Palm Valley Rehab & Care Ctr - Goodyear Nursing Home
General Information
UPDATEFederal Provider Number
35255
Provider Name
PALM VALLEY REHAB & CARE CTR
Provider Address
13575 WEST MCDOWELL ROAD
GOODYEAR, AZ 85338
GOODYEAR, AZ 85338
Provider Phone Number
6235369911
Provider SSA County
60
Provider County Name
Maricopa
Ownership Type
For profit - Corporation
Number of Certified Beds
170
Number of Residents in Certified Beds
150
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WINDSOR PALM VALLEY LLC
Date First Approved to Provide Medicare and Medicaid services
1999-09-28
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.48600
Reported LPN Staffing Hours per Resident per Day
1.07100
Reported RN Staffing Hours per Resident per Day
0.25033
Reported Licensed Staffing Hours per Resident per Day
1.32133
Reported Total Nurse Staffing Hours per Resident per Day
3.80733
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05967
Expected CNA Staffing Hours per Resident per Day
2.45072
Expected LPN Staffing Hours per Resident per Day
0.63325
Expected RN Staffing Hours per Resident per Day
1.02216
Expected Total Nurse Staffing Hours per Resident per Day
4.10614
Adjusted CNA Staffing Hours per Resident per Day
2.48902
Adjusted LPN Staffing Hours per Resident per Day
1.40375
Adjusted RN Staffing Hours per Resident per Day
0.18299
Adjusted Total Nurse Staffing Hours per Resident per Day
3.73757
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-07-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-04-19
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
7
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-02-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
45.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
11
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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