Suncrest Healthcare Center - Phoenix Nursing Home
General Information
UPDATEFederal Provider Number
35205
Provider Name
SUNCREST HEALTHCARE CENTER
Provider Address
2211 EAST SOUTHERN AVENUE
PHOENIX, AZ 85040
PHOENIX, AZ 85040
Provider Phone Number
(602) 305-7134
Provider SSA County
60
Provider County Name
Maricopa
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
115
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SUNCREST HEALTHCARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1991-04-25
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.07000
Reported LPN Staffing Hours per Resident per Day
1.06455
Reported RN Staffing Hours per Resident per Day
0.46909
Reported Licensed Staffing Hours per Resident per Day
1.53364
Reported Total Nurse Staffing Hours per Resident per Day
3.60364
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11000
Expected CNA Staffing Hours per Resident per Day
2.10782
Expected LPN Staffing Hours per Resident per Day
0.65185
Expected RN Staffing Hours per Resident per Day
1.21919
Expected Total Nurse Staffing Hours per Resident per Day
3.97885
Adjusted CNA Staffing Hours per Resident per Day
2.40968
Adjusted LPN Staffing Hours per Resident per Day
1.35549
Adjusted RN Staffing Hours per Resident per Day
0.28749
Adjusted Total Nurse Staffing Hours per Resident per Day
3.65078
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2015-01-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-10-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
38
Cycle 3 Number of Standard Health Deficiencies
38
Cycle 3 Number of Complaint Health Deficiencies
10
Cycle 3 Health Deficiency Score
224
Cycle 3 Standard Health Survey Date
2012-09-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
224
Total Weighted Health Survey Score
74.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
31
Number of Fines
1
Total Amount of Fines in Dollars
66495
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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