Overall Rating
Address
3000 N 91st Avenue
Phoenix, AZ 85037
Contact
6233032882
Certification Date
2022-07-21
CMS Certification Number
035302
Ownership Type
For profit - Limited Liability company
Number of Certified Beds
94
Average Number of Residents per Day
55.1
Provider Type
Medicare and Medicaid
Legal Business Name
91ST AVENUE OPERATIONS LLC
Affiliated Entity Name
Affiliated Entity ID
Health Inspection Rating
5
Quality Measure Rating
5
Staffing Rating
3
Reported Nurse Aide Staffing Hours per Resident per Day
2.84627
Reported LPN Staffing Hours per Resident per Day
2.32946
Reported RN Staffing Hours per Resident per Day
0.35037
Reported Total Nurse Staffing Hours per Resident per Day
5.52609
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
5.48756
Registered Nurse Hours per Resident per Day on the Weekend
0.42056
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20185
Long-Stay Quality Measure Rating
Short-Stay Quality Measure Rating
5
Total Weighted Health Survey Score
2.400
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Citations from Infection Control Inspections
Standard Health Survey Date
2023-04-05
Total Number of Health Deficiencies
1
Number of Standard Health Deficiencies
1
Number of Complaint Health Deficiencies
0
Health Deficiency Score
4
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
4
Standard Health Survey Date
2022-07-21
Total Number of Health Deficiencies
0
Number of Standard Health Deficiencies
0
Number of Complaint Health Deficiencies
0
Health Deficiency Score
0
Number of Health Revisits
0
Health Revisit Score
0
Total Health Score
0
Standard Health Survey Date
N/A
Total Number of Health Deficiencies
.
Number of Standard Health Deficiencies
.
Number of Complaint Health Deficiencies
.
Health Deficiency Score
.
Number of Health Revisits
.
Health Revisit Score
.
Total Health Score
.
Number of Fines
1
Total Amount of Fines in Dollars
3145.35
Number of Payment Denials
0
Total Number of Penalties
1