Sante Of Surprise - Surprise Nursing Home
General Information
UPDATEFederal Provider Number
35282
Provider Name
SANTE OF SURPRISE
Provider Address
14775 WEST YORKSHIRE DRIVE
SURPRISE, AZ 85374
SURPRISE, AZ 85374
Provider Phone Number
(623) 594-5050
Provider SSA County
60
Provider County Name
Maricopa
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
57
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
ASANTE TRC OF SURPRISE LLC
Date First Approved to Provide Medicare and Medicaid services
2011-10-24
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.74211
Reported LPN Staffing Hours per Resident per Day
1.93596
Reported RN Staffing Hours per Resident per Day
0.98070
Reported Licensed Staffing Hours per Resident per Day
2.91667
Reported Total Nurse Staffing Hours per Resident per Day
5.65877
Reported Physical Therapist Staffing Hours per Resident Per Day
0.35877
Expected CNA Staffing Hours per Resident per Day
2.42691
Expected LPN Staffing Hours per Resident per Day
0.84164
Expected RN Staffing Hours per Resident per Day
1.80932
Expected Total Nurse Staffing Hours per Resident per Day
5.07787
Adjusted CNA Staffing Hours per Resident per Day
2.77238
Adjusted LPN Staffing Hours per Resident per Day
1.90919
Adjusted RN Staffing Hours per Resident per Day
0.40500
Adjusted Total Nurse Staffing Hours per Resident per Day
4.49203
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-01-03
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
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2012-10-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
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
2011-10-24
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
10.66700
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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