Overall Rating
Cited for abuse
Address
1880 East Van Buren Street
Phoenix, AZ 85006
Contact
6022534570
Certification Date
2016-02-03
CMS Certification Number
035290
Ownership Type
For profit - Limited Liability company
Number of Certified Beds
120
Average Number of Residents per Day
60.5
Provider Type
Medicare and Medicaid
Legal Business Name
HAVEN HEALTH SKY HARBOR LLC
Affiliated Entity Name
HAVEN HEALTH
Affiliated Entity ID
249
Health Inspection Rating
1
Quality Measure Rating
5
Staffing Rating
1
Reported Nurse Aide Staffing Hours per Resident per Day
1.95946
Reported LPN Staffing Hours per Resident per Day
1.10135
Reported RN Staffing Hours per Resident per Day
0.31263
Reported Total Nurse Staffing Hours per Resident per Day
3.37344
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
2.80515
Registered Nurse Hours per Resident per Day on the Weekend
0.14611
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05466
Long-Stay Quality Measure Rating
5
Short-Stay Quality Measure Rating
4
Total Weighted Health Survey Score
80.667
Number of Facility Reported Incidents
12
Number of Substantiated Complaints
10
Number of Citations from Infection Control Inspections
Standard Health Survey Date
2022-12-15
Total Number of Health Deficiencies
12
Number of Standard Health Deficiencies
10
Number of Complaint Health Deficiencies
3
Health Deficiency Score
76
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
76
Standard Health Survey Date
2021-09-23
Total Number of Health Deficiencies
12
Number of Standard Health Deficiencies
12
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
2019-06-14
Total Number of Health Deficiencies
23
Number of Standard Health Deficiencies
7
Number of Complaint Health Deficiencies
16
Health Deficiency Score
144
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
144
Number of Fines
0
Total Amount of Fines in Dollars
0.00
Number of Payment Denials
0
Total Number of Penalties
0