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

Immanuel Campus Of Care

11301 North 99th Avenue, Peoria, AZ · (623) 977-8373

  • Cited for abuse (CMS abuse icon)

CMS overall rating

3 of 5

Compare with a nearby home →
Certified beds
228
Residents per day
169
Ownership
Non-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
November 18, 1998

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

    +1 star

    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

    Not rated

    not rated

    CMS did not rate quality measures here, so they do not move the star.

  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

Immanuel Campus Of Care carries 48 inspection points. That is fewer than 29% of Arizona's 139 rated homes.

5★4★3★2★1★+5 homes above 105.7505102550100inspection points → fewer is better on the leftThis home · 48 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

31 health citations on record since 2023. 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 2 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 25 4 pts
E 4 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 (2)

  1. G

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

    March 24, 2025 · Complaint inspection · Quality of Life and Care · F689 · Corrected April 24, 2025

  2. G

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

    April 19, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected April 24, 2024

Everything else, by area of care

Freedom from Abuse, Neglect, and Exploitation12E
  1. D

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

    May 22, 2026 · Complaint · F600 · Corrected June 26, 2026

  2. D

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    May 22, 2026 · Standard · F604 · Corrected June 26, 2026

  3. D

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

    March 20, 2026 · Complaint · F600 · Corrected May 6, 2026

  4. D

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

    July 15, 2025 · Complaint · F600 · Corrected August 15, 2025

  5. D

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

    July 15, 2025 · Complaint · F607 · Corrected August 15, 2025

  6. D

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

    July 15, 2025 · Complaint · F609 · Corrected August 15, 2025

  7. D

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

    July 3, 2025 · Complaint · F600 · Corrected August 1, 2025

  8. D

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

    May 27, 2025 · Complaint · F600 · Corrected June 6, 2025

  9. D

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

    March 20, 2025 · Complaint · F600 · Corrected March 25, 2025

  10. D

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

    January 31, 2025 · Complaint · F600 · Corrected March 20, 2025

  11. D

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

    September 5, 2024 · Complaint · F600 · Corrected October 18, 2024

  12. E

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

    November 3, 2023 · Complaint · F600 · Corrected December 22, 2023

Resident Rights7E
  1. D

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

    December 2, 2025 · Complaint · F580 · Corrected December 12, 2025

  2. D

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    January 31, 2025 · Standard · F557 · Corrected March 20, 2025

  3. D

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

    December 20, 2024 · Complaint · F550 · Corrected December 23, 2024

  4. E

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

    November 3, 2023 · Standard · F550 · Corrected December 22, 2023

  5. E

    Ensure residents have reasonable access to and privacy in their use of communication methods.

    November 3, 2023 · Standard · F576 · Corrected December 22, 2023

  6. D

    Reasonably accommodate the needs and preferences of each resident.

    November 3, 2023 · Standard · F558 · Corrected December 22, 2023

  7. D

    Keep residents' personal and medical records private and confidential.

    November 3, 2023 · Standard · F583 · Corrected December 22, 2023

Resident Assessment and Care Planning4D
  1. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    May 22, 2026 · Standard · F656 · Corrected June 26, 2026

  2. D

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

    July 10, 2024 · Complaint · F842 · Corrected August 1, 2024

  3. D

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

    March 8, 2024 · Complaint · F658 · Corrected April 28, 2024

  4. D

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

    November 3, 2023 · Standard · F644 · Corrected December 22, 2023

Quality of Life and Care4D
  1. D

    Provide activities to meet all resident's needs.

    December 20, 2024 · Complaint · F679 · Corrected December 23, 2024

  2. D

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

    December 20, 2024 · Complaint · F689 · Corrected December 23, 2024

  3. D

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

    March 8, 2024 · Complaint · F689 · Corrected April 28, 2024

  4. 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.

    October 20, 2023 · Complaint · F690 · Corrected December 4, 2023

Administration1D
  1. D

    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

    May 22, 2026 · Standard · F847 · Corrected June 26, 2026

Pharmacy Service1E
  1. E

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

    January 31, 2025 · Standard · F757 · Corrected March 20, 2025

Inspection history

  1. 2026-05-22

    6 health deficiencies · 1 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

  2. 2025-01-31

    13 health deficiencies · 5 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (7 deficiencies)

  3. 2023-11-03

    12 health deficiencies · 6 fire-safety deficiencies

    Top issue: Resident Rights (4 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 4 h 50 min of nursing staff time a day, 29 min of it from a registered nurse.

This home

4 h 50 min

Arizona average

4 h 5 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 25% of nursing staff and 32% 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

$18,529 in federal fines on record over the past three years.

DatePenaltyAmount
2025-01-31Fine$9,110
2024-03-07Fine$9,419

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 vaccine1 pts better97.8%96.8%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.6 pts better98.3%94.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.9 pts better1.4%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 weight0.3 pts better5.1%5.4%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication26.5 pts worse47.9%21.4%19.5%
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 worsened11.8 pts worse23.5%11.7%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased4.5 pts worse15.1%10.6%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts worse1.2%0.7%0.7%
Percentage of long-stay residents with a urinary tract infection1.8 pts worse3.0%1.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.9 pts better14.4%20.3%18.3%
Percentage of long-stay residents with pressure ulcers0.2 pts better4.1%4.3%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine3.3 pts worse89.3%92.6%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication14.1 pts worse15.2%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine0.1 pts better88.0%87.9%80.1%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Immanuel Caring Ministries, Inc.Operational/Managerial Control · Organization0%1 facilities
Immanuel Caring Ministries, Inc.Adp Of The SNF · Organization0%1 facilities
Litman, LawrenceCorporate Officer · Individual0%1 facilities
Litman, LawrenceOperational/Managerial Control · Individual0%1 facilities
Litman, LawrenceAdp Of The SNF · Individual0%1 facilities
Mccarthy-Robinson, SusanCorporate Director · Individual0%1 facilities
Mccarthy-Robinson, SusanOperational/Managerial Control · Individual0%1 facilities
Mccarthy-Robinson, SusanAdp Of The SNF · Individual0%1 facilities
Mcnellis, GregoryCorporate Officer · Individual0%2 facilities
Nassour, WilliamOperational/Managerial Control · Individual0%7 facilities
Nassour, WilliamAdp Of The SNF · Individual0%7 facilities
Trautman, RayOperational/Managerial Control · Individual0%1 facilities
Trautman, RayAdp Of The SNF · Individual0%1 facilities

·

Fire safety

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

Smoke7F
  1. F

    Inspect, test, and maintain automatic sprinkler systems.

    May 22, 2026 · K353 · Corrected June 19, 2026

  2. E

    Properly select, install, inspect, or maintain portable fire extinguishes.

    January 31, 2025 · K355 · Corrected March 3, 2025

  3. E

    Install corridor and hallway doors that block smoke.

    January 31, 2025 · K363 · Corrected March 21, 2025

  4. E

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

    January 31, 2025 · K372 · Corrected March 21, 2025

  5. E

    Install corridor and hallway doors that block smoke.

    November 3, 2023 · K363 · Corrected December 22, 2023

  6. D

    Install an approved automatic sprinkler system.

    November 3, 2023 · K351 · Corrected December 22, 2023

  7. D

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

    November 3, 2023 · K372 · Corrected December 22, 2023

Gas, Vacuum, and Electrical Systems2E
  1. E

    Meet requirements for the installation and maintenance of electrical systems.

    January 31, 2025 · K911 · Corrected March 2, 2025

  2. E

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

    January 31, 2025 · K918 · Corrected March 21, 2025

Construction1E
  1. E

    Install a two-hour-resistant firewall separation.

    November 3, 2023 · K133 · Corrected December 22, 2023

Egress1E
  1. E

    Install emergency lighting that can last at least 1 1/2 hours.

    November 3, 2023 · K291 · Corrected December 22, 2023

Services1E
  1. E

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    November 3, 2023 · K521 · Corrected December 22, 2023

·

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