Overall Rating
Address
2645 East Thomas Road
Phoenix, AZ 85016
Contact
6029568000
Certification Date
1975-02-04
CMS Certification Number
035062
Ownership Type
For profit - Limited Liability company
Number of Certified Beds
115
Average Number of Residents per Day
87.1
Provider Type
Medicare and Medicaid
Legal Business Name
SRCV HAVEN, LLC
Affiliated Entity Name
Affiliated Entity ID
Health Inspection Rating
2
Quality Measure Rating
4
Staffing Rating
1
Reported Nurse Aide Staffing Hours per Resident per Day
1.22625
Reported LPN Staffing Hours per Resident per Day
0.54637
Reported RN Staffing Hours per Resident per Day
0.11831
Reported Total Nurse Staffing Hours per Resident per Day
1.89093
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
1.38090
Registered Nurse Hours per Resident per Day on the Weekend
0.11283
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Long-Stay Quality Measure Rating
4
Short-Stay Quality Measure Rating
Total Weighted Health Survey Score
50.667
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Citations from Infection Control Inspections
0
Standard Health Survey Date
2022-12-01
Total Number of Health Deficiencies
9
Number of Standard Health Deficiencies
9
Number of Complaint Health Deficiencies
1
Health Deficiency Score
36
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
36
Standard Health Survey Date
2021-08-27
Total Number of Health Deficiencies
9
Number of Standard Health Deficiencies
9
Number of Complaint Health Deficiencies
0
Health Deficiency Score
56
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
56
Standard Health Survey Date
2019-06-05
Total Number of Health Deficiencies
16
Number of Standard Health Deficiencies
9
Number of Complaint Health Deficiencies
7
Health Deficiency Score
84
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
84
Number of Fines
3
Total Amount of Fines in Dollars
10025.00
Number of Payment Denials
0
Total Number of Penalties
3