Immanuel Campus of Care: Data Analysis and Ratings
11301 NORTH 99TH AVENUE, PEORIA, AZ 85345 (623-977-8373)
CMS 5-Star Rating:
Data as of: September 01, 2023
CMS has identified this facility as either having actual cases of abuse or that abuse is possible.
The Most Important Data about Immanuel Campus of Care
We've looked at a lot of nursing homes, this is what we think you need to see first and if you don't want to spend a lot of time. (It's the tl;dr section.)
CMS has identified this facility as either having actual cases of abuse or has decided that abuse is possible.
CMS 5-Star Overall Rating:
(2 out of 5):
(The national average overall star rating is 3 stars.)
Current Trend: Improving
Total Nursing Hours Spent Per Resident Per Day: 4.42
(The national average is 3.76 )
According to our analysis, Immanuel Campus of Care is ranked #60 out of 64 skilled nursing homes within a 25 mile radius. See detailed information from recent inspection reports, nursing hours analysis, surverys, and information on owners and operators. Click here to view the ranked list of nursing homes near Immanuel Campus of Care.
What is this page all about?
Below is everything shred of information that we can find about Immanuel Campus of Care, along with our best effort to make sense of the data. Our purpose here is to help you to make good decisions when picking a nursing home and to keep you informed once you have chosen a home. We know from personal experience that choosing a nursing home is not something you do once and then you forget about it. In fact, it gets worse. Once you select a nursing home and get through the initial steps of figuring out how to pay for it, then the real worries start. Are they taking good care of me or my loved one? This is the question that will keep you up at night: Can I really trust these people? We wish we could answer this question, we can't. What he can do is churn through the tons of data and try and help you to make sense of it. We hope it helps.
General Data Card
These are the basic data points for the facility.
Data date: September 01, 2023
Address: 11301 NORTH 99TH AVENUE, PEORIA, AZ 85345
Phone: 623-977-8373
Ranking: Immanuel Campus of Care is ranked #27 out of 28 facilities within a 10 mile radius and #60 out of 64 facilities within a 25 mile radius.
Medicare Provider Number: 035250
Participating in Medicare Since: November 18, 1998
No. of Certified Beds: 228
No. of Residents: 175
Occupancy: 76.75 % (as of 09/17/2023 )
Amount fined in recent period: $10,387.00
Complaints filed: 6
Ratings History for Immanuel Campus of Care
Review of Immanuel Campus of Care Ratings and Inspection Scores
CMS regularly inspects every skilled nursing facility. (The timing is supposed to be annually, but since the beginning of the Covid pandemic, these inspections have not occured as frequently.) The results of the multi-day inspection is reduced to a series of scores which are then translated into the star ratings. The health inspection scores are an absolute value, so you can compare one facility's score directly to another. The Overall Star rating is based on the facility's performance as compared to other facilities in the same state, so you cannot easily compare one facility's Overall star rating to a facility in another state.
Ratings
| Overall Rating | 2: |
| Health Inspection Rating | 1: |
| Quality Rating | 2: |
| Staffing Rating | 5: |
Inspection Scores
| Cycle 1 Score (as of September 02, 2022) | 64 |
| Cycle 2 Score (as of March 11, 2020) | 44 |
| Cycle 3 Score (as of January 10, 2019) | 152 |
| Weighted All Cycles Score | 72 |
It has been 11 months since the most recent inspection.
What Goes Into the Nursing Home's 5-Star Rating
CMS has put a lot of effort into creating its very elaborate 5-Star Quality Rating System specifically to provide a quick way for residents and family members to easily understand how well a nursing home is performing and to make comparing nursing homes easier. The rating system allows people to easily compare facilities across numerous dimensions with the express purpose of identifying the best and best performing nursing homes. The rating system was initially developed in 2008 and the methodologies are regularly reviewed and updated.
The rating system has five separate ratings including:
- Overall rating
- Health Inspection rating
- Staff rating
- RN Staffing rating
- Quality Measures rating
Nursing homes are rated from 1-star to 5-stars with 1-star being the best rating and 5-star being the best rating. For the Health Inspection Rating the nursing homes in each state are ranked based on their weighted three year inspection score. The top 10 percent of nursing homes (those with the lowest scores) are awarded a 5-star rating; the bottom 20 percent (those with the highest scores) are awarded a 1-star rating. In between 1-star and 5-star, the remaining homes are divided equally into three tranches which correspond with the stars 2 to 4. The staff ratings and quality measure ratings follow a similar process but the divisions are based on a national ranking. The division between star ratings is called the “cut-rate”. Cut-rates are redefined periodically and are published by CMS. See the latest cut rates on this table.
Calculating the Overall Star Rating is done differently. According to CMS, the reason for adopting a different system is to give the Health Inspection Rating higher weight in the Overall Rating. So, since there are FIVE ratings and FIVE stars for each rating, there must also be a FIVE step process to calculate the Overall Rating (so symetrical!) :
- Begin with the Health Inspection Rating
- Add one star to the Health Inspection Rating if the Staffing Rating is at least four-stars and is higher than the Health Inspection Rating. (We will call this the "Adjusted Rating".)
- Subtract one star from the Health Inspection Rating if the Staffing Rating is one-star.
- Add a star to the Adjusted Rating if the Quality Measure Rating is 5-stars.
- Subtract one star from the Adjusted Rating if the Quality Measure Rating is 1-star.
Throughout the calculation of the Overall Rating, the rating cannot exceed 5-stars. The Overall Rating is capped at 2-stars if the Health Inspection rating is 1-star. No Overall Rating is awarded if the nursing home does not have a Health Inspection Rating (This effectively means that a nursing home is not rated until the home has been operating for more than two years.)
Changes in a nursing homes star rating can be due to the results of a new health inspection report, the processing of new complaints, the aging of older complaints, a new inspection control survey, a revisit, or the resolution of disputes that change the scope and or severity of deficiencies.
Most Recent Nursing Home Inspections
CMS is required to inspect each senior nursing facility at least annually. These inspections take several days. Additional follow-up inspections as conducted as needed or for certain purposes. Inspections stopped for more than seven months in 2020 due to the Covid pandemic. That stoppage has caused all inspections to be delayed as the inspectors continue to deal with a backlog. The table below shows the latest inspections for Immanuel Campus of Care including health, fire, and inspection control inspections:
No Inspection Information is Available
Owner and Operator Information for Immanuel Campus of Care
Our database of owners and operators shows all direct owners of the nursing nurse, any managers and directors, and the most adjacent indirect owners of the facility (that is, if the direct owner is company, then the owners of that company.) Lists of nursing home owners are available and you can search for nursing home owners and operators on our site.
Business Entity Name:
IMMANUEL CARING MINISTRIES, INC.
Owners:
Managers and Directors:
- DAVID BARNES (DIRECTOR)
- DAVID BARNES (MANAGING EMPLOYEE)
- COPPERSANDS INC (OPERATIONAL/MANAGERIAL CONTROL)
- PATRICIA FREEMAN (MANAGING EMPLOYEE)
- LAWRENCE LITMAN (DIRECTOR)
- JANA MCDONALD (MANAGING EMPLOYEE)
- GREGORY MCNELLIS (OFFICER)
- BARBARA NEILSEN (OPERATIONAL/MANAGERIAL CONTROL)
Analysis of Nursing Hours Spent Per Patient
CMS provides detailed information about how long nursing staff spends with residents. This data includes nursing subcategories of Registered Nurse, Licensed Practical Nurse, and non-nursing Certified Nursing Assistants. More hours spend per patient should can indicate a better facility or it could indicate more complicated situations.
The nursing staff of Immanuel Campus of Care spends MORE time on average with its residents than the state average for total nursing homes spent per resident and MORE time than the national average for total nursing homes spent per resident.
| Type | Facility | State / National Avg |
|---|---|---|
| Registered Nurse (RN) | ||
| Hours | 0.49 | 0.74 / 0.66 |
| Case Mix | 0.25 | 0.40 / 0.39 |
| Adjusted | 0.76 | NA / NA |
| Licensed Practical Nurse (LPN) | ||
| Hours | 1.30 | 1.03 / 0.89 |
| Case Mix | 0.59 | NA / NA |
| Adjusted | 1.61 | NA / NA |
| Certified Nursing Assistants (CNA) | ||
| Hours | 2.63 | 2.20 / 2.22 |
| Case Mix | 1.69 | NA / NA |
| Adjusted | 3.17 | NA / NA |
| Total Licensed Staff | ||
| Hours | 1.79 | 1.76 / 1.54 |
| Physical Therapist (PT) | ||
| Hours | 0.00 | 0.12 / 0.07 |
| Total Nursing Homes Spent per Resident on Average | ||
| Hours | 4.42 | 3.96 / 3.76 |
| Case Mix | 2.53 | 3.15 / 3.17 |
| Adjusted | 5.52 | NA / NA |
Quality Measures
Quality measures are based both on patient survey information and on the results of actual claims that are filed with CMS. It is not clear what period is covered in the measures.
| Desc. | Perc. | State Avg. / Comparison |
|---|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursing home admission (qm521) | 22.1% |
23.6% Better |
| Percentage of short-stay residents who had an outpatient emergency department visit (qm522) | 16.8% |
11.4% Worse |
| Number of hospitalizations per 1000 long-stay resident days (qm551) | Not Available | |
| Number of outpatient emergency department visits per 1000 long-stay resident days (qm552) | Not Available | |
| Percentage of long-stay residents whose need for help with daily activities has increased (qm401) | 12.0% |
12.1% Better |
| Percentage of long-stay residents who lose too much weight (qm404) | 6.5% |
6.2% Worse |
| Percentage of low risk long-stay residents who lose control of their bowels or bladder (qm405) | 19.6% |
57.6% Better |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (qm406) | 2.9% |
1.5% Worse |
| Percentage of long-stay residents with a urinary tract infection (qm407) | 1.7% |
1.4% Worse |
| Percentage of long-stay residents who have depressive symptoms (qm408) | 0.0% |
4.2% Better |
| Percentage of long-stay residents who were physically restrained (qm409) | 0.0% |
0.3% Better |
| Percentage of long-stay residents experiencing one or more falls with major injury (qm410) | 1.4% |
2.8% Better |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (qm415) | 97.7% |
94.7% Better |
| Percentage of long-stay residents who received an antipsychotic medication (qm419) | 45.5% |
9.9% Worse |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (qm430) | 83.5% |
87.4% Worse |
| Percentage of short-stay residents who newly received an antipsychotic medication (qm434) | 8.2% |
1.0% Worse |
| Percentage of long-stay residents whose ability to move independently worsened (qm451) | 16.8% |
16.4% Worse |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication (qm452) | 40.0% |
18.5% Worse |
| Percentage of high risk long-stay residents with pressure ulcers (qm453) | 14.8% |
9.1% Worse |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (qm454) | 99.6% |
94.0% Better |
| Percentage of short-stay residents who made improvements in function (qm471) | 63.8% |
76.1% Worse |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (qm472) | 88.8% |
83.5% Better |
Immanuel Campus of Care Violations, Complaints and Fines
These are complaints and fines that are reported by CMS. Some of the data is not very recent, but we have decided to include it here so that you have as much information as possible.
Amount fined in recent period: $10,387.00, Complaints filed: 6
| Deficiency | Deficiency Date / Date Corrected |
|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Health) | 01-10-2019 / 02-24-2019 |
| Protect each resident from the wrongful use of the resident's belongings or money. (Health) | 01-10-2019 / 02-24-2019 |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Health) | 01-10-2019 / 02-24-2019 |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Health) | 01-10-2019 / 02-24-2019 |
| Respond appropriately to all alleged violations. (Health) | 01-10-2019 / 02-24-2019 |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Health) | 01-10-2019 / 02-24-2019 |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Health) | 01-10-2019 / 02-24-2019 |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Health) | 01-10-2019 / 02-24-2019 |
| Ensure services provided by the nursing facility meet professional standards of quality. (Health) | 01-10-2019 / 02-24-2019 |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. (Health) | 01-10-2019 / 02-24-2019 |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Health) | 01-10-2019 / 02-24-2019 |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. (Health) | 01-10-2019 / 02-24-2019 |
| 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. (Health) | 01-10-2019 / 02-24-2019 |
| 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. (Health) | 01-10-2019 / 02-24-2019 |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (Health) | 03-11-2020 / 04-23-2020 |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Health) | 03-11-2020 / 04-23-2020 |
| Ensure each resident receives an accurate assessment. (Health) | 03-11-2020 / 04-23-2020 |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Health) | 03-11-2020 / 04-23-2020 |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. (Health) | 03-11-2020 / 04-23-2020 |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. (Health) | 03-11-2020 / 04-23-2020 |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. (Fire Safety) | 09-25-2020 / 10-07-2020 |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. (Fire Safety) | 09-25-2020 / 10-07-2020 |
| Have properly located and lighted "Exit" signs. (Fire Safety) | 09-25-2020 / 10-07-2020 |
| Inspect, test, and maintain automatic sprinkler systems. (Fire Safety) | 09-25-2020 / 10-07-2020 |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. (Fire Safety) | 09-25-2020 / 10-07-2020 |
| Have properly installed electrical wiring and gas equipment. (Fire Safety) | 09-25-2020 / 10-07-2020 |
| Ensure proper usage of power strips and extension cords. (Fire Safety) | 09-25-2020 / 10-07-2020 |
| Have proper medical gas storage and administration areas. (Fire Safety) | 09-25-2020 / 10-07-2020 |
| Provide and implement an infection prevention and control program. (Health) | 12-14-2020 / 01-22-2021 |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Health) | 01-22-2021 / 03-08-2021 |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. (Health) | 01-22-2021 / 03-08-2021 |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Health) | 06-30-2021 / 08-03-2021 |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. (Health) | 06-30-2021 / 08-03-2021 |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Health) | 06-30-2021 / 08-03-2021 |
| Respond appropriately to all alleged violations. (Health) | 06-30-2021 / 08-03-2021 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Health) | 06-30-2021 / 08-03-2021 |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Health) | 12-13-2021 / 01-17-2022 |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Health) | 09-01-2022 / 11-01-2022 |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (Health) | 09-01-2022 / 11-01-2022 |
| Keep residents' personal and medical records private and confidential. (Health) | 09-01-2022 / 11-01-2022 |
| Protect each resident from the wrongful use of the resident's belongings or money. (Health) | 09-01-2022 / 11-01-2022 |
| Respond appropriately to all alleged violations. (Health) | 09-01-2022 / 11-01-2022 |
| Reasonably accommodate the needs and preferences of each resident. (Health) | 09-02-2022 / 10-31-2022 |
| Honor the resident's right to manage his or her financial affairs. (Health) | 09-02-2022 / 10-31-2022 |
| Respond appropriately to all alleged violations. (Health) | 09-02-2022 / 10-31-2022 |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Health) | 09-02-2022 / 10-31-2022 |
| Ensure services provided by the nursing facility meet professional standards of quality. (Health) | 09-02-2022 / 10-31-2022 |
| Establish policies and procedures including evacuation. (Fire Safety) | 09-02-2022 / 10-14-2022 |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. (Fire Safety) | 09-02-2022 / 10-14-2022 |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Health) | 04-11-2023 / 06-08-2023 |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Health) | 06-14-2023 / 07-29-2023 |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Health) | 06-14-2023 / 07-29-2023 |
| Respond appropriately to all alleged violations. (Health) | 06-14-2023 / 07-29-2023 |
Hospitals Near Immanuel Campus of Care
Quite often skilled nursing facilities and hospitals work closely together to help patients recover or manage a terminal illness. Hospitals deals with acute care while nursing homes treat patients for a longer period of time. New residents at skilled nursing homes typically come from a hospital and nursing home residents may be readmitted to a hospital if their recovery does not proceed well. (Hospital readmission rates are closely monitored by CMS.) Consequently it is important that you consider which hospitals are near a nursing home which choosing one. Below is a list of hospitals near Immanuel Campus of Care.
This information is based on the most recent Hospital data. Historical data is not available.
| Hospital | 5-Star Overall Rating |
|---|---|
|
BANNER BOSWELL MEDICAL CENTER 10401 WEST THUNDERBIRD BOULEVARD SUN CITY, AZ 85351 |
2 |
|
ABRAZO CENTRAL CAMPUS 2000 WEST BETHANY HOME ROAD PHOENIX, AZ 85015 |
2 |
|
WESTERN REGIONAL MEDICAL CENTER 14200 WEST CELEBRATE LIFE WAY GOODYEAR, AZ 85338 |
2 |
|
HONORHEALTH SCOTTSDALE OSBORN MEDICAL CENTER 7400 EAST OSBORN ROAD SCOTTSDALE, AZ 85251 |
2 |
|
CHANDLER REGIONAL MEDICAL CENTER 1955 WEST FRYE ROAD CHANDLER, AZ 85224 |
2 |
|
ABRAZO SCOTTSDALE CAMPUS 3929 EAST BELL ROAD PHOENIX, AZ 85032 |
2 |
|
BANNER DESERT MEDICAL CENTER 1400 SOUTH DOBSON ROAD MESA, AZ 85202 |
2 |
|
BANNER THUNDERBIRD MEDICAL CENTER 5555 WEST THUNDERBIRD ROAD GLENDALE, AZ 85306 |
2 |
|
VALLEYWISE HEALTH MEDICAL CENTER 2601 EAST ROOSEVELT STREET PHOENIX, AZ 85008 |
2 |
|
ABRAZO ARROWHEAD HOSPITAL 18701 NORTH 67TH AVENUE GLENDALE, AZ 85308 |
3 |
|
BANNER - UNIVERSITY MEDICAL CENTER PHOENIX 1111 EAST MCDOWELL ROAD PHOENIX, AZ 85006 |
3 |
|
JOHN C. LINCOLN NORTH MOUNTAIN HOSPITAL 250 EAST DUNLAP AVENUE PHOENIX, AZ 85020 |
3 |
|
ABRAZO WEST CAMPUS 13677 WEST MCDOWELL ROAD GOODYEAR, AZ 85395 |
3 |
|
BANNER ESTRELLA MEDICAL CENTER 9201 WEST THOMAS ROAD PHOENIX, AZ 85037 |
3 |
|
HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER 9003 EAST SHEA BOULEVARD SCOTTSDALE, AZ 85260 |
3 |
|
ST LUKE'S MEDICAL CENTER 1800 EAST VAN BUREN STREET PHOENIX, AZ 85006 |
3 |
|
HONORHEALTH DEER VALLEY MEDICAL CENTER 19829 NORTH 27TH AVENUE PHOENIX, AZ 85027 |
3 |
|
BANNER DEL E. WEBB MEDICAL CENTER 14502 WEST MEEKER BOULEVARD SUN CITY WEST, AZ 85375 |
4 |
|
ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER 350 WEST THOMAS ROAD PHOENIX, AZ 85013 |
4 |
|
HONOR HEALTH THOMPSON PEAK MEDICAL CENTER 7400 EAST THOMPSON PEAK PARKWAY SCOTTSDALE, AZ 85255 |
5 |
Medical Professionals Associated with Immanuel Campus of Care
These are the doctors who are affiliated with Immanuel Campus of Care. The data is from the most recent period. Historical data is not available.
Detailed Analysis Pages:
Depending on the nursing home, this page can get really long. So, we have also broken up the data onto separate pages to allow you to find what you want more easily. We will keep adding to these pages as we continue to analyze the nursing home database.
CMS Five Star Ratings and Quality Measures for Immanuel Campus of Care
Five different rating results plus detailed inspection numbers and quality measures for Immanuel Campus of Care.
Covid Infections at Immanuel Campus of Care
This report is updated weekly and shows new and historical infection levels.
Nursing Hours Analysis for Immanuel Campus of Care
How long a nurse spends with a resident can be an important factor in their recovery. This page shows the average nursing hours spent per resident for RNs, LPNs, CNAs, PTs and all licensed staff.
Ownership Details for Immanuel Campus of Care
A list of all of the registered owners for Immanuel Campus of Care. This includes direct and indirect owners and managers.
Noted Deficiencies for Immanuel Campus of Care
A list of all of the deficiencies for the facility. This includes a description, type of deficiency, incident date and when the facility reports that the incident was corrected.
Comparison Ranking of Nearby Skilled Nursing Facilities
How does Immanuel Campus of Care compare to other skilled nursing facilities? This list shows the competitive set within a 25 mile radius.
Best Nursing Homes in PEORIA, AZ
Homes that you should consider. A list ranking the best skilled nursing facilities in PEORIA based on their weighted inspection score as of September 01, 2023.
Worst Nursing Homes in PEORIA, AZ
Homes that you avoid if possible. A list ranking the worst skilled nursing facilities in PEORIA based on their weighted inspection score as of September 01, 2023.
Other Data Periods:
Data on Immanuel Campus of Care is available for the following periods:
