Maravilla Care Center - Phoenix Nursing Home
General Information
UPDATEFederal Provider Number
35175
Provider Name
MARAVILLA CARE CENTER
Provider Address
8825 SOUTH 7TH STREET
PHOENIX, AZ 85042
PHOENIX, AZ 85042
Provider Phone Number
(602) 243-6121
Provider SSA County
60
Provider County Name
Maricopa
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
194
Number of Residents in Certified Beds
145
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PINNACLE HEALTH FACILITIES XXI, L.P.
Date First Approved to Provide Medicare and Medicaid services
1988-11-07
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
4.85345
Reported LPN Staffing Hours per Resident per Day
1.01241
Reported RN Staffing Hours per Resident per Day
0.54310
Reported Licensed Staffing Hours per Resident per Day
1.55552
Reported Total Nurse Staffing Hours per Resident per Day
6.40896
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04276
Expected CNA Staffing Hours per Resident per Day
2.25473
Expected LPN Staffing Hours per Resident per Day
0.55019
Expected RN Staffing Hours per Resident per Day
0.74171
Expected Total Nurse Staffing Hours per Resident per Day
3.54662
Adjusted CNA Staffing Hours per Resident per Day
5.28175
Adjusted LPN Staffing Hours per Resident per Day
1.52730
Adjusted RN Staffing Hours per Resident per Day
0.54712
Adjusted Total Nurse Staffing Hours per Resident per Day
7.28408
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
32
Cycle 1 Standard Survey Health Date
2014-03-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-01-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
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
28
Cycle 3 Standard Health Survey Date
2011-11-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
30.00000
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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