The Health Care Center At Friendship Village - Tempe Nursing Home

General Information

UPDATE
Federal Provider Number
35074
Provider Name
THE HEALTH CARE CENTER AT FRIENDSHIP VILLAGE
Provider Address
2525 EAST SOUTHERN AVENUE
TEMPE, AZ 85282
Provider Phone Number
4808313184
Provider SSA County
60
Provider County Name
Maricopa
Ownership Type
Non profit - Other
Number of Certified Beds
128
Number of Residents in Certified Beds
28
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
TEMPE LIFE CARE VILLAGE INC
Date First Approved to Provide Medicare and Medicaid services
1980-11-12
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
2.17321
Reported LPN Staffing Hours per Resident per Day
0.47857
Reported RN Staffing Hours per Resident per Day
1.46607
Reported Licensed Staffing Hours per Resident per Day
1.94464
Reported Total Nurse Staffing Hours per Resident per Day
4.11785
Reported Physical Therapist Staffing Hours per Resident Per Day
0.23036
Expected CNA Staffing Hours per Resident per Day
2.47801
Expected LPN Staffing Hours per Resident per Day
0.72510
Expected RN Staffing Hours per Resident per Day
1.56178
Expected Total Nurse Staffing Hours per Resident per Day
4.76489
Adjusted CNA Staffing Hours per Resident per Day
2.15189
Adjusted LPN Staffing Hours per Resident per Day
0.54780
Adjusted RN Staffing Hours per Resident per Day
0.70141
Adjusted Total Nurse Staffing Hours per Resident per Day
3.48353
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-10-09
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-07-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-04-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
20.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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