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

Desert Terrace Healthcare Center

2509 North 24th Street, Phoenix, AZ · (602) 273-1347

  • Cited for abuse (CMS abuse icon)

CMS overall rating

3 of 5

Compare with a nearby home →
Certified beds
108
Residents per day
89
Ownership
For-Profit
Chain
The Ensign Group
Medicare / Medicaid
Medicare + Medicaid
Certified since
August 1, 1972

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

    +1 star

    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.

This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.

2

Where it sits among Arizona homes

Desert Terrace Healthcare Center carries 30 inspection points. That is fewer than 54% of Arizona's 139 rated homes.

5★4★3★2★1★+5 homes above 105.7505102550100inspection points → fewer is better on the leftThis home · 30 pts · 2★

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

24 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 6 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 1 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

Quality of Life and Care8E
  1. D

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

    September 26, 2025 · Standard · F677 · Corrected November 10, 2025

  2. D

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

    July 3, 2024 · Complaint · F684 · Corrected August 16, 2024

  3. D

    Ensure the activities program is directed by a qualified professional.

    October 20, 2023 · Standard · F680 · Corrected November 27, 2023

  4. E

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    September 9, 2022 · Standard · F676 · Corrected October 24, 2022

  5. E

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

    September 9, 2022 · Standard · F677 · Corrected October 24, 2022

  6. E

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    September 9, 2022 · Standard · F686 · Corrected October 24, 2022

  7. D

    Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

    September 9, 2022 · Standard · F691 · Corrected October 24, 2022

  8. D

    Provide safe and appropriate respiratory care for a resident when needed.

    September 9, 2022 · Standard · F695 · Corrected October 24, 2022

Freedom from Abuse, Neglect, and Exploitation6D
  1. D

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

    June 25, 2026 · Complaint · F600 · Corrected August 7, 2026

  2. D

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    January 22, 2026 · Complaint · F607 · Corrected March 8, 2026

  3. D

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

    January 22, 2026 · Complaint · F609 · Corrected March 8, 2026

  4. D

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

    December 3, 2025 · Complaint · F600 · Corrected December 5, 2025

  5. D

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

    January 24, 2025 · Complaint · F600 · Corrected March 10, 2025

  6. D

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

    October 10, 2024 · Complaint · F600 · Corrected November 24, 2024

Pharmacy Service4E
  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.

    January 22, 2026 · Complaint · F761 · Corrected March 8, 2026

  2. E

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    January 16, 2024 · Complaint · F755 · Corrected March 6, 2024

  3. E

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    September 9, 2022 · Standard · F755 · Corrected October 24, 2022

  4. E

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    September 9, 2022 · Standard · F757 · Corrected October 24, 2022

Resident Rights3D
  1. D

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

    January 22, 2026 · Complaint · F567 · Corrected March 8, 2026

  2. D

    Ensure that residents are fully informed and understand their health status, care and treatments.

    September 9, 2022 · Standard · F552 · Corrected October 24, 2022

  3. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    September 9, 2022 · Standard · F580 · Corrected October 24, 2022

Administration1D
  1. D

    Employ staff that are licensed, certified, or registered in accordance with state laws.

    April 9, 2026 · Complaint · F839 · Corrected May 5, 2026

Resident Assessment and Care Planning1D
  1. D

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

    September 9, 2022 · Standard · F658 · Corrected October 24, 2022

Nursing and Physician Services1B
  1. B

    Post nurse staffing information every day.

    September 9, 2022 · Standard · F732 · Corrected October 24, 2022

Inspection history

  1. 2025-09-26

    8 health deficiencies · 5 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)

  2. 2023-10-20

    3 health deficiencies · 0 fire-safety deficiencies

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

  3. 2022-09-09

    13 health deficiencies · 0 fire-safety deficiencies

    Top issue: Quality of Life and Care (6 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 17 min of nursing staff time a day, 29 min of it from a registered nurse.

This home

3 h 17 min

Arizona average

4 h 5 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 58% of nursing staff and 55% 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 vaccine7.3 pts worse89.5%96.8%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.9 pts worse90.8%94.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.1 pts better2.2%2.3%3.2%
Percentage of long-stay residents who have depressive symptoms0.6 pts worse4.3%3.7%13.5%
Percentage of long-stay residents who lose too much weight0.9 pts better4.5%5.4%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication1.5 pts better19.9%21.4%19.5%
Percentage of long-stay residents who received an antipsychotic medication0.8 pts better9.8%10.6%15.4%
Percentage of long-stay residents who were physically restrained0.3 pts better0.0%0.3%0.1%
Percentage of long-stay residents whose ability to walk independently worsened3.5 pts better8.2%11.7%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased4.3 pts better6.3%10.6%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better0.0%0.7%0.7%
Percentage of long-stay residents with a urinary tract infection1.2 pts better0.0%1.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.9 pts worse24.2%20.3%18.3%
Percentage of long-stay residents with pressure ulcers1.4 pts better2.9%4.3%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine6.1 pts worse86.5%92.6%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit5.8 pts worse15.8%10.0%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts better0.7%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine8.5 pts worse79.4%87.9%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission7.1 pts worse30.6%23.5%23.4%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Burnam, SoonManaging Control - Governing Body · Individual0%353 facilities
Burnam, SoonCorporate Officer · Individual0%353 facilities
Caretrust Gp LLCAdp Of The SNF · Organization0%95 facilities
Caretrust Reit IncAdp Of The SNF · Organization0%102 facilities
Ctr Partnership LPAdp Of The SNF · Organization0%104 facilities
Eaton, AlexManaging Control - Governing Body · Individual0%1 facilities
Eaton, AlexOperational/Managerial Control · Individual0%1 facilities
Eaton, AlexAdp Of The SNF · Individual0%1 facilities
Ensign Services IncAdp Of The SNF · Organization0%299 facilities
Hasan, OmairManaging Control - Governing Body · Individual0%3 facilities
Hasan, OmairOperational/Managerial Control · Individual0%3 facilities
Hasan, OmairAdp Of The SNF · Individual0%3 facilities
Keetch, ChadCorporate Officer · Individual0%301 facilities
Peterson, ForrestCorporate Director · Individual0%42 facilities
Port, BarryIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%203 facilities
Terrace Holdings Az LLCAdp Of The SNF · Organization0%1 facilities

·

Fire safety

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

Smoke2E
  1. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    October 20, 2023 · K321 · Corrected December 7, 2023

  2. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    October 20, 2023 · K372 · Corrected December 7, 2023

Gas, Vacuum, and Electrical Systems2E
  1. E

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

    October 20, 2023 · K918 · Corrected December 7, 2023

  2. D

    Ensure proper usage of power strips and extension cords.

    October 20, 2023 · K920 · Corrected December 7, 2023

Miscellaneous1D
  1. D

    Have simulated fire drills held at unexpected times.

    October 20, 2023 · K712 · Corrected December 7, 2023

·

Other homes nearby

  1. Desert Haven Care Center

    Phoenix, AZ · Abuse icon

    Worst citation, 3 yrs
    G
    Nursing / resident / day
    4 h 37 min
    Fines
    $67,818
  2. Haven Health Sky Harbor, LLC

    Phoenix, AZ · Haven Health

    Worst citation, 3 yrs
    E
    Nursing / resident / day
    4 h 29 min
    Fines
    $0
  3. Camelback Post Acute Care And Rehabilitation

    Phoenix, AZ · The Ensign Group

    Worst citation, 3 yrs
    G
    Nursing / resident / day
    3 h 26 min
    Fines
    $0