Sun Grove Village Care Center - Peoria Nursing Home
General Information
UPDATEFederal Provider Number
35111
Provider Name
SUN GROVE VILLAGE CARE CENTER
Provider Address
20625 NORTH LAKE PLEASANT ROAD
PEORIA, AZ 85382
PEORIA, AZ 85382
Provider Phone Number
(623) 566-0642
Provider SSA County
60
Provider County Name
Maricopa
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
128
Number of Residents in Certified Beds
85
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LIFE CARE CENTERS OF AMERICA, INC.
Date First Approved to Provide Medicare and Medicaid services
1985-07-29
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.10824
Reported LPN Staffing Hours per Resident per Day
0.99824
Reported RN Staffing Hours per Resident per Day
0.75412
Reported Licensed Staffing Hours per Resident per Day
1.75235
Reported Total Nurse Staffing Hours per Resident per Day
3.86060
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21529
Expected CNA Staffing Hours per Resident per Day
2.77127
Expected LPN Staffing Hours per Resident per Day
0.69516
Expected RN Staffing Hours per Resident per Day
1.05003
Expected Total Nurse Staffing Hours per Resident per Day
4.51646
Adjusted CNA Staffing Hours per Resident per Day
1.86665
Adjusted LPN Staffing Hours per Resident per Day
1.19186
Adjusted RN Staffing Hours per Resident per Day
0.53663
Adjusted Total Nurse Staffing Hours per Resident per Day
3.44555
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
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
28
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
92
Cycle 2 Standard Health Survey Date
2013-07-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
92
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-05-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
48.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
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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