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

Agave Grove Post Acute

8641 North 67th Ave, Glendale, AZ · (623) 915-6600

CMS overall rating

3 of 5

Compare with a nearby home →
Certified beds
225
Residents per day
116
Ownership
Non-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
April 5, 1988

1

How this home got 3 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

    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

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

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Arizona homes

Agave Grove Post Acute carries 36 inspection points. That is fewer than 44% of Arizona's 139 rated homes.

5★4★3★2★1★+5 homes above 105.7505102550100inspection points → fewer is better on the leftThis home · 36 pts · 3★

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

20 health citations on record since 2022. 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 17 4 pts
E 3 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

Freedom from Abuse, Neglect, and Exploitation4D
  1. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    June 24, 2026 · Complaint · F609 · Corrected July 8, 2026

  2. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    May 9, 2025 · Complaint · F600 · Corrected June 16, 2025

  3. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    August 27, 2024 · Complaint · F600 · Corrected October 3, 2024

  4. D

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    May 12, 2023 · Standard · F943 · Corrected July 28, 2023

Resident Assessment and Care Planning4E
  1. D

    PASARR screening for Mental disorders or Intellectual Disabilities

    May 9, 2025 · Standard · F645 · Corrected June 16, 2025

  2. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    February 20, 2025 · Complaint · F657 · Corrected April 11, 2025

  3. E

    Ensure services provided by the nursing facility meet professional standards of quality.

    May 12, 2023 · Standard · F658 · Corrected July 28, 2023

  4. D

    PASARR screening for Mental disorders or Intellectual Disabilities

    May 12, 2023 · Standard · F645 · Corrected July 28, 2023

Quality of Life and Care4D
  1. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    May 9, 2025 · Complaint · F684 · Corrected June 16, 2025

  2. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    November 1, 2024 · Complaint · F689 · Corrected December 5, 2024

  3. D

    Provide or get specialized rehabilitative services as required for a resident.

    May 12, 2023 · Standard · F825 · Corrected July 28, 2023

  4. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    April 8, 2022 · Standard · F677 · Corrected May 6, 2022

Pharmacy Service2D
  1. D

    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.

    April 10, 2026 · Complaint · F761 · Corrected April 30, 2026

  2. D

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    May 12, 2023 · Standard · F756 · Corrected July 28, 2023

Infection Control2D
  1. D

    Provide and implement an infection prevention and control program.

    May 9, 2025 · Standard · F880 · Corrected June 16, 2025

  2. D

    Provide and implement an infection prevention and control program.

    May 12, 2023 · Standard · F880 · Corrected July 28, 2023

Resident Rights2E
  1. D

    Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

    May 12, 2023 · Standard · F942 · Corrected July 28, 2023

  2. E

    Honor the resident's right to manage his or her financial affairs.

    April 8, 2022 · Standard · F567 · Corrected May 6, 2022

Nutrition and Dietary1E
  1. E

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

    May 9, 2025 · Standard · F812 · Corrected June 16, 2025

Nursing and Physician Services1D
  1. D

    Post nurse staffing information every day.

    May 12, 2023 · Standard · F732 · Corrected July 28, 2023

Inspection history

  1. 2025-05-09

    7 health deficiencies · 11 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

  2. 2023-05-12

    10 health deficiencies · 3 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (3 deficiencies)

  3. 2022-04-08

    3 health deficiencies · 9 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 3 h 33 min of nursing staff time a day, 21 min of it from a registered nurse.

This home

3 h 33 min

Arizona average

4 h 5 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 46% of nursing staff and 60% of registered nurses left in the past year, along with 1 administrator.

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.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.8 pts worse93.0%96.8%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.4 pts worse92.3%94.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1 pts better1.3%2.3%3.2%
Percentage of long-stay residents who have depressive symptoms3.4 pts better0.3%3.7%13.5%
Percentage of long-stay residents who lose too much weight3.6 pts better1.8%5.4%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication1.8 pts better19.6%21.4%19.5%
Percentage of long-stay residents who received an antipsychotic medication3.6 pts better7.0%10.6%15.4%
Percentage of long-stay residents who were physically restrained0.2 pts worse0.5%0.3%0.1%
Percentage of long-stay residents whose ability to walk independently worsened11 pts worse22.7%11.7%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased8.5 pts worse19.1%10.6%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better0.4%0.7%0.7%
Percentage of long-stay residents with a urinary tract infection0.1 pts worse1.3%1.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence4 pts better16.3%20.3%18.3%
Percentage of long-stay residents with pressure ulcers1.2 pts better3.1%4.3%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine1.6 pts worse91.0%92.6%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit4.3 pts worse14.3%10.0%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts worse1.7%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.3 pts better91.2%87.9%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission2.2 pts worse25.7%23.5%23.4%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Bymark, DyanCorporate Director · Individual0%1 facilities
Eckstein, CatherineCorporate Director · Individual0%1 facilities
Gould, JohnCorporate Director · Individual0%1 facilities
Hollrah, BrianCorporate Director · Individual0%1 facilities
Iverson, AshleyCorporate Director · Individual0%1 facilities
Koch, StephenCorporate Director · Individual0%1 facilities
Mccammond, MichaelCorporate Officer · Individual0%1 facilities
Mcclintock, ScottCorporate Officer · Individual0%1 facilities
Patterson, PeterCorporate Director · Individual0%1 facilities
Sanoh, BenduOperational/Managerial Control · Individual0%1 facilities
Smith, JacquelynCorporate Director · Individual0%1 facilities
Thorhauer, JohnCorporate Officer · Individual0%1 facilities
Whittaker, FlyodCorporate Director · Individual0%1 facilities

·

Fire safety

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

Emergency Preparedness6E
  1. E

    Establish policies and procedures for volunteers.

    May 9, 2025 · E24 · Corrected June 23, 2025

  2. E

    Create arrangements with other facilities to receive patients.

    May 9, 2025 · E25 · Corrected June 23, 2025

  3. E

    List the names and contact information of those in the facility.

    May 9, 2025 · E30 · Corrected June 23, 2025

  4. E

    Provide emergency officials' contact information.

    May 9, 2025 · E31 · Corrected June 23, 2025

  5. E

    Conduct risk assessment and an All-Hazards approach.

    May 9, 2025 · E6 · Corrected June 23, 2025

  6. D

    Establish policies and procedures including evacuation.

    April 8, 2022 · E20 · Corrected May 5, 2022

Smoke6E
  1. E

    Have approved installation, maintenance and testing program for fire alarm systems.

    May 9, 2025 · K345 · Corrected June 23, 2025

  2. E

    Install an approved automatic sprinkler system.

    May 9, 2025 · K351 · Corrected June 23, 2025

  3. E

    Install corridor and hallway doors that block smoke.

    May 9, 2025 · K363 · Corrected June 23, 2025

  4. E

    Install corridor and hallway doors that block smoke.

    May 12, 2023 · K363 · Corrected July 28, 2023

  5. D

    Install an approved automatic sprinkler system.

    April 8, 2022 · K351 · Corrected May 5, 2022

  6. D

    Install corridor and hallway doors that block smoke.

    April 8, 2022 · K363 · Corrected May 5, 2022

Gas, Vacuum, and Electrical Systems5E
  1. E

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

    May 9, 2025 · K918 · Corrected June 23, 2025

  2. D

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    April 8, 2022 · K914 · Corrected May 5, 2022

  3. D

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

    April 8, 2022 · K918 · Corrected May 5, 2022

  4. D

    Ensure that testing and maintenance of electrical equipment is performed.

    April 8, 2022 · K921 · Corrected May 5, 2022

  5. D

    Have proper medical gas storage and administration areas.

    April 8, 2022 · K923 · Corrected May 5, 2022

Egress3E
  1. E

    Install emergency lighting that can last at least 1 1/2 hours.

    May 9, 2025 · K291 · Corrected June 23, 2025

  2. E

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    May 12, 2023 · K222 · Corrected July 28, 2023

  3. E

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    April 8, 2022 · K222 · Corrected May 5, 2022

Services2D
  1. D

    Have properly installed electrical wiring and gas equipment.

    May 12, 2023 · K511 · Corrected July 28, 2023

  2. D

    Have properly installed electrical wiring and gas equipment.

    April 8, 2022 · K511 · Corrected May 5, 2022

Miscellaneous1E
  1. E

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    May 9, 2025 · K761 · Corrected June 23, 2025

·

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