Overall Rating
Address
4141 North S Herrera Way
Phoenix, AZ 85012
Contact
6022481550
Certification Date
1996-01-08
CMS Certification Number
035234
Ownership Type
Government - State
Number of Certified Beds
200
Average Number of Residents per Day
80.5
Provider Type
Medicare and Medicaid
Legal Business Name
STATE OF ARIZONA/STATE DEPT OF FINANCE
Affiliated Entity Name
Affiliated Entity ID
Health Inspection Rating
2
Quality Measure Rating
4
Staffing Rating
4
Reported Nurse Aide Staffing Hours per Resident per Day
2.05436
Reported LPN Staffing Hours per Resident per Day
1.17377
Reported RN Staffing Hours per Resident per Day
1.06175
Reported Total Nurse Staffing Hours per Resident per Day
4.28989
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
3.60316
Registered Nurse Hours per Resident per Day on the Weekend
0.83515
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
41.333
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
10
Number of Citations from Infection Control Inspections
Standard Health Survey Date
2023-07-21
Total Number of Health Deficiencies
6
Number of Standard Health Deficiencies
4
Number of Complaint Health Deficiencies
3
Health Deficiency Score
32
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
32
Standard Health Survey Date
2022-05-26
Total Number of Health Deficiencies
9
Number of Standard Health Deficiencies
8
Number of Complaint Health Deficiencies
1
Health Deficiency Score
48
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
48
Standard Health Survey Date
2020-01-31
Total Number of Health Deficiencies
12
Number of Standard Health Deficiencies
9
Number of Complaint Health Deficiencies
3
Health Deficiency Score
56
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
56
Number of Fines
0
Total Amount of Fines in Dollars
0.00
Number of Payment Denials
0
Total Number of Penalties
0