Santa Rosa Care Center - Tucson Nursing Home
General Information
UPDATEFederal Provider Number
35004
Provider Name
SANTA ROSA CARE CENTER
Provider Address
1650 NORTH SANTA ROSA AVENUE
TUCSON, AZ 85712
TUCSON, AZ 85712
Provider Phone Number
(520) 795-1610
Provider SSA County
90
Provider County Name
Pima
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
144
Number of Residents in Certified Beds
136
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SRCV-ROSA, LLC.
Date First Approved to Provide Medicare and Medicaid services
1980-04-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.39853
Reported LPN Staffing Hours per Resident per Day
1.02316
Reported RN Staffing Hours per Resident per Day
0.24265
Reported Licensed Staffing Hours per Resident per Day
1.26581
Reported Total Nurse Staffing Hours per Resident per Day
3.66434
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
1.97424
Expected LPN Staffing Hours per Resident per Day
0.54358
Expected RN Staffing Hours per Resident per Day
0.72086
Expected Total Nurse Staffing Hours per Resident per Day
3.23868
Adjusted CNA Staffing Hours per Resident per Day
2.98103
Adjusted LPN Staffing Hours per Resident per Day
1.56228
Adjusted RN Staffing Hours per Resident per Day
0.25152
Adjusted Total Nurse Staffing Hours per Resident per Day
4.56068
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-03-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
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
2013-01-30
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2011-10-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
26.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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