Pueblo Norte Senior Living Community - Scottsdale Nursing Home
General Information
UPDATEFederal Provider Number
35090
Provider Name
PUEBLO NORTE SENIOR LIVING COMMUNITY
Provider Address
7100 EAST MESCAL STREET
SCOTTSDALE, AZ 85254
SCOTTSDALE, AZ 85254
Provider Phone Number
4809485800
Provider SSA County
60
Provider County Name
Maricopa
Ownership Type
For profit - Corporation
Number of Certified Beds
84
Number of Residents in Certified Beds
53
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
FS TENANT POOL II TRUST
Date First Approved to Provide Medicare and Medicaid services
1984-04-23
Continuing Care Retirement Community
Y
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
2.25566
Reported LPN Staffing Hours per Resident per Day
1.22358
Reported RN Staffing Hours per Resident per Day
0.88774
Reported Licensed Staffing Hours per Resident per Day
2.11132
Reported Total Nurse Staffing Hours per Resident per Day
4.36698
Reported Physical Therapist Staffing Hours per Resident Per Day
0.34528
Expected CNA Staffing Hours per Resident per Day
2.44842
Expected LPN Staffing Hours per Resident per Day
0.65269
Expected RN Staffing Hours per Resident per Day
1.18090
Expected Total Nurse Staffing Hours per Resident per Day
4.28201
Adjusted CNA Staffing Hours per Resident per Day
2.26052
Adjusted LPN Staffing Hours per Resident per Day
1.55598
Adjusted RN Staffing Hours per Resident per Day
0.56170
Adjusted Total Nurse Staffing Hours per Resident per Day
4.11088
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-02-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-02-07
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
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2011-11-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
21.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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Vi At Grayhawk, A Vi And Plaza Companies Community
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