Boswell Transitional Care Of Cascadia ratings, inspections, staffing, and fines

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.

Health inspections

starting point

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

+1 star

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

5 of 5

Matches the rating CMS publishes on Care Compare.

2

Where it sits among Arizona homes

Boswell Transitional Care Of Cascadia carries 11 inspection points. That is fewer than 86% of Arizona's 139 rated homes.

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

10 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 8 4 pts

E 2 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 Planning3D

D
PASARR screening for Mental disorders or Intellectual Disabilities
March 23, 2023 · Standard · F645 · Corrected May 25, 2023
D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
March 17, 2022 · Standard · F640 · Corrected May 1, 2022
D
Ensure each resident receives an accurate assessment.
March 17, 2022 · Standard · F641 · Corrected May 1, 2022

Nutrition and Dietary2E

D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
May 9, 2025 · Standard · F804 · Corrected June 16, 2025
E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
March 17, 2022 · Standard · F812 · Corrected May 1, 2022

Resident Rights2D

D
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.
March 17, 2022 · Standard · F578 · Corrected May 1, 2022
D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
March 17, 2022 · Standard · F623 · Corrected May 1, 2022

Pharmacy Service1E

E
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.
May 9, 2025 · Standard · F761 · Corrected June 16, 2025

Freedom from Abuse, Neglect, and Exploitation1D

D
Protect each resident from the wrongful use of the resident's belongings or money.
March 23, 2023 · Standard · F602 · Corrected May 25, 2023

Quality of Life and Care1D

D
Provide safe and appropriate respiratory care for a resident when needed.
March 17, 2022 · Standard · F695 · Corrected May 1, 2022

Inspection history

2025-05-09
2 health deficiencies · 1 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2023-03-23
2 health deficiencies · 1 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2022-03-17
6 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 51 min of nursing staff time a day, 38 min of it from a registered nurse.

This home

3 h 51 min

Arizona average

4 h 5 min

U.S. average

3 h 54 min

Registered nurse
Licensed practical nurse
Nurse aide

Turnover: 50% of nursing staff and 47% 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.

Measure	This home	State	U.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.2 pts better	100.0%	96.8%	93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.6 pts worse	94.1%	94.7%	95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts worse	2.5%	2.3%	3.2%
Percentage of long-stay residents who have depressive symptoms7.6 pts worse	11.3%	3.7%	13.5%
Percentage of long-stay residents who lose too much weight3.4 pts better	2.0%	5.4%	5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication52.1 pts worse	73.5%	21.4%	19.5%
Percentage of long-stay residents who received an antipsychotic medication5.2 pts better	5.4%	10.6%	15.4%
Percentage of long-stay residents who were physically restrained0.5 pts worse	0.8%	0.3%	0.1%
Percentage of long-stay residents whose ability to walk independently worsened4 pts worse	15.7%	11.7%	12.7%
Percentage of long-stay residents whose need for help with daily activities has increased9.7 pts worse	20.3%	10.6%	13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better	0.0%	0.7%	0.7%
Percentage of long-stay residents with a urinary tract infection1.4 pts worse	2.6%	1.2%	1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.9 pts better	18.4%	20.3%	18.3%
Percentage of long-stay residents with pressure ulcers0.5 pts better	3.8%	4.3%	4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7.4 pts better	100.0%	92.6%	82.3%
Percentage of short-stay residents who had an outpatient emergency department visit7.1 pts better	2.9%	10.0%	11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts better	0.6%	1.1%	1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine9.6 pts better	97.5%	87.9%	80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission1.7 pts better	21.8%	23.5%	23.4%

·

Who owns and runs it

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

Show ownership list

Name	Role	Share	Homes
Cascadia Arizona Operations, LLC	Direct Ownership Interest · Organization	0%	2 facilities
Cascadia Arizona Operations, LLC	Operational/Managerial Control · Organization	0%	2 facilities
Cascadia Hc Group LLC	Indirect Ownership Interest · Organization	0%	42 facilities
Cascadia Hc Group LLC	Operational/Managerial Control · Organization	0%	42 facilities
Cascadia Healthcare LLC	Indirect Ownership Interest · Organization	0%	42 facilities
Cascadia Healthcare LLC	Operational/Managerial Control · Organization	0%	42 facilities
Cascadia Holdco LLC	Indirect Ownership Interest · Organization	0%	41 facilities
Cascadia Holdco LLC	Operational/Managerial Control · Organization	0%	41 facilities
Cascadia Services LLC	Operational/Managerial Control · Organization	0%	47 facilities
Cascadia Services LLC	Adp Of The SNF · Organization	0%	47 facilities
Hammond, Owen	Indirect Ownership Interest · Individual	0%	46 facilities
Hammond, Owen	Operational/Managerial Control · Individual	0%	46 facilities
Laforte, Stephen	Indirect Ownership Interest · Individual	0%	42 facilities
Laforte, Stephen	Operational/Managerial Control · Individual	0%	42 facilities
Nelson, Timothy	Indirect Ownership Interest · Individual	0%	46 facilities
Nelson, Timothy	Operational/Managerial Control · Individual	0%	46 facilities
Santiago, Nigel	Operational/Managerial Control · Individual	0%	1 facilities
Santiago, Nigel	Adp Of The SNF · Individual	0%	1 facilities
Srivastava, Vinee	Operational/Managerial Control · Individual	0%	4 facilities
Srivastava, Vinee	Adp Of The SNF · Individual	0%	4 facilities
Sun City 10601 Realty, LLC	5% Or Greater Security Interest · Organization	0%	1 facilities
Sun City 10601 Realty, LLC	Adp Of The SNF · Organization	0%	1 facilities
White Oak Healthcare Finance LLC	5% Or Greater Security Interest · Organization	0%	48 facilities

·

Fire safety

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

Smoke4E

E
Install corridor and hallway doors that block smoke.
May 9, 2025 · K363 · Corrected June 19, 2025
D
Inspect, test, and maintain automatic sprinkler systems.
March 17, 2022 · K353 · Corrected April 14, 2022
D
Properly select, install, inspect, or maintain portable fire extinguishes.
March 17, 2022 · K355 · Corrected April 14, 2022
D
Install corridor and hallway doors that block smoke.
March 17, 2022 · K363 · Corrected April 14, 2022

Egress1D

D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
March 23, 2023 · K211 · Corrected May 25, 2023

Services1D

D
Have properly installed electrical wiring and gas equipment.
March 17, 2022 · K511 · Corrected April 14, 2022

·

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