Federal inspection record · CMS data as of October 1, 2026
Dr Guy Gorman Sr Care Home
Highway 191 & Hospital Road, Chinle, AZ · (928) 674-5216
- Cited for abuse (CMS abuse icon)
- Special Focus Facility
- Certified beds
- 80
- Residents per day
- 53
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 10, 1997
1
How this home got 1 star
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.
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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 (already 1)
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
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 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
Dr Guy Gorman Sr Care Home carries 196.5 inspection points. That is fewer than 0% 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
69 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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.
Harm and immediate-jeopardy citations (3)
-
H
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
K
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Resident Assessment and Care Planning14E
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Ensure each resident receives an accurate assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Ensure each resident receives an accurate assessment.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Ensure each resident receives an accurate assessment.
- D
Assess the resident when there is a significant change in condition
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Freedom from Abuse, Neglect, and Exploitation10E
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Respond appropriately to all alleged violations.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
Resident Rights9E
- E
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- E
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- E
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- D
Keep residents' personal and medical records private and confidential.
Nursing and Physician Services8F
- E
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- D
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.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- E
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- D
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
- F
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.
- E
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Quality of Life and Care7F
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
- F
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide or obtain dental services for each resident.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide enough food/fluids to maintain a resident's health.
Administration7F
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- D
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- D
Provide training in compliance and ethics.
- F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- E
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
- D
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
- F
Have a Compliance and Ethics Program.
Infection Control6F
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- F
Implement a program that monitors antibiotic use.
Pharmacy Service3D
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
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.
Nutrition and Dietary2F
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2025-07-25
22 health deficiencies · 0 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)
2024-09-27
26 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2023-09-15
21 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
5
Fines and payment denials
$67,074 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-07-25 | Payment Denial · 90 day denial | $0 |
| 2024-09-27 | Fine | $67,074 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.6 pts worse | 3.1 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.2 pts better | 0 | 1.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.4 pts worse | 89.4% | 96.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.5 pts better | 98.2% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.3 pts better | 1.0% | 2.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.7 pts better | 0.0% | 3.7% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.4 pts better | 3.0% | 5.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication19.9 pts better | 1.5% | 21.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.7 pts better | 6.9% | 10.6% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened9.3 pts worse | 21.0% | 11.7% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased23.7 pts worse | 34.3% | 10.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder4.7 pts worse | 5.4% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.7 pts better | 0.5% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence14 pts worse | 34.3% | 20.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.6 pts worse | 4.9% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine23 pts worse | 69.6% | 92.6% | 82.3% |
·
Fire safety
4 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness4F
- F
Conduct testing and exercise requirements.
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
·
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Red Rocks Care Center
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Life Care Center of Farmington
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