Wellsprings Care And Rehab - Gilbert Nursing Home
General Information
UPDATEFederal Provider Number
35285
Provider Name
WELLSPRINGS CARE AND REHAB
Provider Address
3319 SOUTH MERCY ROAD
GILBERT, AZ 85297
GILBERT, AZ 85297
Provider Phone Number
4807296500
Provider SSA County
60
Provider County Name
Maricopa
Ownership Type
For profit - Individual
Number of Certified Beds
32
Number of Residents in Certified Beds
24
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2012-03-08
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.49375
Reported LPN Staffing Hours per Resident per Day
0.97083
Reported RN Staffing Hours per Resident per Day
2.03542
Reported Licensed Staffing Hours per Resident per Day
3.00625
Reported Total Nurse Staffing Hours per Resident per Day
6.50000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.47708
Expected CNA Staffing Hours per Resident per Day
2.31750
Expected LPN Staffing Hours per Resident per Day
0.76607
Expected RN Staffing Hours per Resident per Day
1.66557
Expected Total Nurse Staffing Hours per Resident per Day
4.74914
Adjusted CNA Staffing Hours per Resident per Day
3.69908
Adjusted LPN Staffing Hours per Resident per Day
1.05185
Adjusted RN Staffing Hours per Resident per Day
0.91312
Adjusted Total Nurse Staffing Hours per Resident per Day
5.51697
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-08-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
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
28
Cycle 2 Standard Health Survey Date
2013-05-14
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-03-08
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
11.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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