Cycle 1
Health 2023-12-21 · Fire 2023-12-21
5 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Phoenix, AZ
Coronado Healthcare Center
5-star overall rating with 4-star inspections with 5 recent health deficiencies
11411 North 19th Ave, Phoenix, AZ
(602) 256-7500
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
191
Certified beds
Average residents
163
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Ensign Group
Operator or chain grouping
Approved since
1986-08-05
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
329 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
0.52
Registered nurse staffing · state 0.72 · national 0.68
LPN hours / resident day
0.89
Licensed practical nurse staffing · state 1.04 · national 0.87
Aide hours / resident day
2.17
Nurse aide staffing · state 2.36 · national 2.35
Total nurse hours
3.58
All reported nurse hours · state 4.12 · national 3.89
Licensed hours
1.41
RN + LPN hours · state 1.76 · national 1.54
Weekend hours
3.00
Weekend nurse staffing · state 3.62 · national 3.43
Weekend RN hours
0.30
Weekend registered nurse coverage · state 0.51 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.56
CMS adjusted RN staffing hours
Adjusted total hours
3.85
CMS adjusted total nurse staffing hours
Case-mix index
1.27
Higher values indicate more complex resident acuity
RN turnover
47%
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
3,011
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
46.42
Composite VBP score used to determine payment impact.
Payment multiplier
0.9998
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
8.22
Baseline 24.16% · Performance 17.94% · Measure score 8.22 · Achievement 7.53 · Improvement 8.22
Healthcare-associated infections
1.92
Baseline 9.85% · Performance 8.68% · Measure score 1.92 · Achievement 0 · Improvement 1.92
Total nurse turnover
5.76
Baseline 49.02% · Performance 40.13% · Measure score 5.76 · Achievement 5.76 · Improvement 3.18
Adjusted total nurse staffing
2.67
Baseline 3.62 hours · Performance 3.84 hours · Measure score 2.67 · Achievement 2.67 · Improvement 0.50
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.82% |
10.72%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 197 · Observed rate 13.2% · Lower 95% interval 9.16% |
| Discharge to community | 58.43% |
50.57%
7.9 pts better
|
Better than the National Rate · Eligible stays 181 · Observed rate 53.04% · Lower 95% interval 52.26% |
| Medicare spending per beneficiary | 0.93 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 111 · Denominator 111 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 111 |
| Discharge self-care score | 77.27% |
53.69%
23.6 pts better
|
Numerator 51 · Denominator 66 |
| Discharge mobility score | 62.12% |
50.94%
11.2 pts better
|
Numerator 41 · Denominator 66 |
| Pressure ulcers or injuries, new or worsened | 1.8% |
2.29%
0.5 pts better
|
Numerator 2 · Denominator 111 · Adjusted rate 2.1% |
| Healthcare-associated infections requiring hospitalization | 8.68% |
7.12%
1.6 pts worse
|
No Different than the National Rate · Eligible stays 102 · Observed rate 10.78% · Lower 95% interval 5.89% |
| Staff COVID-19 vaccination coverage | 8.7% |
8.2%
0.5 pts better
|
Numerator 20 · Denominator 230 |
| Staff flu vaccination coverage | 51.64% |
42%
9.6 pts better
|
Numerator 157 · Denominator 304 |
| Discharge function score | 78.79% |
56.45%
22.3 pts better
|
Numerator 52 · Denominator 66 |
| Transfer of health information to provider | 93.22% |
95.95%
2.7 pts worse
|
Numerator 55 · Denominator 59 |
| Transfer of health information to patient | 73.68% |
96.28%
22.6 pts worse
|
Numerator 28 · Denominator 38 |
| Resident COVID-19 vaccinations up to date | 12.5% |
25.2%
12.7 pts worse
|
Numerator 6 · Denominator 48 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.7% |
97.1%
1.6 pts better
|
93.4%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.0% · Q2 98.0% · Q3 100.0% · Q4 98.9% · 4Q avg 98.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.2% |
94.6%
2.6 pts better
|
95.5%
1.7 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.6% |
2.1%
0.5 pts better
|
3.3%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 0.0% · Q3 2.3% · Q4 2.2% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.7% |
4.2%
3.5 pts better
|
11.4%
10.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 0.0% · Q4 1.4% · 4Q avg 0.7% |
| Percentage of long-stay residents who lose too much weight | 6.9% |
5.3%
1.6 pts worse
|
5.4%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.4% · Q2 6.8% · Q3 3.8% · Q4 8.4% · 4Q avg 6.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.7% |
20.5%
9.8 pts better
|
19.6%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 10.2% · Q3 12.5% · Q4 10.7% · 4Q avg 10.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.8% |
11.8%
3 pts better
|
16.7%
7.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 7.1% · Q3 8.5% · Q4 11.3% · 4Q avg 8.8% · 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 17.4% |
14.5%
2.9 pts worse
|
16.3%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.0% · Q2 30.6% · Q3 23.3% · Q4 0.0% · 4Q avg 17.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.2% |
10.8%
2.6 pts better
|
14.9%
6.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 17.0% · Q3 10.3% · Q4 1.2% · 4Q avg 8.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.5% |
0.9%
0.6 pts worse
|
1.0%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 1.9% · Q3 0.0% · Q4 0.9% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.1% |
1.2%
0.1 pts better
|
1.7%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.0% · Q3 1.2% · Q4 1.1% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.8% |
20.5%
6.3 pts worse
|
19.8%
7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.6% · Q2 24.9% · Q3 26.5% · Q4 31.6% · 4Q avg 26.8% |
| Percentage of long-stay residents with pressure ulcers | 6.1% |
4.8%
1.3 pts worse
|
5.1%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 5.1% · Q3 8.3% · Q4 6.6% · 4Q avg 6.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.5% |
91.1%
8.4 pts better
|
81.7%
17.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.2% · Q2 99.4% · Q3 99.6% · Q4 99.7% · 4Q avg 99.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.4% |
10.7%
3.3 pts better
|
12.0%
4.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.4% · Observed 9.8% · Expected 14.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% |
1.1%
About the same
|
1.6%
0.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 1.8% · Q3 1.2% · Q4 0.8% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 91.1% |
87.3%
3.8 pts better
|
79.7%
11.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 91.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.3% |
24.6%
1.3 pts better
|
23.9%
0.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.3% · Observed 27.5% · Expected 28.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-10-20 · Fire 2022-10-20
0 health deficiencies
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2021-04-30 · Fire 2021-04-30
6 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
1 fire-safety deficiencies
Top issue: Services (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2022-10-20
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-11-21
D · Potential for more than minimal harm
2021-04-30
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2021-06-15
Inspection history
Recent health citations
D · Potential for more than minimal harm
2026-01-30
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Not marked corrected
D · Potential for more than minimal harm
2025-06-04
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-06-30
D · Potential for more than minimal harm
2025-06-04
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-06-30
D · Potential for more than minimal harm
2025-05-16
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-06-18
D · Potential for more than minimal harm
2025-05-16
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-18
D · Potential for more than minimal harm
2024-01-25
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-03-01
D · Potential for more than minimal harm
2024-01-25
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-03-01
D · Potential for more than minimal harm
2023-12-21
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-03-14
D · Potential for more than minimal harm
2023-12-21
F661 · Resident Assessment and Care Planning Deficiencies
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2024-03-14
D · Potential for more than minimal harm
2021-04-30
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2021-06-03
D · Potential for more than minimal harm
2021-04-30
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2021-06-03
Penalties and ownership
What sits behind the stars
Ownership
Burnam, Soon
Corporate Officer · Individual
Concentric Healthcare Solutions LLC
Operational/Managerial Control · Organization
Fischbeck, Courtney
Operational/Managerial Control · Individual
Keetch, Chad
Corporate Officer · Individual
Mehta, Chintan
Operational/Managerial Control · Individual
National Staffing Solutions, Inc
Operational/Managerial Control · Organization
Peterson, Forrest
Corporate Officer · Individual
Staffu LLC
Operational/Managerial Control · Organization
Ventura Medstaff, LLC
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
Christian Care Nursing Center
Phoenix, AZ
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
North Mountain Medical And Rehabilitation Center
Phoenix, AZ
5-star overall rating with 5-star inspections with 1 recent health deficiencies
#3
Beatitudes Campus
Phoenix, AZ
3-star overall rating with 2-star inspections with 6 recent health deficiencies
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