Park Avenue Health And Rehabilitation Center - Tucson Nursing Home
General Information
UPDATEFederal Provider Number
35174
Provider Name
PARK AVENUE HEALTH AND REHABILITATION CENTER
Provider Address
2001 NORTH PARK AVENUE
TUCSON, AZ 85719
TUCSON, AZ 85719
Provider Phone Number
(520) 882-6151
Provider SSA County
90
Provider County Name
Pima
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
200
Number of Residents in Certified Beds
131
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WAVERLY PARK HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid services
1988-08-03
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
5
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
2.71260
Reported LPN Staffing Hours per Resident per Day
1.06641
Reported RN Staffing Hours per Resident per Day
0.98588
Reported Licensed Staffing Hours per Resident per Day
2.05229
Reported Total Nurse Staffing Hours per Resident per Day
4.76489
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08664
Expected CNA Staffing Hours per Resident per Day
2.49037
Expected LPN Staffing Hours per Resident per Day
0.63071
Expected RN Staffing Hours per Resident per Day
1.05639
Expected Total Nurse Staffing Hours per Resident per Day
4.17747
Adjusted CNA Staffing Hours per Resident per Day
2.67265
Adjusted LPN Staffing Hours per Resident per Day
1.40338
Adjusted RN Staffing Hours per Resident per Day
0.69732
Adjusted Total Nurse Staffing Hours per Resident per Day
4.59771
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-02-19
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-10-31
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-09-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
1.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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