Mission Palms Of Mesa Health And Rehabilitation Ce - Mesa Nursing Home
General Information
UPDATEFederal Provider Number
35071
Provider Name
MISSION PALMS OF MESA HEALTH AND REHABILITATION CE
Provider Address
6458 EAST BROADWAY ROAD
MESA, AZ 85206
MESA, AZ 85206
Provider Phone Number
(480) 832-5160
Provider SSA County
60
Provider County Name
Maricopa
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
61
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PINNACLE HEALTH FACILITIES XXVI LP
Date First Approved to Provide Medicare and Medicaid services
1979-07-05
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
0.29836
Reported LPN Staffing Hours per Resident per Day
0.59016
Reported RN Staffing Hours per Resident per Day
1.23934
Reported Licensed Staffing Hours per Resident per Day
1.82951
Reported Total Nurse Staffing Hours per Resident per Day
2.12786
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10738
Expected CNA Staffing Hours per Resident per Day
2.59707
Expected LPN Staffing Hours per Resident per Day
0.68368
Expected RN Staffing Hours per Resident per Day
1.21384
Expected Total Nurse Staffing Hours per Resident per Day
4.49460
Adjusted CNA Staffing Hours per Resident per Day
0.28189
Adjusted LPN Staffing Hours per Resident per Day
0.71646
Adjusted RN Staffing Hours per Resident per Day
0.76290
Adjusted Total Nurse Staffing Hours per Resident per Day
1.90833
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-05-14
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
0
Cycle 2 Health Deficiency Score
32
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
32
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-01-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
30.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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