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

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Villa Maria Care Center 4310 East Grant Road, Tucson, AZ 85712
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Tucson · Nursing Home

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

AZ · Nursing Home

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Haven of Lakeside, LLC 3401 North Lockwood Drive, Lakeside, AZ 85929
Vi At Grayhawk, A Vi and Plaza Companies Community 7501 East Thompson Peak Parkway, Scottsdale, AZ 85255
Chinle Nursing Home Po Box 910, Chinle, AZ 86503
The Legacy Rehab & Care Center 2812 Silver Creek Road, Bullhead City, AZ 86442
Good Samaritan Society-mesa Good Shepherd 5848 East University Drive, Mesa, AZ 85205
Santa Rosa Care Center 1650 North Santa Rosa Avenue, Tucson, AZ 85712
Mesa Christian Health and Rehabilitation Center 255 West Brown Road, Mesa, AZ 85201
Westchester Care Center 6100 South Rural Road, Tempe, AZ 85283
Coronado Healthcare Center 11411 North 19th Ave, Phoenix, AZ 85029
The Lingenfelter Center 1099 Sunrise Avenue, Kingman, AZ 86401
Life Care Center of Scottsdale 9494 East Becker Lane, Scottsdale, AZ 85260
The Gardens Rehab & Care Center 3131 Western Avenue, Kingman, AZ 86401
Pueblo Norte Senior Living Community 7100 East Mescal Street, Scottsdale, AZ 85254
Citadel Post Acute 5121 East Broadway Road, Mesa, AZ 85206
Acuity Specialty Hospital of Arizona At Mesa 215 South Power Road, Mesa, AZ 85206
Suncrest Healthcare Center 2211 East Southern Avenue, Phoenix, AZ 85040
Immanuel Campus of Care 11301 North 99th Avenue, Peoria, AZ 85345
Sante of Chandler 825 South 94th Street, Chandler, AZ 85224
Acacia Health Center 4555 East Mayo Blvd, Phoenix, AZ 85050
Advanced Healthcare of Mesa 5755 East Main Street, Mesa, AZ 85205
Archstone Care Center 1980 West Pecos Road, Chandler, AZ 85224
Haven of Flagstaff, LLC 800 West University Avenue, Flagstaff, AZ 86001
Christian Care Nursing Center 11812 North 19th Ave, Phoenix, AZ 85029
Life Care Center of Tucson 6211 North La Cholla Boulevard, Tucson, AZ 85741
The Rehabilitation Center At The Palazzo 6246 North 19th Avenue, Phoenix, AZ 85015
Brookdale North Chandler 2555 North Price Road, Chandler, AZ 85224
Life Care Center of Yuma 2450 South 19th Avenue, Yuma, AZ 85364
Providence Place At Glencroft 8641 North 67th Ave, Glendale, AZ 85302
Good Samaritan Society-prescott Valley 3380 North Windsong Drive, Prescott Valley, AZ 86314
Advanced Health Care of Glendale 16825 North 63rd Avenue, Glendale, AZ 85306
Avalon Southwest Health & Rehabilitation 2900 East Milber Street, Tucson, AZ 85714
Oasis Pavilion Nursing & Rehabilitation Center 161 West Rodeo Road, Casa Grande, AZ 85122
Maryland Gardens Care Center 31 West Maryland Avenue, Phoenix, AZ 85013
Sun City Health and Rehabilitation Center 9940 West Union Hills Drive, Sun City, AZ 85373
Desert Terrace Healthcare Center 2509 North 24th Street, Phoenix, AZ 85008
Foothills Rehabilitation Center 2250 North Craycroft Road, Tucson, AZ 85712
Yuma Nursing Center 1850 West 25th Street, Yuma, AZ 85364
Sante of Surprise 14775 West Yorkshire Drive, Surprise, AZ 85374