Symphony Of Mesa - Mesa Nursing Home
General Information
UPDATEFederal Provider Number
35193
Provider Name
SYMPHONY OF MESA
Provider Address
3130 EAST BROADWAY ROAD
MESA, AZ 85204
MESA, AZ 85204
Provider Phone Number
(480) 924-7777
Provider SSA County
60
Provider County Name
Maricopa
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
204
Number of Residents in Certified Beds
128
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RENAISSANCE WEST, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-02-15
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.23984
Reported LPN Staffing Hours per Resident per Day
1.42852
Reported RN Staffing Hours per Resident per Day
0.87109
Reported Licensed Staffing Hours per Resident per Day
2.29961
Reported Total Nurse Staffing Hours per Resident per Day
4.53945
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09414
Expected CNA Staffing Hours per Resident per Day
2.66492
Expected LPN Staffing Hours per Resident per Day
0.83520
Expected RN Staffing Hours per Resident per Day
1.27559
Expected Total Nurse Staffing Hours per Resident per Day
4.77571
Adjusted CNA Staffing Hours per Resident per Day
2.06231
Adjusted LPN Staffing Hours per Resident per Day
1.41963
Adjusted RN Staffing Hours per Resident per Day
0.51026
Adjusted Total Nurse Staffing Hours per Resident per Day
3.83149
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-12-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-08-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-06-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
45.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
11
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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