Scottsdale, AZ

Heritage Court Post Acute Of Scottsdale

5-star overall rating with 4-star inspections with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

3339 North Drinkwater Boulevard, Scottsdale, AZ

(480) 949-5400

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

108

Certified beds

Average residents

67

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

The Ensign Group

Operator or chain grouping

Approved since

1983-02-01

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

0.41

Registered nurse staffing · state 0.72 · national 0.68

LPN hours / resident day

1.17

Licensed practical nurse staffing · state 1.04 · national 0.87

Aide hours / resident day

1.78

Nurse aide staffing · state 2.36 · national 2.35

Total nurse hours

3.37

All reported nurse hours · state 4.12 · national 3.89

Licensed hours

1.59

RN + LPN hours · state 1.76 · national 1.54

Weekend hours

2.95

Weekend nurse staffing · state 3.62 · national 3.43

Weekend RN hours

0.19

Weekend registered nurse coverage · state 0.51 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.43

CMS adjusted RN staffing hours

Adjusted total hours

3.54

CMS adjusted total nurse staffing hours

Case-mix index

1.30

Higher values indicate more complex resident acuity

RN turnover

60%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

44%

Annual nurse turnover · state 48% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,667

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

Performance score

35.36

Composite VBP score used to determine payment impact.

Payment multiplier

0.9890

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.01

Baseline 18.71% · Performance 19.11% · Measure score 5.01 · Achievement 5.01 · Improvement 0

Healthcare-associated infections

4.02

Baseline 4.69% · Performance 6.63% · Measure score 4.02 · Achievement 4.02 · Improvement 0

Total nurse turnover

2.80

Baseline 63.16% · Performance 52.24% · Measure score 2.80 · Achievement 2.80 · Improvement 2.35

Adjusted total nurse staffing

2.31

Baseline 3.76 hours · Performance 3.74 hours · Measure score 2.31 · Achievement 2.31 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 12.54%
10.72%
1.8 pts worse
No Different than the National Rate · Eligible stays 127 · Observed rate 14.96% · Lower 95% interval 8.87%
Discharge to community 61.23%
50.57%
10.7 pts better
Better than the National Rate · Eligible stays 118 · Observed rate 57.63% · Lower 95% interval 52.68%
Medicare spending per beneficiary 0.82
1.02
0.2 pts better
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 83 · Denominator 83
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 83
Discharge self-care score 62.96%
53.69%
9.3 pts better
Numerator 34 · Denominator 54
Discharge mobility score 53.7%
50.94%
2.8 pts better
Numerator 29 · Denominator 54
Pressure ulcers or injuries, new or worsened 0%
2.29%
2.3 pts better
Numerator 0 · Denominator 83 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization 6.63%
7.12%
0.5 pts better
No Different than the National Rate · Eligible stays 50 · Observed rate 4% · Lower 95% interval 3.64%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 98
Staff flu vaccination coverage 46.91%
42%
4.9 pts better
Numerator 76 · Denominator 162
Discharge function score 74.07%
56.45%
17.6 pts better
Numerator 40 · Denominator 54
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 58 · Denominator 58
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 7.02%
25.2%
18.2 pts worse
Numerator 4 · Denominator 57

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.4%
97.1%
2.3 pts better
93.4%
6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 97.6% · Q3 100.0% · Q4 100.0% · 4Q avg 99.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.7%
94.6%
3.1 pts better
95.5%
2.2 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.7%
Percentage of long-stay residents experiencing one or more falls with major injury 2.4%
2.1%
0.3 pts worse
3.3%
0.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 2.4% · Q3 2.4% · Q4 2.5% · 4Q avg 2.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 6.2%
4.2%
2 pts worse
11.4%
5.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 5.0% · Q3 5.0% · Q4 10.5% · 4Q avg 6.2%
Percentage of long-stay residents who lose too much weight 8.8%
5.3%
3.5 pts worse
5.4%
3.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 8.8% · Q3 9.1% · Q4 6.1% · 4Q avg 8.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 16.9%
20.5%
3.6 pts better
19.6%
2.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 19.4% · Q2 20.6% · Q3 15.2% · Q4 12.1% · 4Q avg 16.9%
Percentage of long-stay residents who received an antipsychotic medication 1.8%
11.8%
10 pts better
16.7%
14.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 0.0% · Q3 3.6% · Q4 0.0% · 4Q avg 1.8% · 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 14.8%
14.5%
0.3 pts worse
16.3%
1.5 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 14.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 3.8%
10.8%
7 pts better
14.9%
11.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 0.0% · Q3 6.2% · Q4 6.2% · 4Q avg 3.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.9%
0.9 pts better
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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 1.8%
1.2%
0.6 pts worse
1.7%
0.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.4% · Q3 0.0% · Q4 5.0% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 15.5%
20.5%
5 pts better
19.8%
4.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 14.9% · Q3 17.1% · Q4 19.4% · 4Q avg 15.5%
Percentage of long-stay residents with pressure ulcers 3.0%
4.8%
1.8 pts better
5.1%
2.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 3.5% · Q3 3.7% · Q4 3.2% · 4Q avg 3.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.1%
91.1%
6 pts better
81.7%
15.4 pts better
Short Stay · 2024Q4-2025Q3 · Q1 96.2% · Q2 96.7% · Q3 97.6% · Q4 97.6% · 4Q avg 97.1%
Percentage of short-stay residents who had an outpatient emergency department visit 6.9%
10.7%
3.8 pts better
12.0%
5.1 pts better
Short Stay · 20240701-20250630 · Adjusted 6.9% · Observed 7.5% · Expected 12.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.9%
1.1%
0.2 pts better
1.6%
0.7 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.5% · Q4 1.9% · 4Q avg 0.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 96.0%
87.3%
8.7 pts better
79.7%
16.3 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 13.8%
24.6%
10.8 pts better
23.9%
10.1 pts better
Short Stay · 20240701-20250630 · Adjusted 13.8% · Observed 12.5% · Expected 21.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-18 · Fire 2025-04-18

5 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2023-11-17 · Fire 2023-11-17

8 health deficiencies

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

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2022-09-22 · Fire 2022-09-22

5 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-04-18

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-05-27

E · Potential for more than minimal harm 2023-11-17

K321 · Smoke Deficiencies

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 2024-01-08

D · Potential for more than minimal harm 2023-11-17

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-01-08

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-09-09

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 2025-10-01

E · Potential for more than minimal harm 2025-04-18

F552 · Resident Rights Deficiencies

Health

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

Corrected 2025-06-02

D · Potential for more than minimal harm 2025-04-18

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-06-02

D · Potential for more than minimal harm 2025-04-18

F690 · Quality of Life and Care Deficiencies

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 2025-06-02

D · Potential for more than minimal harm 2025-04-18

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-06-02

D · Potential for more than minimal harm 2025-02-26

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 2025-04-11

D · Potential for more than minimal harm 2025-02-26

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-04-11

D · Potential for more than minimal harm 2025-02-26

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-04-11

D · Potential for more than minimal harm 2024-12-31

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-02-14

D · Potential for more than minimal harm 2023-11-17

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 2024-01-01

D · Potential for more than minimal harm 2023-11-17

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-01-01

D · Potential for more than minimal harm 2023-11-17

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-01-01

D · Potential for more than minimal harm 2023-11-17

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-01-01

D · Potential for more than minimal harm 2022-09-22

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2022-11-04

D · Potential for more than minimal harm 2022-09-22

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2022-11-04

D · Potential for more than minimal harm 2022-09-22

F755 · Pharmacy Service Deficiencies

Health

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

Corrected 2022-11-04

D · Potential for more than minimal harm 2022-09-22

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 2022-11-04

D · Potential for more than minimal harm 2022-09-22

F790 · Quality of Life and Care Deficiencies

Health

Provide routine and 24-hour emergency dental care for each resident.

Corrected 2022-11-04

Penalties and ownership

What sits behind the stars

Ownership

Bandera Healthcare LLC

5% Or Greater Direct Ownership Interest · Organization

100% 33 facilities 2015-03-25
The Ensign Group Inc

5% Or Greater Indirect Ownership Interest · Organization

100% 209 facilities 2006-09-25
Burnam, Soon

Corporate Officer · Individual

0% 323 facilities 2015-03-25
Clark, Randolph

Operational/Managerial Control · Individual

0% 4 facilities 2023-05-08
Keetch, Chad

Corporate Officer · Individual

0% 176 facilities 2011-03-01
Monks, Chandler

Corporate Officer · Individual

0% 8 facilities 2024-03-01
Peterson, Forrest

Corporate Director · Individual

0% 35 facilities 2019-01-01
Sato, Ami

Corporate Officer · Individual

0% 101 facilities 2024-09-09
Toolson, Troy

Operational/Managerial Control · Individual

0% 1 facilities 2015-07-01

Nearby options

Other facilities in reach

#1

Osborn Health And Rehabilitation

Scottsdale, AZ

5-star overall rating with 4-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

Overall
5 / 5
Health
4 / 5
Staffing
3 / 5
Fines
$0
#2

Haven Of Scottsdale

Scottsdale, AZ

2-star overall rating with 1-star inspections with abuse icon flag with 15 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
1 / 5
Staffing
1 / 5
Fines
$0
#3

Rehab At Scottsdale Village Square

Scottsdale, AZ

2-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $199,344 in total fines with 16 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
1 / 5
Staffing
4 / 5
Fines
$199,344

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