Federal inspection record · CMS data as of October 1, 2026

Acacia Health Center

4555 East Mayo Blvd, Phoenix, AZ · (480) 384-5600

  • CMS high-performer trophy

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
78
Residents per day
72
Ownership
For-Profit
Chain
Life Care Services
Medicare / Medicaid
Medicare
Certified since
March 3, 2011

1

How this home got 5 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Arizona.

  2. Staffing

    no change (already 5)

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change (already 5)

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Arizona homes

Acacia Health Center carries 9 inspection points. That is fewer than 90% of Arizona's 139 rated homes.

5★4★3★2★1★+5 homes above 105.7505102550100inspection points → fewer is better on the leftThis home · 9 pts · 5★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Arizona: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–9.5 pts
  • 4★ 9.5–23 pts
  • 3★ 23–38 pts
  • 2★ 38–59 pts
  • 1★ over 59 pts

Bars show every rated home in Arizona by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

3 health citations on record since 2025. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 3 4 pts
E 0 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Resident Assessment and Care Planning2D
  1. D

    Ensure each resident receives an accurate assessment.

    December 24, 2025 · Standard · F641 · Corrected February 15, 2026

  2. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    December 4, 2025 · Complaint · F842 · Corrected December 21, 2025

Nutrition and Dietary1D
  1. D

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    December 24, 2025 · Standard · F812 · Corrected February 15, 2026

Inspection history

  1. 2025-12-24

    3 health deficiencies · 5 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (2 deficiencies)

  2. 2024-12-06

    0 health deficiencies · 2 fire-safety deficiencies

    No concentrated health issue counts in this cycle.

  3. 2023-10-13

    0 health deficiencies · 1 fire-safety deficiencies

    No concentrated health issue counts in this cycle.

4

Nursing time per resident, per day

Each resident here gets about 5 h 32 min of nursing staff time a day, 1 h 33 min of it from a registered nurse.

This home

5 h 32 min

Arizona average

4 h 5 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 17% of nursing staff and 12% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.3 pts better1.21.51.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts better0.71.21.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.2 pts better100.0%96.8%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.8 pts better97.5%94.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury5.4 pts worse7.7%2.3%3.2%
Percentage of long-stay residents who have depressive symptoms3.7 pts better0.0%3.7%13.5%
Percentage of long-stay residents who lose too much weight5.4 pts better0.0%5.4%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication20.3 pts better1.1%21.4%19.5%
Percentage of long-stay residents who received an antipsychotic medication2.4 pts worse13.0%10.6%15.4%
Percentage of long-stay residents who were physically restrained0.3 pts better0.0%0.3%0.1%
Percentage of long-stay residents whose ability to walk independently worsened2.8 pts worse14.5%11.7%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased8.8 pts worse19.4%10.6%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same0.7%0.7%0.7%
Percentage of long-stay residents with a urinary tract infection1 pts worse2.2%1.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.7 pts worse28.0%20.3%18.3%
Percentage of long-stay residents with pressure ulcers0.3 pts better4.0%4.3%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7.1 pts better99.7%92.6%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit4.2 pts better5.8%10.0%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts better0.6%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine10.4 pts better98.3%87.9%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission4.4 pts better19.1%23.5%23.4%

·

Who owns and runs it

18 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Lcs Sagewood Holdco LLC5% Or Greater Indirect Ownership Interest · Organization100%1 facilities
Lcs Desert Ridge Ii LLC5% Or Greater Direct Ownership Interest · Organization85%1 facilities
Bird, JohnCorporate Officer · Individual0%19 facilities
Lahey, DanielCorporate Officer · Individual0%17 facilities
Lcs Desert Ridge LLCDirect Ownership Interest · Organization0%1 facilities
Life Care Services LLCOperational/Managerial Control · Organization0%57 facilities
Life Care Services LLCAdp Of The SNF · Organization0%57 facilities
Maskin, ErikOperational/Managerial Control · Individual0%1 facilities
Maskin, ErikAdp Of The SNF · Individual0%1 facilities
Phipps, MatthewOperational/Managerial Control · Individual0%1 facilities
Phipps, MatthewAdp Of The SNF · Individual0%1 facilities
Shaw, GelynnaCorporate Officer · Individual0%17 facilities
Smith, EdmundOperational/Managerial Control · Individual0%1 facilities
Smith, EdmundAdp Of The SNF · Individual0%1 facilities
Uhlemann, BridgetteCorporate Officer · Individual0%18 facilities
Valentino, MistiOperational/Managerial Control · Individual0%1 facilities
Valentino, MistiAdp Of The SNF · Individual0%1 facilities
Victor, JasonCorporate Officer · Individual0%18 facilities

·

Fire safety

8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke5F
  1. F

    Install a fire alarm system that can be heard throughout the facility.

    December 24, 2025 · K341 · Corrected May 31, 2026

  2. E

    Inspect, test, and maintain automatic sprinkler systems.

    December 24, 2025 · K353 · Corrected May 31, 2026

  3. E

    Install corridor and hallway doors that block smoke.

    December 24, 2025 · K363 · Corrected May 31, 2026

  4. E

    Install corridor and hallway doors that block smoke.

    December 6, 2024 · K363 · Corrected December 31, 2024

  5. D

    Install a fire alarm system that can be heard throughout the facility.

    December 6, 2024 · K341 · Corrected December 31, 2024

Gas, Vacuum, and Electrical Systems1F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    December 24, 2025 · K918 · Corrected May 31, 2026

Egress1E
  1. E

    Have stairways and smokeproof enclosures used as exits that meet safety requirements.

    December 24, 2025 · K225 · Corrected May 31, 2026

Emergency Preparedness1E
  1. E

    Conduct testing and exercise requirements.

    October 13, 2023 · E39 · Corrected December 7, 2023

·

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