Overall Rating
Address
4202 North 20th Avenue
Phoenix, AZ 85015
Contact
6022643824
Certification Date
1985-06-24
CMS Certification Number
035107
Ownership Type
For profit - Corporation
Number of Certified Beds
114
Average Number of Residents per Day
105.7
Provider Type
Medicare and Medicaid
Legal Business Name
Legal Business Name Not Available
Affiliated Entity Name
HAVEN HEALTH
Affiliated Entity ID
249
Health Inspection Rating
3
Quality Measure Rating
4
Staffing Rating
2
Reported Nurse Aide Staffing Hours per Resident per Day
1.95210
Reported LPN Staffing Hours per Resident per Day
1.01119
Reported RN Staffing Hours per Resident per Day
0.23745
Reported Total Nurse Staffing Hours per Resident per Day
3.20073
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
2.79300
Registered Nurse Hours per Resident per Day on the Weekend
0.10712
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05819
Long-Stay Quality Measure Rating
4
Short-Stay Quality Measure Rating
4
Total Weighted Health Survey Score
26.000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
Number of Citations from Infection Control Inspections
Standard Health Survey Date
2023-09-08
Total Number of Health Deficiencies
5
Number of Standard Health Deficiencies
5
Number of Complaint Health Deficiencies
1
Health Deficiency Score
24
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
24
Standard Health Survey Date
2022-07-28
Total Number of Health Deficiencies
6
Number of Standard Health Deficiencies
6
Number of Complaint Health Deficiencies
1
Health Deficiency Score
28
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
28
Standard Health Survey Date
2020-03-12
Total Number of Health Deficiencies
5
Number of Standard Health Deficiencies
5
Number of Complaint Health Deficiencies
0
Health Deficiency Score
28
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
28
Number of Fines
0
Total Amount of Fines in Dollars
0.00
Number of Payment Denials
0
Total Number of Penalties
0