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

Horizon Post Acute and Rehabilitation Center

4704 West Diana Avenue, Glendale, AZ · (623) 247-3949

  • Cited for abuse (CMS abuse icon)

CMS overall rating

3 of 5

Compare with a nearby home →
Certified beds
196
Residents per day
146
Ownership
For-Profit
Chain
The Ensign Group
Medicare / Medicaid
Medicare + Medicaid
Certified since
April 6, 1988

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

Horizon Post Acute and Rehabilitation Center carries 46 inspection points. That is fewer than 32% of Arizona's 139 rated homes.

5★4★3★2★1★+5 homes above 105.7505102550100inspection points → fewer is better on the leftThis home · 46 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

19 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 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 15 4 pts
E 3 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 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.

Harm and immediate-jeopardy citations (1)

  1. G

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

    October 31, 2025 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected November 26, 2025

Everything else, by area of care

Freedom from Abuse, Neglect, and Exploitation5D
  1. D

    Protect each resident from the wrongful use of the resident's belongings or money.

    May 13, 2026 · Complaint · F602 · Corrected June 22, 2026

  2. D

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

    July 23, 2025 · Complaint · F600 · Corrected August 28, 2025

  3. D

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

    July 23, 2025 · Complaint · F607 · Corrected August 28, 2025

  4. D

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

    July 23, 2025 · Complaint · F609 · Corrected August 28, 2025

  5. D

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

    June 4, 2025 · Complaint · F600 · Corrected June 30, 2025

Resident Rights4D
  1. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    February 26, 2026 · Complaint · F550 · Corrected March 3, 2026

  2. D

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    May 16, 2025 · Standard · F578 · Corrected June 30, 2025

  3. D

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

    April 1, 2022 · Standard · F552 · Corrected April 1, 2022

  4. D

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    April 1, 2022 · Standard · F561 · Corrected May 20, 2022

Pharmacy Service3E
  1. E

    Ensure medication error rates are not 5 percent or greater.

    May 16, 2025 · Standard · F759 · Corrected June 30, 2025

  2. 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.

    May 16, 2025 · Standard · F761 · Corrected June 30, 2025

  3. D

    Ensure medication error rates are not 5 percent or greater.

    April 1, 2022 · Standard · F759 · Corrected May 20, 2022

Infection Control2E
  1. E

    Provide and implement an infection prevention and control program.

    May 16, 2025 · Standard · F880 · Corrected June 30, 2025

  2. E

    Provide and implement an infection prevention and control program.

    April 1, 2022 · Standard · F880 · Corrected May 20, 2022

Quality of Life and Care2D
  1. D

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

    April 1, 2022 · Standard · F684 · Corrected May 20, 2022

  2. D

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

    April 1, 2022 · Standard · F695 · Corrected May 20, 2022

Resident Assessment and Care Planning1D
  1. D

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    May 16, 2025 · Standard · F644 · Corrected June 30, 2025

Nutrition and Dietary1D
  1. D

    Provide special eating equipment and utensils for residents who need them and appropriate assistance.

    April 1, 2022 · Standard · F810 · Corrected May 20, 2022

Inspection history

  1. 2025-05-16

    8 health deficiencies · 1 fire-safety deficiencies

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

  2. 2023-06-02

    4 health deficiencies · 2 fire-safety deficiencies

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

  3. 2022-04-01

    7 health deficiencies · 1 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 28 min of nursing staff time a day, 19 min of it from a registered nurse.

This home

3 h 28 min

Arizona average

4 h 5 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 47% of nursing staff and 61% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$10,985 in federal fines on record over the past three years.

DatePenaltyAmount
2025-10-31Fine$10,985

6

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 vaccine3.2 pts better100.0%96.8%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.3 pts better99.0%94.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.2 pts better1.1%2.3%3.2%
Percentage of long-stay residents who have depressive symptoms3.7 pts better0.0%3.7%13.5%
Percentage of long-stay residents who lose too much weight1.8 pts worse7.2%5.4%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication8 pts worse29.4%21.4%19.5%
Percentage of long-stay residents who received an antipsychotic medication4.2 pts better6.4%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 worsened1.1 pts worse12.8%11.7%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased2.5 pts better8.1%10.6%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better0.3%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 incontinence0.4 pts better19.9%20.3%18.3%
Percentage of long-stay residents with pressure ulcers1.1 pts worse5.4%4.3%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine6.9 pts better99.5%92.6%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit8 pts better2.0%10.0%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better0.0%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine8.5 pts better96.4%87.9%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission5.2 pts better18.3%23.5%23.4%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Burnam, SoonCorporate Officer · Individual0%353 facilities
Figueroa-Diaz, VicenteManaging Control - Governing Body · Individual0%3 facilities
Figueroa-Diaz, VicenteAdp Of The SNF · Individual0%3 facilities
Fischbeck, CourtneyCorporate Officer · Individual0%5 facilities
Lorenz, BrianManaging Control - Governing Body · Individual0%1 facilities
Lorenz, BrianOperational/Managerial Control · Individual0%1 facilities
Lorenz, BrianAdp Of The SNF · Individual0%1 facilities
Murphy Health Holdings Ii LLCAdp Of The SNF · Organization0%1 facilities
Peterson, ForrestCorporate Officer · Individual0%42 facilities
Sato, AmiCorporate Officer · Individual0%151 facilities
Standard Bearer Healthcare Op LPAdp Of The SNF · Organization0%21 facilities
The Ensign Group IncAdp Of The SNF · Organization0%135 facilities

·

Fire safety

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

Smoke4E
  1. E

    Install corridor and hallway doors that block smoke.

    May 16, 2025 · K363 · Corrected June 20, 2025

  2. E

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

    June 2, 2023 · K321 · Corrected July 20, 2023

  3. E

    Install corridor and hallway doors that block smoke.

    June 2, 2023 · K363 · Corrected July 20, 2023

  4. D

    Install corridor and hallway doors that block smoke.

    April 1, 2022 · K363 · Corrected May 5, 2022

·

Other homes nearby

  1. Agave Grove Post Acute

    Glendale, AZ

    Worst citation, 3 yrs
    E
    Nursing / resident / day
    3 h 33 min
    Fines
    $0
  2. Life Care Center of North Glendale

    Glendale, AZ · Life Care Centers Of America

    Worst citation, 3 yrs
    E
    Nursing / resident / day
    3 h 36 min
    Fines
    $0
  3. Bella Vita Health and Rehabilitation Center

    Glendale, AZ · The Ensign Group

    Worst citation, 3 yrs
    G
    Nursing / resident / day
    3 h 32 min
    Fines
    $8,278