Ridgecrest Healthcare - Phoenix Nursing Home
General Information
UPDATEFederal Provider Number
35125
Provider Name
RIDGECREST HEALTHCARE
Provider Address
16640 NORTH 38TH STREET
PHOENIX, AZ 85032
PHOENIX, AZ 85032
Provider Phone Number
(602) 482-6671
Provider SSA County
60
Provider County Name
Maricopa
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
200
Number of Residents in Certified Beds
130
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WINDSOR RIDGECREST LLC
Date First Approved to Provide Medicare and Medicaid services
1986-02-28
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
4.03846
Reported LPN Staffing Hours per Resident per Day
1.11923
Reported RN Staffing Hours per Resident per Day
0.47923
Reported Licensed Staffing Hours per Resident per Day
1.59846
Reported Total Nurse Staffing Hours per Resident per Day
5.63692
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05385
Expected CNA Staffing Hours per Resident per Day
2.48728
Expected LPN Staffing Hours per Resident per Day
0.64910
Expected RN Staffing Hours per Resident per Day
0.95490
Expected Total Nurse Staffing Hours per Resident per Day
4.09129
Adjusted CNA Staffing Hours per Resident per Day
3.98393
Adjusted LPN Staffing Hours per Resident per Day
1.43114
Adjusted RN Staffing Hours per Resident per Day
0.37499
Adjusted Total Nurse Staffing Hours per Resident per Day
5.55372
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2013-11-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2012-09-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
286
Cycle 3 Standard Health Survey Date
2011-07-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
286
Total Weighted Health Survey Score
81.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
Number of Fines
1
Total Amount of Fines in Dollars
2500
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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