Mission Palms of Mesa Health and Rehabilitation Ce
6461 East Baywood Avenue, Mesa, AZ 85206


Mission Palms of Mesa Health and Rehabilitation Ce is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 035071. The address is 6461 East Baywood Avenue, Mesa, AZ 85206. The zip code is 85206. The phone number is 4808325160.


Mission Palms of Mesa Health and Rehabilitation Ce · 6461 East Baywood Avenue, Mesa, AZ 85206

Federal Provider Number 035071
Provider Name MISSION PALMS OF MESA HEALTH AND REHABILITATION CE
Address 6461 EAST BAYWOOD AVENUE
MESA, AZ 85206
Phone Number 4808325160
SSA County Code 60
County Name Maricopa
Ownership Type For profit - Corporation
Certified Beds 100
Certified Beds Residents 70
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name PINNACLE HEALTH FACILITIES XXVI LP
Date First Approved to Provide Medicare Medicaid Services 07/05/1979
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Both
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 4
Health Inspection Rating 3
Quality Measure Rating 5
Staffing Rating 2
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 1.38143
Reported LPN Staffing Hours per Resident per Day 1.09571
Reported RN Staffing Hours per Resident per Day 0.92643
Reported Licensed Staffing Hours per Resident per Day 2.02214
Reported Total Nurse Staffing Hours per Resident per Day 3.40357
Reported Physical Therapist Staffing Hours per Resident Per Day 0.09286
Expected CNA Staffing Hours per Resident per Day 2.42368
Expected LPN Staffing Hours per Resident per Day 0.65879
Expected RN Staffing Hours per Resident per Day 1.21582
Expected Total Nurse Staffing Hours per Resident per Day 4.29829
Adjusted CNA Staffing Hours per Resident per Day 1.39854
Adjusted LPN Staffing Hours per Resident per Day 1.38047
Adjusted RN Staffing Hours per Resident per Day 0.56935
Adjusted Total Nurse Staffing Hours per Resident per Day 3.19184
Cycle 1 Total Number of Health Deficiencies 10
Cycle 1 Number of Standard Health Deficiencies 10
Cycle 1 Health Deficiency Score 48
Cycle 1 Standard Survey Health Date 10/28/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 48
Cycle 2 Total Number of Health Deficiencies 3
Cycle 2 Number of Standard Health Deficiencies 3
Cycle 2 Health Deficiency Score 12
Cycle 2 Standard Health Survey Date 07/30/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 12
Cycle 3 Total Number of Health Deficiencies 6
Cycle 3 Number of Standard Health Deficiencies 6
Cycle 3 Health Deficiency Score 32
Cycle 3 Standard Health Survey Date 05/14/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 32
Total Weighted Health Survey Score 33.333
Number of Substantiated Complaints 1
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Mission Palms of Mesa Health and Rehabilitation Ce

Owner Name Role Association Date
COLLIER, JAMIE (Individual) MANAGING EMPLOYEE since 10/24/2014
KOTZ, GARY (Individual) MANAGING EMPLOYEE since 10/24/2014
PINNACLE HEALTH FACILITIES GP II LLC (Organization) PARTNERSHIP INTEREST since 11/13/2007
PREFERRED CARE PARTNERS MANAGEMENT GROUP LP (Organization) OPERATIONAL/MANAGERIAL CONTROL since 11/13/2007
SCOTT, THOMAS (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/13/2007

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