Cycle 1
Health 2025-05-09 · Fire 2025-05-09
2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Sun City, AZ
Boswell Transitional Care Of Cascadia
5-star overall rating with 4-star inspections with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
10601 West Santa Fe Drive, Sun City, AZ
(623) 832-7000
Overall
5 / 5
CMS overall stars
Health inspections
4 / 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
115
Certified beds
Average residents
81
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Cascadia Healthcare
Operator or chain grouping
Approved since
1985-12-16
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
44 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.72
Registered nurse staffing · state 0.72 · national 0.68
LPN hours / resident day
1.28
Licensed practical nurse staffing · state 1.04 · national 0.87
Aide hours / resident day
2.27
Nurse aide staffing · state 2.36 · national 2.35
Total nurse hours
4.26
All reported nurse hours · state 4.12 · national 3.89
Licensed hours
1.99
RN + LPN hours · state 1.76 · national 1.54
Weekend hours
3.73
Weekend nurse staffing · state 3.62 · national 3.43
Weekend RN hours
0.32
Weekend registered nurse coverage · state 0.51 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.66
CMS adjusted RN staffing hours
Adjusted total hours
3.94
CMS adjusted total nurse staffing hours
Case-mix index
1.48
Higher values indicate more complex resident acuity
RN turnover
25%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
49%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,501
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
44.05
Composite VBP score used to determine payment impact.
Payment multiplier
0.9971
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.04
Baseline 21.85% · Performance 19.18% · Measure score 5.04 · Achievement 4.85 · Improvement 5.04
Healthcare-associated infections
5.11
Baseline 5.35% · Performance 6.31% · Measure score 5.11 · Achievement 5.11 · Improvement 0
Total nurse turnover
5.54
Baseline 100.00% · Performance 54.64% · Measure score 5.54 · Achievement 2.21 · Improvement 5.54
Adjusted total nurse staffing
1.95
Baseline 5.42 hours · Performance 3.63 hours · Measure score 1.95 · Achievement 1.95 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.58% |
10.72%
1.9 pts worse
|
No Different than the National Rate · Eligible stays 545 · Observed rate 13.39% · Lower 95% interval 10.66% |
| Discharge to community | 64.46% |
50.57%
13.9 pts better
|
Better than the National Rate · Eligible stays 483 · Observed rate 59.42% · Lower 95% interval 60.33% |
| Medicare spending per beneficiary | 0.86 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 98.52% |
95.27%
3.2 pts better
|
Numerator 267 · Denominator 271 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 271 |
| Discharge self-care score | 48% |
53.69%
5.7 pts worse
|
Numerator 60 · Denominator 125 |
| Discharge mobility score | 41.6% |
50.94%
9.3 pts worse
|
Numerator 52 · Denominator 125 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 271 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.31% |
7.12%
0.8 pts better
|
No Different than the National Rate · Eligible stays 271 · Observed rate 5.9% · Lower 95% interval 4.11% |
| Staff COVID-19 vaccination coverage | 2.26% |
8.2%
5.9 pts worse
|
Numerator 4 · Denominator 177 |
| Staff flu vaccination coverage | 17.71% |
42%
24.3 pts worse
|
Numerator 31 · Denominator 175 |
| Discharge function score | 53.6% |
56.45%
2.9 pts worse
|
Numerator 67 · Denominator 125 |
| Transfer of health information to provider | 96.43% |
95.95%
0.5 pts better
|
Numerator 135 · Denominator 140 |
| Transfer of health information to patient | 96.19% |
96.28%
0.1 pts worse
|
Numerator 101 · Denominator 105 |
| Resident COVID-19 vaccinations up to date | 9.63% |
25.2%
15.6 pts worse
|
Numerator 13 · Denominator 135 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
97.1%
2.9 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 33.3% |
94.6%
61.3 pts worse
|
95.5%
62.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 33.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 9.1% |
2.1%
7 pts worse
|
3.3%
5.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 9.1% · Q3 13.0% · Q4 4.2% · 4Q avg 9.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.5% |
4.2%
1.7 pts better
|
11.4%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q4 8.7% · 4Q avg 2.5% |
| Percentage of long-stay residents who lose too much weight | 8.2% |
5.3%
2.9 pts worse
|
5.4%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 8.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 65.6% |
20.5%
45.1 pts worse
|
19.6%
46 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 65.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.2% |
11.8%
5.6 pts better
|
16.7%
10.5 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 6.2% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.3%
0.3 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 40.9% |
14.5%
26.4 pts worse
|
16.3%
24.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 40.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.1% |
10.8%
4.3 pts worse
|
14.9%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 15.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% |
0.9%
0.3 pts worse
|
1.0%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 4.7% · Q3 0.0% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.3% |
1.2%
1.1 pts worse
|
1.7%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 4.3% · Q4 4.2% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.3% |
20.5%
0.8 pts worse
|
19.8%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 32.8% · Q3 25.7% · Q4 4.4% · 4Q avg 21.3% |
| Percentage of long-stay residents with pressure ulcers | 1.5% |
4.8%
3.3 pts better
|
5.1%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · Q4 5.4% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
91.1%
8.9 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 3.8% |
10.7%
6.9 pts better
|
12.0%
8.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 3.8% · Observed 3.7% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.4% |
1.1%
0.7 pts better
|
1.6%
1.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.6% · Q4 1.2% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.8% |
87.3%
5.5 pts better
|
79.7%
13.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 92.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 37.8% |
24.6%
13.2 pts worse
|
23.9%
13.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 37.8% · Observed 36.0% · Expected 22.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-03-23 · Fire 2023-03-23
2 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2022-03-17 · Fire 2022-03-17
6 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2025-05-09
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-06-19
D · Potential for more than minimal harm
2023-03-23
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-05-25
D · Potential for more than minimal harm
2022-03-17
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-04-14
D · Potential for more than minimal harm
2022-03-17
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-04-14
D · Potential for more than minimal harm
2022-03-17
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-04-14
D · Potential for more than minimal harm
2022-03-17
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-04-14
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-05-09
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2025-06-16
D · Potential for more than minimal harm
2025-05-09
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-06-16
D · Potential for more than minimal harm
2023-03-23
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-05-25
D · Potential for more than minimal harm
2023-03-23
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-05-25
E · Potential for more than minimal harm
2022-03-17
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-05-01
D · Potential for more than minimal harm
2022-03-17
F578 · Resident Rights Deficiencies
Health
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.
Corrected 2022-05-01
D · Potential for more than minimal harm
2022-03-17
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 2022-05-01
D · Potential for more than minimal harm
2022-03-17
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2022-05-01
D · Potential for more than minimal harm
2022-03-17
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-05-01
D · Potential for more than minimal harm
2022-03-17
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-05-01
Penalties and ownership
What sits behind the stars
Ownership
Cascadia Arizona Operations, LLC
Operational/Managerial Control · Organization
Cascadia Hc Group LLC
Operational/Managerial Control · Organization
Cascadia Healthcare LLC
5% Or Greater Indirect Ownership Interest · Organization
Cascadia Healthcare LLC
Operational/Managerial Control · Organization
Cascadia Holdco LLC
Operational/Managerial Control · Organization
Cascadia Services LLC
Operational/Managerial Control · Organization
Hammond, Owen
Operational/Managerial Control · Individual
Laforte, Stephen
Operational/Managerial Control · Individual
Nelson, Timothy
Operational/Managerial Control · Individual
Santiago, Nigel
Operational/Managerial Control · Individual
Srivastava, Vinee
Operational/Managerial Control · Individual
Sun City 10601 Realty, LLC
5% Or Greater Security Interest · Organization
White Oak Healthcare Finance LLC
5% Or Greater Security Interest · Organization
Nearby options
Other facilities in reach
#1
Sunview Respiratory And Rehabilitation
Youngtown, AZ
4-star overall rating with 3-star inspections with 7 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Peoria Post Acute And Rehabilitation
Peoria, AZ
5-star overall rating with 4-star inspections with 3 recent health deficiencies
#3
Freedom Plaza Care Center
Peoria, AZ
5-star overall rating with 5-star inspections with 4 fire-safety deficiencies in the latest cycle
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