Cycle 1
Health 2024-10-18 · Fire 2024-10-18
1 health deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
4 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Mesa, AZ
Advanced Healthcare Of Mesa
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
5755 East Main Street, Mesa, AZ
(480) 214-2400
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
38
Certified beds
Average residents
37
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Advanced Health Care
Operator or chain grouping
Approved since
2006-04-26
CMS approved date
Coverage
Medicare
Participation flags
Chain footprint
26 facilities
Chain averages 5 overall / 4 health / 4 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
1.28
Registered nurse staffing · state 0.72 · national 0.68
LPN hours / resident day
0.87
Licensed practical nurse staffing · state 1.04 · national 0.87
Aide hours / resident day
2.95
Nurse aide staffing · state 2.36 · national 2.35
Total nurse hours
5.11
All reported nurse hours · state 4.12 · national 3.89
Licensed hours
2.15
RN + LPN hours · state 1.76 · national 1.54
Weekend hours
4.29
Weekend nurse staffing · state 3.62 · national 3.43
Weekend RN hours
0.80
Weekend registered nurse coverage · state 0.51 · national 0.47
Physical therapist
0.42
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
1.03
CMS adjusted RN staffing hours
Adjusted total hours
4.12
CMS adjusted total nurse staffing hours
Case-mix index
1.69
Higher values indicate more complex resident acuity
RN turnover
29%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
43%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
731
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
64.70
Composite VBP score used to determine payment impact.
Payment multiplier
1.0191
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
10
Baseline 14.41% · Performance 13.43% · Measure score 10 · Achievement 10 · Improvement 9
Healthcare-associated infections
8.43
Baseline 4.80% · Performance 5.32% · Measure score 8.43 · Achievement 8.43 · Improvement 0
Total nurse turnover
4.13
Baseline 37.26% · Performance 46.81% · Measure score 4.13 · Achievement 4.13 · Improvement 0
Adjusted total nurse staffing
3.32
Baseline 4.51 hours · Performance 4.02 hours · Measure score 3.32 · Achievement 3.32 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.59% |
10.72%
1.1 pts better
|
No Different than the National Rate · Eligible stays 620 · Observed rate 8.23% · Lower 95% interval 7.67% |
| Discharge to community | 75.17% |
50.57%
24.6 pts better
|
Better than the National Rate · Eligible stays 570 · Observed rate 75.44% · Lower 95% interval 71.86% |
| Medicare spending per beneficiary | 1.02 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 97.5% |
95.27%
2.2 pts better
|
Numerator 351 · Denominator 360 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 360 |
| Discharge self-care score | 73.09% |
53.69%
19.4 pts better
|
Numerator 201 · Denominator 275 |
| Discharge mobility score | 66.18% |
50.94%
15.2 pts better
|
Numerator 182 · Denominator 275 |
| Pressure ulcers or injuries, new or worsened | 5.56% |
2.29%
3.3 pts worse
|
Numerator 20 · Denominator 360 · Adjusted rate 5.81% |
| Healthcare-associated infections requiring hospitalization | 5.32% |
7.12%
1.8 pts better
|
No Different than the National Rate · Eligible stays 385 · Observed rate 3.9% · Lower 95% interval 3.57% |
| Staff COVID-19 vaccination coverage | 7.62% |
8.2%
0.6 pts worse
|
Numerator 8 · Denominator 105 |
| Staff flu vaccination coverage | 25.89% |
42%
16.1 pts worse
|
Numerator 29 · Denominator 112 |
| Discharge function score | 61.09% |
56.45%
4.6 pts better
|
Numerator 168 · Denominator 275 |
| Transfer of health information to provider | 97.12% |
95.95%
1.2 pts better
|
Numerator 304 · Denominator 313 |
| Transfer of health information to patient | 83.33% |
96.28%
13 pts worse
|
Numerator 25 · Denominator 30 |
| Resident COVID-19 vaccinations up to date | 23.46% |
25.2%
1.7 pts worse
|
Numerator 42 · Denominator 179 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.0% |
91.1%
7.9 pts better
|
81.7%
17.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.8% · Q2 99.2% · Q3 99.6% · Q4 98.7% · 4Q avg 99.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 1.5% |
10.7%
9.2 pts better
|
12.0%
10.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 1.5% · Observed 1.4% · Expected 10.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.1%
1.1 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.6% |
87.3%
7.3 pts better
|
79.7%
14.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 12.5% |
24.6%
12.1 pts better
|
23.9%
11.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 12.5% · Observed 10.8% · Expected 20.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-11-09 · Fire 2023-11-09
4 health deficiencies
Top issue: Resident Rights (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-09-29 · Fire 2022-09-29
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-10-18
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-12-07
E · Potential for more than minimal harm
2024-10-18
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2024-12-07
E · Potential for more than minimal harm
2024-10-18
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-12-07
D · Potential for more than minimal harm
2024-10-18
E30 · Emergency Preparedness Deficiencies
Fire Safety
List the names and contact information of those in the facility.
Corrected 2024-12-07
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-10-18
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-11-24
E · Potential for more than minimal harm
2023-11-09
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-12-21
D · Potential for more than minimal harm
2023-11-09
F622 · Resident Rights Deficiencies
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2023-12-21
D · Potential for more than minimal harm
2023-11-09
F625 · Resident Rights Deficiencies
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2023-12-21
D · Potential for more than minimal harm
2023-11-09
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-12-21
D · Potential for more than minimal harm
2022-09-29
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-09-30
Penalties and ownership
What sits behind the stars
Ownership
New Ahc Holdings, LLC
5% Or Greater Direct Ownership Interest · Organization
Advanced Health Care - Larry H Miller Corporation
5% Or Greater Indirect Ownership Interest · Organization
Harrison, Lisa
Operational/Managerial Control · Individual
Karen Gail Miller Irrev Tr Fbo Zane Miller
5% Or Greater Indirect Ownership Interest · Organization
Oxnam, Nathan
Corporate Officer · Individual
The Gail Miller Gst Trust
5% Or Greater Indirect Ownership Interest · Organization
The Karen Gail Miller Irrevocable Trust For The Benefit Of Karen R. Wi
5% Or Greater Indirect Ownership Interest · Organization
The Karen Gail Miller Irrevocable Trust For The Benefit Of Roger L. Mi
5% Or Greater Indirect Ownership Interest · Organization
The Karen Gail Miller Irrevocable Trust For The Benefit Of Stephen F.
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Desert Blossom Health & Rehab Center
Mesa, AZ
4-star overall rating with 3-star inspections with $8,278 in total fines with 9 recent health deficiencies
#2
Alta Mesa Health And Rehabilitation
Mesa, AZ
5-star overall rating with 4-star inspections with 2 recent health deficiencies
#3
Mi Casa Nursing Center
Mesa, AZ
3-star overall rating with 2-star inspections with abuse icon flag with $6,510 in total fines with 8 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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