Scottsdale Village Square - Scottsdale Nursing Home
General Information
UPDATEFederal Provider Number
35217
Provider Name
SCOTTSDALE VILLAGE SQUARE
Provider Address
2620 NORTH 68TH STREET
SCOTTSDALE, AZ 85257
SCOTTSDALE, AZ 85257
Provider Phone Number
(480) 946-6571
Provider SSA County
60
Provider County Name
Maricopa
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
141
Number of Residents in Certified Beds
95
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SCOTTSDALE RESIDENTIAL CARE INVESTORS
Date First Approved to Provide Medicare and Medicaid services
1993-06-02
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
3
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
3.66526
Reported LPN Staffing Hours per Resident per Day
1.01947
Reported RN Staffing Hours per Resident per Day
0.72421
Reported Licensed Staffing Hours per Resident per Day
1.74368
Reported Total Nurse Staffing Hours per Resident per Day
5.40894
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03000
Expected CNA Staffing Hours per Resident per Day
2.24095
Expected LPN Staffing Hours per Resident per Day
0.61578
Expected RN Staffing Hours per Resident per Day
1.01892
Expected Total Nurse Staffing Hours per Resident per Day
3.87565
Adjusted CNA Staffing Hours per Resident per Day
4.01323
Adjusted LPN Staffing Hours per Resident per Day
1.37413
Adjusted RN Staffing Hours per Resident per Day
0.53108
Adjusted Total Nurse Staffing Hours per Resident per Day
5.62561
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-01-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2012-11-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2011-09-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
38.00000
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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