Maryland Gardens Care Center - Phoenix Nursing Home
General Information
UPDATEFederal Provider Number
35247
Provider Name
MARYLAND GARDENS CARE CENTER
Provider Address
31 WEST MARYLAND AVENUE
PHOENIX, AZ 85013
PHOENIX, AZ 85013
Provider Phone Number
(602) 265-7484
Provider SSA County
60
Provider County Name
Maricopa
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
58
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WINDSOR MARYLAND GARDENS, LLC
Date First Approved to Provide Medicare and Medicaid services
1998-07-20
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
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
2.58448
Reported LPN Staffing Hours per Resident per Day
0.79655
Reported RN Staffing Hours per Resident per Day
0.57069
Reported Licensed Staffing Hours per Resident per Day
1.36724
Reported Total Nurse Staffing Hours per Resident per Day
3.95172
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
1.88052
Expected LPN Staffing Hours per Resident per Day
0.55902
Expected RN Staffing Hours per Resident per Day
0.73853
Expected Total Nurse Staffing Hours per Resident per Day
3.17807
Adjusted CNA Staffing Hours per Resident per Day
3.37223
Adjusted LPN Staffing Hours per Resident per Day
1.18266
Adjusted RN Staffing Hours per Resident per Day
0.57739
Adjusted Total Nurse Staffing Hours per Resident per Day
5.01215
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-02-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
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
36
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-09-13
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
22.00000
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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