Springdale Village Health Care - Mesa Nursing Home
General Information
UPDATEFederal Provider Number
35207
Provider Name
SPRINGDALE VILLAGE HEALTH CARE
Provider Address
7255 EAST BROADWAY ROAD
MESA, AZ 85208
MESA, AZ 85208
Provider Phone Number
(480) 981-8844
Provider SSA County
60
Provider County Name
Maricopa
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
122
Number of Residents in Certified Beds
88
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RENAISSANCE EAST, LLC
Date First Approved to Provide Medicare and Medicaid services
1991-04-24
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
3
Health Inspection Rating Footnote
QM Rating
5
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
2.05909
Reported LPN Staffing Hours per Resident per Day
0.95682
Reported RN Staffing Hours per Resident per Day
1.06534
Reported Licensed Staffing Hours per Resident per Day
2.02216
Reported Total Nurse Staffing Hours per Resident per Day
4.08125
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11932
Expected CNA Staffing Hours per Resident per Day
2.45874
Expected LPN Staffing Hours per Resident per Day
0.67167
Expected RN Staffing Hours per Resident per Day
1.18636
Expected Total Nurse Staffing Hours per Resident per Day
4.31677
Adjusted CNA Staffing Hours per Resident per Day
2.05487
Adjusted LPN Staffing Hours per Resident per Day
1.18237
Adjusted RN Staffing Hours per Resident per Day
0.67098
Adjusted Total Nurse Staffing Hours per Resident per Day
3.81098
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-11-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-08-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
92
Cycle 3 Standard Health Survey Date
2012-05-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
92
Total Weighted Health Survey Score
39.33300
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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