The Health Care Center-forum Tucson
2500 North Rosemont Boulevard, Tucson, AZ 85712


The Health Care Center-forum Tucson is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 035199. The address is 2500 North Rosemont Boulevard, Tucson, AZ 85712. The zip code is 85712. The phone number is 5207957892.


The Health Care Center-forum Tucson · 2500 North Rosemont Boulevard, Tucson, AZ 85712

Federal Provider Number 035199
Provider Name THE HEALTH CARE CENTER-FORUM TUCSON
Address 2500 NORTH ROSEMONT BOULEVARD
TUCSON, AZ 85712
Phone Number 5207957892
SSA County Code 90
County Name Pima
Ownership Type For profit - Corporation
Certified Beds 67
Certified Beds Residents 20
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name FIVE STAR TUCSON FORUM LLC
Date First Approved to Provide Medicare Medicaid Services 01/05/1990
Continuing Care Retirement Community true
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 4
Health Inspection Rating 2
Quality Measure Rating 5
Staffing Rating 5
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 3.17
Reported LPN Staffing Hours per Resident per Day 1.895
Reported RN Staffing Hours per Resident per Day 2.195
Reported Licensed Staffing Hours per Resident per Day 4.09
Reported Total Nurse Staffing Hours per Resident per Day 7.26
Reported Physical Therapist Staffing Hours per Resident Per Day 0.4975
Expected CNA Staffing Hours per Resident per Day 2.39578
Expected LPN Staffing Hours per Resident per Day 0.73456
Expected RN Staffing Hours per Resident per Day 1.49095
Expected Total Nurse Staffing Hours per Resident per Day 4.62129
Adjusted CNA Staffing Hours per Resident per Day 3.24664
Adjusted LPN Staffing Hours per Resident per Day 2.1412
Adjusted RN Staffing Hours per Resident per Day 1.10004
Adjusted Total Nurse Staffing Hours per Resident per Day 6.3325
Cycle 1 Standard Survey Health Date 02/08/2017
Cycle 2 Total Number of Health Deficiencies 5
Cycle 2 Number of Standard Health Deficiencies 4
Cycle 2 Number of Complaint Health Deficiencies 1
Cycle 2 Health Deficiency Score 44
Cycle 2 Standard Health Survey Date 11/18/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 44
Cycle 3 Total Number of Health Deficiencies 15
Cycle 3 Number of Standard Health Deficiencies 12
Cycle 3 Number of Complaint Health Deficiencies 8
Cycle 3 Health Deficiency Score 208
Cycle 3 Standard Health Survey Date 09/15/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 208
Total Weighted Health Survey Score 49.333
Number of Substantiated Complaints 6
Number of Fines 1
Total Amount of Fines in Dollars $47350.00
Number of Payment Denials 2
Total Number of Penalties 3
Processing Date 08/01/2017

Owner or Manager · The Health Care Center-forum Tucson

Owner Name Role Association Date
BLACKROCK INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
7%
since 12/31/2015
CHELLEL, SANDRA (Individual) MANAGING EMPLOYEE since 03/09/2015
CLARK, JENNIFER (Individual) OFFICER since 09/01/2009
DIMENSIONAL FUND ADVISORS LP (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
7%
since 12/31/2015
DOYLE, RICHARD (Individual) OFFICER since 01/01/2016
FINKLE, JENNIFER (Individual) MANAGING EMPLOYEE since 07/21/2016
FIVE STAR QUALITY CARE INC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 09/01/2009
FSQ INC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 09/01/2009
HERZIG, ROBERT (Individual) OFFICER since 11/07/2012
LACE, HILLARY (Individual) MANAGING EMPLOYEE since 03/07/2016
MACKEY, BRUCE (Individual) OFFICER since 09/01/2009
MARTIN, GERARD (Individual) DIRECTOR since 09/01/2009
MARZELLI, ANTHONY (Individual) MANAGING EMPLOYEE since 01/01/2011
PORTNOY, BARRY (Individual) DIRECTOR since 09/01/2009
POTTER, KATHERINE (Individual) OFFICER since 02/27/2012
SENIOR HOUSING PROPERTIES TRUST (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
9%
since 12/31/2015

85712 · Nursing Home

Handmaker Home for The Aging 2221 North Rosemont Boulevard, Tucson, AZ 85712
Villa Maria Care Center 4310 East Grant Road, Tucson, AZ 85712
Sante of Tucson 2040 North Wilmot Road, Tucson, AZ 85712
Pueblo Springs Rehabilitation Center 5545 East Lee Street, Tucson, AZ 85712
Sabino Canyon Rehabilitation & Care Center 5830 East Pima Street, Tucson, AZ 85712
Santa Rosa Care Center 1650 North Santa Rosa Avenue, Tucson, AZ 85712
Foothills Rehabilitation Center 2250 North Craycroft Road, Tucson, AZ 85712
Devon Gables Rehabilitation Center 6150 East Grant Road, Tucson, AZ 85712

Tucson · Nursing Home

Mountain View Care Center 1313 West Magee Road, Tucson, AZ 85704
Handmaker Home for The Aging 2221 North Rosemont Boulevard, Tucson, AZ 85712
Splendido At Rancho Vistoso 13500 North Rancho Vistoso Blvd, Tucson, AZ 85755
Arizona State Veteran Home-tucson 555 East Ajo Way, Tucson, AZ 85713
Casas Adobes Post Acute Rehab Center 1919 West Medical Street, Tucson, AZ 85704
Brookdale Santa Catalina 7500 North Calle Sin Envidia, Tucson, AZ 85718
Pueblo Springs Rehabilitation Center 5545 East Lee Street, Tucson, AZ 85712
Villa Maria Care Center 4310 East Grant Road, Tucson, AZ 85712
Park Avenue Health and Rehabilitation Center 2001 North Park Avenue, Tucson, AZ 85719
Haven of Tucson LLC 3705 North Swan Road, Tucson, AZ 85718
Catalina Post Acute and Rehabilitation 2611 North Warren Avenue, Tucson, AZ 85719
Sabino Canyon Rehabilitation & Care Center 5830 East Pima Street, Tucson, AZ 85712
Sante of Tucson 2040 North Wilmot Road, Tucson, AZ 85712
Villa Campana Rehabilitation Hospital LLC 6651 East Carondelet Drive, Tucson, AZ 85710
Avalon Southwest Health & Rehabilitation 2900 East Milber Street, Tucson, AZ 85714
Life Care Center of Tucson 6211 North La Cholla Boulevard, Tucson, AZ 85741
Santa Rosa Care Center 1650 North Santa Rosa Avenue, Tucson, AZ 85712
Devon Gables Rehabilitation Center 6150 East Grant Road, Tucson, AZ 85712
La Canada Care Center 7970 North La Canada Drive, Tucson, AZ 85704
Foothills Rehabilitation Center 2250 North Craycroft Road, Tucson, AZ 85712

AZ · Nursing Home

Freedom Plaza Care Center 13714 North Plaza Del Rio Blvd, Peoria, AZ 85381
Sante of Chandler 825 South 94th Street, Chandler, AZ 85224
Wellsprings Care and Rehab 3319 South Mercy Road, Gilbert, AZ 85297
Catalina Post Acute and Rehabilitation 2611 North Warren Avenue, Tucson, AZ 85719
Mountain View Manor 1045 Sandretto Drive, Prescott, AZ 86305
Foothills Rehabilitation Center 2250 North Craycroft Road, Tucson, AZ 85712
Sun City Health and Rehabilitation Center 9940 West Union Hills Drive, Sun City, AZ 85373
Good Samaritan Society-prescott Valley 3380 North Windsong Drive, Prescott Valley, AZ 86314
Archstone Care Center 1980 West Pecos Road, Chandler, AZ 85224
Haven of Scottsdale 3293 North Drinkwater Boulevard, Scottsdale, AZ 85251
Phoenix Mountain Nursing Ctr 13232 North Tatum Blvd, Phoenix, AZ 85032
Villa Maria Care Center 4310 East Grant Road, Tucson, AZ 85712
Haven of Show Low, LLC 2401 East Hunt Street, Show Low, AZ 85901
Pueblo Norte Senior Living Community 7100 East Mescal Street, Scottsdale, AZ 85254
Splendido At Rancho Vistoso 13500 North Rancho Vistoso Blvd, Tucson, AZ 85755
Desert Cove Nursing Center 1750 West Frye Road, Chandler, AZ 85224
Springdale Village Healthcare 7255 East Broadway Road, Mesa, AZ 85208
Haven of Yuma 2470 South Arizona Avenue, Yuma, AZ 85364
Winslow Campus of Care 826 West Desmond Street, Winslow, AZ 86047
The Gardens Rehab & Care Center 3131 Western Avenue, Kingman, AZ 86401
Sante of Tucson 2040 North Wilmot Road, Tucson, AZ 85712
Solterra Subacute Services 1501 East Orangewood Avenue, Phoenix, AZ 85020
The Legacy Rehab & Care Center 2812 Silver Creek Road, Bullhead City, AZ 86442
Beatitudes Campus 1712 West Glendale Avenue, Phoenix, AZ 85021
The Terraces of Phoenix 7550 North 16th Street, Phoenix, AZ 85020
Good Samaritan Society-mesa Good Shepherd 5848 East University Drive, Mesa, AZ 85205
Devon Gables Rehabilitation Center 6150 East Grant Road, Tucson, AZ 85712
Santa Rita Nursing & Rehabilitation Center 150 North La Canada Drive, Green Valley, AZ 85614
Chandler Post Acute and Rehabilitation 2121 West Elgin Street, Chandler, AZ 85224
Prescott Nursing and Rehabilitation Center 864 Dougherty Street, Prescott, AZ 86305
Camelback Post Acute and Rehabilitation 4635 North 14th Street, Phoenix, AZ 85014
Kindred Nursing and Rehabilitation-hacienda 660 South Coronado Drive, Sierra Vista, AZ 85635
Mission Palms of Mesa Health and Rehabilitation Ce 6461 East Baywood Avenue, Mesa, AZ 85206
Center At Arrowhead, LLC 7201 W Camino San Xavier Ave, Glendale, AZ 85308
Archie Hendricks Senior Skilled Nursing Facility Hco 1 Box 9100, Sells, AZ 85634
Brookdale Santa Catalina 7500 North Calle Sin Envidia, Tucson, AZ 85718
Advance Health Care of Scottsdale 9846 North 95th Street, Scottsdale, AZ 85258
Rim Country Health & Retirement Community 807 West Longhorn Road, Payson, AZ 85541
Havasu Nursing Center 3576 Kearsage Drive, Lake Havasu City, AZ 86406
Haven of Flagstaff, LLC 800 West University Avenue, Flagstaff, AZ 86001