Apache Junction Hlth Center
2012 West Southern Ave, Apache Junction, AZ 85120


Apache Junction Hlth Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 035112. The address is 2012 West Southern Ave, Apache Junction, AZ 85120. The zip code is 85120. The phone number is 4809830700.


Apache Junction Hlth Center · 2012 West Southern Ave, Apache Junction, AZ 85120

Federal Provider Number 035112
Provider Name APACHE JUNCTION HLTH CENTER
Address 2012 WEST SOUTHERN AVE
APACHE JUNCTION, AZ 85120
Phone Number 4809830700
SSA County Code 100
County Name Pinal
Ownership Type For profit - Corporation
Certified Beds 190
Certified Beds Residents 84
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name FOOTHILL CARE CENTER, LLC
Date First Approved to Provide Medicare Medicaid Services 05/13/1998
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 Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 3
Quality Measure Rating 5
Staffing Rating 4
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.8756
Reported LPN Staffing Hours per Resident per Day 1.25536
Reported RN Staffing Hours per Resident per Day 0.92976
Reported Licensed Staffing Hours per Resident per Day 2.18512
Reported Total Nurse Staffing Hours per Resident per Day 5.06072
Reported Physical Therapist Staffing Hours per Resident Per Day 0.05952
Expected CNA Staffing Hours per Resident per Day 2.487
Expected LPN Staffing Hours per Resident per Day 0.6864
Expected RN Staffing Hours per Resident per Day 1.17804
Expected Total Nurse Staffing Hours per Resident per Day 4.35144
Adjusted CNA Staffing Hours per Resident per Day 2.8371
Adjusted LPN Staffing Hours per Resident per Day 1.51798
Adjusted RN Staffing Hours per Resident per Day 0.58972
Adjusted Total Nurse Staffing Hours per Resident per Day 4.68793
Cycle 1 Standard Survey Health Date 07/20/2016
Cycle 2 Total Number of Health Deficiencies 9
Cycle 2 Number of Standard Health Deficiencies 9
Cycle 2 Number of Complaint Health Deficiencies 2
Cycle 2 Health Deficiency Score 68
Cycle 2 Standard Health Survey Date 04/13/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 68
Cycle 3 Total Number of Health Deficiencies 11
Cycle 3 Number of Standard Health Deficiencies 11
Cycle 3 Health Deficiency Score 68
Cycle 3 Standard Health Survey Date 01/30/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 68
Total Weighted Health Survey Score 34
Number of Substantiated Complaints 5
Number of Fines 1
Total Amount of Fines in Dollars $11475.00
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Apache Junction Hlth Center

Owner Name Role Association Date
DAVID, EMMANUEL (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
since 01/01/1994
DAVID, EMMANUEL (Individual) OFFICER since 01/01/1994
DAVID, OFELIA (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
since 01/01/1994
MORRIS, MICHAEL (Individual) MANAGING EMPLOYEE since 01/11/2016
QUION, ANTONIO (Individual) OFFICER since 04/01/2007
STUCKHARDT, JEFFERY (Individual) OFFICER since 01/01/2004

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