Phoenix, AZ

Diamondback Healthcare Center

5-star overall rating with 5-star inspections with $5,073 in total fines with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

3000 N 91st Avenue, Phoenix, AZ

(623) 303-2882

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

94

Certified beds

Average residents

85

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2022-07-21

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

Hours and turnover

RN hours / resident day

0.68

Registered nurse staffing · state 0.72 · national 0.68

LPN hours / resident day

1.73

Licensed practical nurse staffing · state 1.04 · national 0.87

Aide hours / resident day

2.62

Nurse aide staffing · state 2.36 · national 2.35

Total nurse hours

5.03

All reported nurse hours · state 4.12 · national 3.89

Licensed hours

2.41

RN + LPN hours · state 1.76 · national 1.54

Weekend hours

3.95

Weekend nurse staffing · state 3.62 · national 3.43

Weekend RN hours

0.46

Weekend registered nurse coverage · state 0.51 · national 0.47

Physical therapist

0.08

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.42

CMS adjusted RN staffing hours

Adjusted total hours

3.13

CMS adjusted total nurse staffing hours

Case-mix index

2.20

Higher values indicate more complex resident acuity

RN turnover

89%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

60%

Annual nurse turnover · state 48% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,330

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

50.18

Composite VBP score used to determine payment impact.

Payment multiplier

1.0043

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

6.82

Performance 18.27% · Measure score 6.82 · Achievement 6.82 · This facility did not have sufficient data to calculate a baseline period measure result.

Healthcare-associated infections

6.95

Performance 5.76% · Measure score 6.95 · Achievement 6.95 · This facility did not have sufficient data to calculate a baseline period measure result.

Total nurse turnover

3.72

Performance 48.48% · Measure score 3.72 · Achievement 3.72 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

2.59

Performance 3.82 hours · Measure score 2.59 · Achievement 2.59 · This facility did not have sufficient data to calculate a baseline period measure result.

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.95%	10.72% 0.8 pts better	No Different than the National Rate · Eligible stays 389 · Observed rate 10.54% · Lower 95% interval 7.88%
Discharge to community	76.73%	50.57% 26.2 pts better	Better than the National Rate · Eligible stays 362 · Observed rate 68.51% · Lower 95% interval 71.5%
Medicare spending per beneficiary	0.85	1.02 0.2 pts better
Drug regimen review with follow-up	98.07%	95.27% 2.8 pts better	Numerator 203 · Denominator 207
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 207
Discharge self-care score	34.38%	53.69% 19.3 pts worse	Numerator 55 · Denominator 160
Discharge mobility score	37.5%	50.94% 13.4 pts worse	Numerator 60 · Denominator 160
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 207 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	5.76%	7.12% 1.4 pts better	No Different than the National Rate · Eligible stays 206 · Observed rate 5.34% · Lower 95% interval 3.9%
Staff COVID-19 vaccination coverage	8.06%	8.2% 0.1 pts worse	Numerator 10 · Denominator 124
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score	50.63%	56.45% 5.8 pts worse	Numerator 81 · Denominator 160
Transfer of health information to provider	98.77%	95.95% 2.8 pts better	Numerator 160 · Denominator 162
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 34 · Denominator 34
Resident COVID-19 vaccinations up to date	15.15%	25.2% 10 pts worse	Numerator 15 · Denominator 99

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	92.9%	97.1% 4.2 pts worse	93.4% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 90.6% · Q2 89.5% · Q3 95.0% · Q4 95.7% · 4Q avg 92.9%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	85.4%	94.6% 9.2 pts worse	95.5% 10.1 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 85.4%
Percentage of long-stay residents experiencing one or more falls with major injury	1.3%	2.1% 0.8 pts better	3.3% 2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.5% · Q4 2.2% · 4Q avg 1.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	2.7%	4.2% 1.5 pts better	11.4% 8.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 9.1% · Q3 3.8% · Q4 0.0% · 4Q avg 2.7%
Percentage of long-stay residents who lose too much weight	5.3%	5.3% About the same	5.4% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 9.4% · Q3 5.6% · Q4 2.5% · 4Q avg 5.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	30.6%	20.5% 10.1 pts worse	19.6% 11 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 30.8% · Q2 28.1% · Q3 25.0% · Q4 37.5% · 4Q avg 30.6%
Percentage of long-stay residents who received an antipsychotic medication	11.8%	11.8% About the same	16.7% 4.9 pts better	Long Stay · 2024Q4-2025Q3 · Q4 13.0% · 4Q avg 11.8% · 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	44.4%	14.5% 29.9 pts worse	16.3% 28.1 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 44.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	33.7%	10.8% 22.9 pts worse	14.9% 18.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 35.0% · Q2 34.6% · Q3 41.7% · Q4 22.7% · 4Q avg 33.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	4.1%	0.9% 3.2 pts worse	1.0% 3.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 2.7% · Q3 5.0% · Q4 4.8% · 4Q avg 4.1% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	1.2% 1.2 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	22.2%	20.5% 1.7 pts worse	19.8% 2.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.6% · Q2 14.3% · Q3 22.4% · Q4 26.9% · 4Q avg 22.2%
Percentage of long-stay residents with pressure ulcers	5.2%	4.8% 0.4 pts worse	5.1% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 4.9% · Q3 3.1% · Q4 4.9% · 4Q avg 5.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	93.1%	91.1% 2 pts better	81.7% 11.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 92.7% · Q2 92.8% · Q3 94.4% · Q4 92.7% · 4Q avg 93.1%
Percentage of short-stay residents who had an outpatient emergency department visit	2.9%	10.7% 7.8 pts better	12.0% 9.1 pts better	Short Stay · 20240701-20250630 · Adjusted 2.9% · Observed 3.2% · Expected 12.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.6%	1.1% 0.5 pts worse	1.6% About the same	Short Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 1.7% · Q3 1.8% · Q4 0.5% · 4Q avg 1.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	76.6%	87.3% 10.7 pts worse	79.7% 3.1 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 76.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	23.5%	24.6% 1.1 pts better	23.9% 0.4 pts better	Short Stay · 20240701-20250630 · Adjusted 23.5% · Observed 28.2% · Expected 28.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-31 · Fire 2024-10-31

5 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 2 Health 2023-04-05 · Fire 2023-04-05

4 health deficiencies

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

7 fire-safety deficiencies

Top issue: Services (2 deficiencies)

Cycle 3 Health 2022-07-21 · Fire 2022-07-21

0 health deficiencies

No concentrated health issue counts in this cycle.

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2024-10-31

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-11-27

E · Potential for more than minimal harm 2023-04-05

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-05-12

E · Potential for more than minimal harm 2023-04-05

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Corrected 2023-05-12

E · Potential for more than minimal harm 2023-04-05

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-05-12

E · Potential for more than minimal harm 2023-04-05

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-05-12

D · Potential for more than minimal harm 2023-04-05

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2023-05-12

D · Potential for more than minimal harm 2023-04-05

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-05-12

D · Potential for more than minimal harm 2023-04-05

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-05-12

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-29

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Not marked corrected

D · Potential for more than minimal harm 2026-01-29

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Not marked corrected

D · Potential for more than minimal harm 2026-01-29

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Not marked corrected

E · Potential for more than minimal harm 2025-12-05

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2026-01-18

D · Potential for more than minimal harm 2025-01-07

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2025-02-11

D · Potential for more than minimal harm 2025-01-07

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 2025-02-11

D · Potential for more than minimal harm 2024-10-31

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-11-04

E · Potential for more than minimal harm 2024-08-14

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-09-10

D · Potential for more than minimal harm 2023-04-05

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 2023-05-11

Penalties and ownership

What sits behind the stars

$1,899 2024-01-08

Fine

Fine · fine $1,899

Fine

$3,174 2023-12-18

Fine

Fine · fine $3,174

Fine

Ownership

91st Avenue Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2021-05-03

Bailey, Rod

W-2 Managing Employee · Individual

0% 1 facilities 2022-02-11

Clark, Tracy

5% Or Greater Indirect Ownership Interest · Individual

0% 2 facilities 2021-05-03

Clark, Tracy

Corporate Officer · Individual

0% 2 facilities 2021-05-03

Dao, Kenneth

5% Or Greater Indirect Ownership Interest · Individual

0% 2 facilities 2021-05-03

Farber, Rowan

5% Or Greater Indirect Ownership Interest · Individual

0% 2 facilities 2021-05-03

Farber, Rowan

Corporate Officer · Individual

0% 2 facilities 2021-05-03

Ih-Az Holdings LLC