Villa Campana Rehabilitation Hospital Llc - Tucson Nursing Home

General Information

UPDATE
Federal Provider Number
35085
Provider Name
VILLA CAMPANA REHABILITATION HOSPITAL LLC
Provider Address
6651 EAST CARONDELET DRIVE
TUCSON, AZ 85710
Provider Phone Number
5207318500
Provider SSA County
90
Provider County Name
Pima
Ownership Type
For profit - Partnership
Number of Certified Beds
120
Number of Residents in Certified Beds
76
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VILLA CAMPANA REHABILITATION HOSPITAL LLC
Date First Approved to Provide Medicare and Medicaid services
1983-02-24
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
2.45592
Reported LPN Staffing Hours per Resident per Day
1.38882
Reported RN Staffing Hours per Resident per Day
0.90987
Reported Licensed Staffing Hours per Resident per Day
2.29868
Reported Total Nurse Staffing Hours per Resident per Day
4.75461
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12895
Expected CNA Staffing Hours per Resident per Day
2.34884
Expected LPN Staffing Hours per Resident per Day
0.70005
Expected RN Staffing Hours per Resident per Day
1.42978
Expected Total Nurse Staffing Hours per Resident per Day
4.47867
Adjusted CNA Staffing Hours per Resident per Day
2.56556
Adjusted LPN Staffing Hours per Resident per Day
1.64662
Adjusted RN Staffing Hours per Resident per Day
0.47550
Adjusted Total Nurse Staffing Hours per Resident per Day
4.27925
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2013-09-19
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
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2012-07-16
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-01-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
34.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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