North Mountain Medical And Rehabilitation Center - Phoenix Nursing Home
General Information
UPDATEFederal Provider Number
35087
Provider Name
NORTH MOUNTAIN MEDICAL AND REHABILITATION CENTER
Provider Address
9155 NORTH THIRD STREET
PHOENIX, AZ 85020
PHOENIX, AZ 85020
Provider Phone Number
6029441666
Provider SSA County
60
Provider County Name
Maricopa
Ownership Type
For profit - Corporation
Number of Certified Beds
155
Number of Residents in Certified Beds
152
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RADIANT HILLS HEALTH ASSOCIATES LLC
Date First Approved to Provide Medicare and Medicaid services
1983-11-02
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
2
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
3.08882
Reported LPN Staffing Hours per Resident per Day
1.27928
Reported RN Staffing Hours per Resident per Day
1.31349
Reported Licensed Staffing Hours per Resident per Day
2.59276
Reported Total Nurse Staffing Hours per Resident per Day
5.68159
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08586
Expected CNA Staffing Hours per Resident per Day
2.76974
Expected LPN Staffing Hours per Resident per Day
1.05246
Expected RN Staffing Hours per Resident per Day
1.69031
Expected Total Nurse Staffing Hours per Resident per Day
5.51252
Adjusted CNA Staffing Hours per Resident per Day
2.73637
Adjusted LPN Staffing Hours per Resident per Day
1.00888
Adjusted RN Staffing Hours per Resident per Day
0.58063
Adjusted Total Nurse Staffing Hours per Resident per Day
4.15453
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-02-14
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
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-01-30
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
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2011-10-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
31.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
Number of Fines
1
Total Amount of Fines in Dollars
11050
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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