Provider Name: SANTE OF SURPRISE
Address: 14775 WEST YORKSHIRE DRIVE, SURPRISE, AZ 85374
Phone: (623) 594-5050
County: Maricopa (060)
Ownership Type: For profit - Corporation
Certified Beds: 70
Average Residents Per Day: 62.4 ()
Provider Type: Medicare, Resides in Hospital: No
Legal Business Name: ASANTE TRC OF SURPRISE LLC
First Approved Date: October 24, 2011
Affiliated Entity: SANTE (466)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: None
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 4 ()
QM Rating: 5 ()
Long Stay QM Rating: (2)
Short Stay QM Rating: 5 ()
Staffing Rating: 4 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.24028, LPN Staff Hours Per Day: 1.6867, RN Staff Hours Per Day: 0.9001, Licensed Staff Hours Per Day: 2.5869
Total Nurse Staff Hours Per Day, per resident: 4.82718
Weekend Nurse Staff Hours: 4.01631, Weekend RN Staff Hours: 0.5729
PT Staff Hours Per Day, per resident: 0.2287
Nurse Staff Turnover: 47.0, Nurse Turnover Note:
RN Turnover: 38.9, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.0491, Case Mix LPN Hours Per Day: 0.7774, Case Mix RN Hours Per Day: 0.4304
Adjusted Nurse Aide Hours Per Day, per resident: 2.22725, Adjusted LPN Hours Per Day: 1.6011, Adjusted RN Hours Per Day: 0.7880
Total Adjusted Nurse Hours Per Day, per resident: 4.67157
Adjusted Weekend Nurse Hours Per Day, per resident: 3.88684
Health Survey Dates and Scores: Cycle 1: 2023-02-24 (Score: 4), Cycle 2: 2022-01-27 (Score: 24), Cycle 3: 2019-09-19 (Score: 28)
Total Weighted Health Score: 14.667
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations: 1
Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 5330.00, Payment Denials Number: 0, Total Penalties Number: 1
Location and GPS: 14775 WEST YORKSHIRE DRIVE,SURPRISE,AZ,85374 (33.6603, -112.379)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-04-27
Type: Health, Deficiency: Provide safe and appropriate respiratory care for a resident when needed.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-03-04
Type: Health, Deficiency: Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-03-04
Type: Health, Deficiency: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-03-04
Type: Health, Deficiency: Report COVID19 data to residents and families.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-03-04
Type: Health, Deficiency: Keep all essential equipment working safely.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-03-04
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-08-06
Type: Health, Deficiency: Ensure each resident receives an accurate assessment.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-10-25
Type: Health, Deficiency: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-10-25
Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-10-25
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-10-25
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0363, Version: New
Description: Install corridor and hallway doors that block smoke.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-02-22