Sierra Vista, AZ

Life Care Center Of Sierra Vista

2-star overall rating with 2-star inspections with abuse icon flag with $55,881 in total fines with 10 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

2305 East Wilcox Drive, Sierra Vista, AZ

(520) 458-1050

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

152

Certified beds

Average residents

64

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Life Care Centers Of America

Operator or chain grouping

Approved since

1986-10-02

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

194 facilities

Chain averages 4 overall / 3 health / 3 staffing / 5 quality stars

Changed ownership

No

Within the last 12 months

Family council

No

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.72

Registered nurse staffing · state 0.72 · national 0.68

LPN hours / resident day

1.01

Licensed practical nurse staffing · state 1.04 · national 0.87

Aide hours / resident day

2.01

Nurse aide staffing · state 2.36 · national 2.35

Total nurse hours

3.74

All reported nurse hours · state 4.12 · national 3.89

Licensed hours

1.73

RN + LPN hours · state 1.76 · national 1.54

Weekend hours

3.14

Weekend nurse staffing · state 3.62 · national 3.43

Weekend RN hours

0.50

Weekend registered nurse coverage · state 0.51 · national 0.47

Physical therapist

0.10

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.75

CMS adjusted RN staffing hours

Adjusted total hours

3.88

CMS adjusted total nurse staffing hours

Case-mix index

1.32

Higher values indicate more complex resident acuity

RN turnover

62%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

48%

Annual nurse turnover · state 48% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,051

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

Performance score

24.89

Composite VBP score used to determine payment impact.

Payment multiplier

0.9836

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.91

Baseline 21.72% · Performance 19.65% · Measure score 3.91 · Achievement 3.84 · Improvement 3.91

Healthcare-associated infections

0

Baseline 5.22% · Performance 9.23% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

6.04

Baseline 42.86% · Performance 38.98% · Measure score 6.04 · Achievement 6.04 · Improvement 1.65

Adjusted total nurse staffing

0

Baseline 2.98 hours · Performance 3.11 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.99%
10.72%
0.3 pts worse
No Different than the National Rate · Eligible stays 279 · Observed rate 9.68% · Lower 95% interval 8.07%
Discharge to community 61.54%
50.57%
11 pts better
Better than the National Rate · Eligible stays 298 · Observed rate 61.07% · Lower 95% interval 56.09%
Medicare spending per beneficiary 1.01
1.02
About the same
Drug regimen review with follow-up 99.03%
95.27%
3.8 pts better
Numerator 205 · Denominator 207
Falls with major injury 0.97%
0.77%
0.2 pts worse
Numerator 2 · Denominator 207
Discharge self-care score 61.62%
53.69%
7.9 pts better
Numerator 61 · Denominator 99
Discharge mobility score 70.71%
50.94%
19.8 pts better
Numerator 70 · Denominator 99
Pressure ulcers or injuries, new or worsened 4.35%
2.29%
2.1 pts worse
Numerator 9 · Denominator 207 · Adjusted rate 4.17%
Healthcare-associated infections requiring hospitalization 9.23%
7.12%
2.1 pts worse
No Different than the National Rate · Eligible stays 197 · Observed rate 9.64% · Lower 95% interval 6.61%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 96
Staff flu vaccination coverage 36.63%
42%
5.4 pts worse
Numerator 37 · Denominator 101
Discharge function score 76.77%
56.45%
20.3 pts better
Numerator 76 · Denominator 99
Transfer of health information to provider 98.92%
95.95%
3 pts better
Numerator 92 · Denominator 93
Transfer of health information to patient 89.22%
96.28%
7.1 pts worse
Numerator 91 · Denominator 102
Resident COVID-19 vaccinations up to date 18.27%
25.2%
6.9 pts worse
Numerator 19 · Denominator 104

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
97.1%
2.9 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 78.1%
94.6%
16.5 pts worse
95.5%
17.4 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 78.1%
Percentage of long-stay residents experiencing one or more falls with major injury 2.3%
2.1%
0.2 pts worse
3.3%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 0.0% · Q3 0.0% · Q4 2.6% · 4Q avg 2.3% · 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 4.2% · Q3 0.0% · Q4 5.9% · 4Q avg 2.7%
Percentage of long-stay residents who lose too much weight 13.6%
5.3%
8.3 pts worse
5.4%
8.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 16.0% · Q3 21.2% · Q4 5.3% · 4Q avg 13.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 18.1%
20.5%
2.4 pts better
19.6%
1.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 24.1% · Q2 14.8% · Q3 15.2% · Q4 18.4% · 4Q avg 18.1%
Percentage of long-stay residents who received an antipsychotic medication 9.2%
11.8%
2.6 pts better
16.7%
7.5 pts better
Long Stay · 2024Q4-2025Q3 · Q3 13.6% · Q4 12.5% · 4Q avg 9.2% · 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 14.5%
14.5%
About the same
16.3%
1.8 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 14.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 7.5%
10.8%
3.3 pts better
14.9%
7.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 10.7% · Q2 8.0% · Q3 9.4% · Q4 2.9% · 4Q avg 7.5% · 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 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 27.6%
20.5%
7.1 pts worse
19.8%
7.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 11.9% · Q2 35.0% · Q3 37.2% · Q4 25.0% · 4Q avg 27.6%
Percentage of long-stay residents with pressure ulcers 6.1%
4.8%
1.3 pts worse
5.1%
1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 11.7% · Q3 3.2% · Q4 4.9% · 4Q avg 6.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 94.3%
91.1%
3.2 pts better
81.7%
12.6 pts better
Short Stay · 2024Q4-2025Q3 · Q1 95.8% · Q2 92.5% · Q3 92.8% · Q4 96.6% · 4Q avg 94.3%
Percentage of short-stay residents who had an outpatient emergency department visit 22.4%
10.7%
11.7 pts worse
12.0%
10.4 pts worse
Short Stay · 20240701-20250630 · Adjusted 22.4% · Observed 22.0% · Expected 10.9% · 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 1.9% · Q2 1.3% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 86.9%
87.3%
0.4 pts worse
79.7%
7.2 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 86.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 31.7%
24.6%
7.1 pts worse
23.9%
7.8 pts worse
Short Stay · 20240701-20250630 · Adjusted 31.7% · Observed 32.6% · Expected 24.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-12-22 · Fire 2023-12-22

10 health deficiencies

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

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2022-09-22 · Fire 2022-09-22

11 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

8 fire-safety deficiencies

Top issue: Emergency Preparedness (3 deficiencies)

Cycle 3 Health 2021-04-23 · Fire 2021-04-23

8 health deficiencies

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

6 fire-safety deficiencies

Top issue: Emergency Preparedness (3 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2023-12-22

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-01-15

E · Potential for more than minimal harm 2023-12-22

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2024-01-26

E · Potential for more than minimal harm 2023-12-22

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-01-26

E · Potential for more than minimal harm 2023-12-22

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-01-26

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

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2022-11-21

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

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2022-11-21

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

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2022-11-21

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

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2022-11-21

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

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-11-21

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

K521 · Services Deficiencies

Fire Safety

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

Corrected 2022-11-21

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

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2022-11-21

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

K926 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Corrected 2022-11-21

D · Potential for more than minimal harm 2021-04-23

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2021-05-17

D · Potential for more than minimal harm 2021-04-23

E34 · Emergency Preparedness Deficiencies

Fire Safety

Provide a means of sharing information on occupancy/needs.

Corrected 2021-05-17

D · Potential for more than minimal harm 2021-04-23

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2021-05-17

D · Potential for more than minimal harm 2021-04-23

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2021-05-17

D · Potential for more than minimal harm 2021-04-23

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2021-05-17

D · Potential for more than minimal harm 2021-04-23

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2021-05-17

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-08

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 2026-01-15

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

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2025-10-28

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 2025-10-14

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

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-10-14

D · Potential for more than minimal harm 2025-04-16

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-05-17

D · Potential for more than minimal harm 2025-04-16

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 2025-05-17

D · Potential for more than minimal harm 2025-04-16

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 2025-05-17

D · Potential for more than minimal harm 2025-03-03

F580 · Resident Rights Deficiencies

Health

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

Corrected 2025-04-30

D · Potential for more than minimal harm 2025-03-03

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.

Corrected 2025-04-30

G · Actual harm 2024-10-18

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 2024-11-14

D · Potential for more than minimal harm 2024-10-18

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-11-14

D · Potential for more than minimal harm 2024-10-18

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-11-14

G · Actual harm 2024-05-31

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-07-12

E · Potential for more than minimal harm 2024-05-31

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-07-12

E · Potential for more than minimal harm 2023-12-22

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 2024-01-19

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

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2022-11-18

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

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2022-11-18

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

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2022-11-18

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

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 2022-11-18

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

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-11-18

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

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 2022-11-18

E · Potential for more than minimal harm 2021-04-23

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2021-05-25

D · Potential for more than minimal harm 2021-04-23

F578 · Resident Rights Deficiencies

Health

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.

Corrected 2021-05-25

D · Potential for more than minimal harm 2021-04-23

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2021-05-25

D · Potential for more than minimal harm 2021-04-23

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2021-05-25

D · Potential for more than minimal harm 2021-04-23

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2021-05-25

D · Potential for more than minimal harm 2021-04-23

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 2021-05-25

D · Potential for more than minimal harm 2021-04-23

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2021-05-25

D · Potential for more than minimal harm 2021-04-23

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2021-05-25

Penalties and ownership

What sits behind the stars

$17,934 2024-10-18

Fine

Fine · fine $17,934

Fine

$37,947 2024-05-31

Fine

Fine · fine $37,947

Fine

Ownership

Preston, Forrest

5% Or Greater Direct Ownership Interest · Individual

100% 188 facilities 1985-01-11
Butner, Nancy

Operational/Managerial Control · Individual

0% 29 facilities 2018-09-16
Cross, Cindy

Corporate Officer · Individual

0% 181 facilities 1994-04-21
Fletcher, Todd

Corporate Officer · Individual

0% 141 facilities 2020-11-02
Henry, Terry

Corporate Officer · Individual

0% 140 facilities 1999-08-16
Hummel, Rachel

Operational/Managerial Control · Individual

0% 1 facilities 2025-06-25
King, Lacy

Operational/Managerial Control · Individual

0% 1 facilities 2024-10-02
Lay, Lisa

Corporate Officer · Individual

0% 141 facilities 2018-02-19
Life Care Centers Of America, Inc.

Operational/Managerial Control · Organization

0% 194 facilities 1999-07-18
Patel, Parag

Operational/Managerial Control · Individual

0% 2 facilities 2019-07-11
Preston, Aubrey

Operational/Managerial Control · Individual

0% 135 facilities 2024-11-27
Preston, Forrest

Limited Partnership Interest · Individual

0% 188 facilities 1985-01-11
Preston, Forrest

Operational/Managerial Control · Individual

0% 188 facilities 2020-12-31
Sierra Vista Medical Investors Inc

General Partnership Interest · Organization

0% 1 facilities 2020-12-31
Sierra Vista Medical Investors Inc

Operational/Managerial Control · Organization

0% 1 facilities 2020-12-31
Swanker, Richard

Corporate Officer · Individual

0% 143 facilities 2011-04-01
Thurmond, Joan

Corporate Officer · Individual

0% 191 facilities 2000-09-22
Ziegler, James

Corporate Officer · Individual

0% 140 facilities 1999-08-16

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Health
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Staffing
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Fines
$0
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Overall
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5-star overall rating with 3-star inspections with 10 recent health deficiencies

Overall
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Health
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Staffing
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Fines
$0

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