Phoenix, AZ
1-star overall rating with 1-star inspections with $8,018 in total fines with 11 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
2645 East Thomas Road, Phoenix, AZ
(602) 243-6121
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
115
Certified beds
Average residents
84
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1975-02-04
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
RN hours / resident day
0.34
Registered nurse staffing · state 0.72 · national 0.68
LPN hours / resident day
1.07
Licensed practical nurse staffing · state 1.04 · national 0.87
Aide hours / resident day
2.88
Nurse aide staffing · state 2.36 · national 2.35
Total nurse hours
4.29
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
3.34
Weekend nurse staffing · state 3.62 · national 3.43
Weekend RN hours
0.34
Weekend registered nurse coverage · state 0.51 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.41
CMS adjusted RN staffing hours
Adjusted total hours
5.30
CMS adjusted total nurse staffing hours
Case-mix index
1.11
Higher values indicate more complex resident acuity
RN turnover
20%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
25%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Program rank
382
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
71.12
Composite VBP score used to determine payment impact.
Payment multiplier
1.0229
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
9.40
Performance 25.26% · Measure score 9.40 · Achievement 9.40 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
4.83
Baseline 3.94 hours · Performance 4.45 hours · Measure score 4.83 · Achievement 4.83 · Improvement 2.29
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure. |
| Medicare spending per beneficiary | Not Available |
1.02
|
No data were submitted for this measure. |
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · No data were submitted for this measure. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure. |
| Staff COVID-19 vaccination coverage | 2.2% |
8.2%
6 pts worse
|
Numerator 2 · Denominator 91 |
| Staff flu vaccination coverage | 13.51% |
42%
28.5 pts worse
|
Numerator 20 · Denominator 148 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.5% |
97.1%
0.4 pts better
|
93.4%
4.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.3% · Q2 96.2% · Q3 98.7% · Q4 98.8% · 4Q avg 97.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.6% |
94.6%
3 pts better
|
95.5%
2.1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.6% |
2.1%
1.5 pts better
|
3.3%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.0% · Q3 0.0% · Q4 1.2% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
4.2%
4.2 pts better
|
11.4%
11.4 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 who lose too much weight | 1.4% |
5.3%
3.9 pts better
|
5.4%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.0% · Q3 2.0% · Q4 1.7% · 4Q avg 1.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 34.6% |
20.5%
14.1 pts worse
|
19.6%
15 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.6% · Q2 34.7% · Q3 34.0% · Q4 31.0% · 4Q avg 34.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 38.4% |
11.8%
26.6 pts worse
|
16.7%
21.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 45.8% · Q2 36.4% · Q3 36.0% · Q4 35.7% · 4Q avg 38.4% · 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 | 7.6% |
14.5%
6.9 pts better
|
16.3%
8.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 4.6% · Q3 0.0% · Q4 12.1% · 4Q avg 7.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.9% |
10.8%
8.1 pts worse
|
14.9%
4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.8% · Q2 28.9% · Q3 13.3% · Q4 20.8% · 4Q avg 18.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.6% |
0.9%
0.7 pts worse
|
1.0%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.2% · Q3 2.2% · Q4 2.0% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.6% |
1.2%
0.6 pts better
|
1.7%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 0.0% · Q4 1.2% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.7% |
20.5%
2.2 pts worse
|
19.8%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.4% · Q2 30.9% · Q3 15.6% · Q4 18.2% · 4Q avg 22.7% |
| Percentage of long-stay residents with pressure ulcers | 5.3% |
4.8%
0.5 pts worse
|
5.1%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 5.0% · Q3 7.8% · Q4 5.2% · 4Q avg 5.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 53.9% |
91.1%
37.2 pts worse
|
81.7%
27.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q2 54.2% · Q3 54.5% · Q4 55.6% · 4Q avg 53.9% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 60.0% |
87.3%
27.3 pts worse
|
79.7%
19.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 60.0% |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
7 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Pharmacy Service (3 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Top issue: Administration (2 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire Safety
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.
Corrected 2024-04-19
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-04-19
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-04-19
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-04-19
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-04-19
Fire Safety
Meet requirements for the use and maintenance of medical gas equipment.
Corrected 2024-04-19
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-04-19
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-01-20
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2021-10-01
Fire Safety
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.
Corrected 2021-10-01
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2021-10-01
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2021-10-01
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Not marked corrected
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Not marked corrected
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Not marked corrected
Health
Respond appropriately to all alleged violations.
Not marked corrected
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-01-16
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-01-16
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-11-11
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-24
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-04-19
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-04-19
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-04-19
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-04-19
Health
Provide and implement an infection prevention and control program.
Corrected 2024-04-19
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2022-12-05
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2022-12-05
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2022-12-05
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-12-05
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2022-12-05
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2022-12-05
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2022-12-05
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-12-05
Health
Post nurse staffing information every day.
Corrected 2022-12-05
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2021-09-01
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2021-09-01
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2021-09-01
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2021-09-01
Health
Provide and implement an infection prevention and control program.
Corrected 2021-09-01
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2021-09-01
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-09-01
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2021-09-01
Health
Perform COVID19 testing on residents and staff.
Corrected 2021-09-01
Penalties and ownership
Fine · fine $8,018
Fine
W-2 Managing Employee · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Direct Ownership Interest · Organization
Nearby options
Phoenix, AZ
3-star overall rating with 3-star inspections with 5 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Phoenix, AZ
2-star overall rating with 1-star inspections with $43,628 in total fines with 19 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Phoenix, AZ
4-star overall rating with 3-star inspections with 9 recent health deficiencies
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