per Resident per Day
1.06707
Adjusted RN Staffing Hours per Resident per Day
0.40351
Adjusted Total Nurse Staffing Hours per Resident per Day
4.03091
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-10-27
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
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-07-18
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-04-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
43.33300
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

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