The Forum At Desert Harbor
The Forum At Desert Harbor Information
| Facility Name | The Forum At Desert Harbor |
| Location | 13840 North Desert Harbor Drive, Peoria, AZ 85381 |
| County (SSA Code) | Maricopa (60) |
| Phone Number | 623-972-0995 |
| Certification(s) | Medicare |
| Number of Beds | 57 |
| Average Number of Residents | 10.3 |
| CCRC Facility? | Yes |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | SNH AZ TENANT LLC |
| Ownership Type | For profit - Limited Liability company |
| Date First Approved | 1990-02-15 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 5.19151 |
| Reported LPN Staffing Hours per Resident per Day | 1.83619 |
| Reported RN Staffing - Hours per Resident per Day | 1.90088 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 3.73707 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 8.92859 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.3465 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.38557 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.86946 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.50437 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.7594 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 7.57196 |
| Total Weighted Health Survey Score for three cycles | 11.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-07-10 |
| Rating cycle 1 - Health Deficiency Score | 1 |
| Rating cycle 1 - Total Health Inspection Score | 28 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-04-19 |
| Rating cycle 2 - Health Deficiency Score | 28 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-02-22 |
| Number of Facility-Reported Incidents | 1 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Fines | 1 |
| Total Amount of Fines (in Dollars) | 30921 |
| Total Number of Penalties | 1 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |