Phoenix Mountain Nursing Ctr - Phoenix Nursing Home
General Information
UPDATEFederal Provider Number
35072
Provider Name
PHOENIX MOUNTAIN NURSING CTR
Provider Address
13232 NORTH TATUM BLVD
PHOENIX, AZ 85032
PHOENIX, AZ 85032
Provider Phone Number
(602) 996-5200
Provider SSA County
60
Provider County Name
Maricopa
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
130
Number of Residents in Certified Beds
115
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PMNC, INC
Date First Approved to Provide Medicare and Medicaid services
1979-11-25
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
2.66217
Reported LPN Staffing Hours per Resident per Day
0.90174
Reported RN Staffing Hours per Resident per Day
0.82304
Reported Licensed Staffing Hours per Resident per Day
1.72478
Reported Total Nurse Staffing Hours per Resident per Day
4.38695
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11435
Expected CNA Staffing Hours per Resident per Day
2.49458
Expected LPN Staffing Hours per Resident per Day
0.57291
Expected RN Staffing Hours per Resident per Day
0.88764
Expected Total Nurse Staffing Hours per Resident per Day
3.95514
Adjusted CNA Staffing Hours per Resident per Day
2.61854
Adjusted LPN Staffing Hours per Resident per Day
1.30638
Adjusted RN Staffing Hours per Resident per Day
0.69282
Adjusted Total Nurse Staffing Hours per Resident per Day
4.47098
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
2014-01-14
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2012-11-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
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
2011-09-13
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
2.66700
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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