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

Maryland Gardens Post Acute

31 West Maryland Avenue, Phoenix, AZ · (602) 265-7484

  • Cited for abuse (CMS abuse icon)

CMS overall rating

2 of 5

Compare with a nearby home →
Certified beds
58
Residents per day
57
Ownership
For-Profit
Chain
Pacs Group
Medicare / Medicaid
Medicare + Medicaid
Certified since
July 20, 1998

1

How this home got 2 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

    2 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

Maryland Gardens Post Acute carries 61 inspection points. That is fewer than 16% of Arizona's 139 rated homes.

5★4★3★2★1★+5 homes above 105.7505102550100inspection points → fewer is better on the leftThis home · 61 pts · 1★

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

30 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 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 21 4 pts
E 9 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.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Freedom from Abuse, Neglect, and Exploitation12E
  1. E

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

    July 2, 2026 · Complaint · F600 · Corrected August 12, 2026

  2. D

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

    July 2, 2026 · Complaint · F607 · Corrected August 12, 2026

  3. D

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

    July 2, 2026 · Complaint · F609 · Corrected August 12, 2026

  4. D

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

    January 23, 2025 · Complaint · F600 · Corrected March 24, 2025

  5. D

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

    January 8, 2025 · Complaint · F600 · Corrected February 28, 2025

  6. D

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

    January 8, 2025 · Complaint · F607 · Corrected February 28, 2025

  7. D

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

    January 8, 2025 · Complaint · F609 · Corrected February 28, 2025

  8. D

    Respond appropriately to all alleged violations.

    January 8, 2025 · Complaint · F610 · Corrected February 28, 2025

  9. D

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

    August 27, 2024 · Complaint · F600 · Corrected October 4, 2024

  10. D

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

    July 12, 2024 · Complaint · F600 · Corrected August 30, 2024

  11. D

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

    July 12, 2024 · Complaint · F609 · Corrected August 30, 2024

  12. D

    Respond appropriately to all alleged violations.

    July 12, 2024 · Complaint · F610 · Corrected August 30, 2024

Resident Rights4E
  1. D

    Keep residents' personal and medical records private and confidential.

    July 2, 2026 · Standard · F583 · Corrected August 12, 2026

  2. E

    Reasonably accommodate the needs and preferences of each resident.

    December 4, 2024 · Complaint · F558 · Corrected January 31, 2025

  3. E

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    December 4, 2024 · Complaint · F584 · Corrected January 31, 2025

  4. D

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

    July 12, 2024 · Standard · F552 · Corrected August 30, 2024

Quality of Life and Care3E
  1. E

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

    July 2, 2026 · Standard · F684 · Corrected August 12, 2026

  2. D

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

    January 23, 2025 · Complaint · F684 · Corrected March 24, 2025

  3. D

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

    July 12, 2024 · Complaint · F689 · Corrected August 30, 2024

Environmental3E
  1. E

    Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.

    July 2, 2026 · Standard · F920 · Corrected August 12, 2026

  2. E

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    December 4, 2024 · Complaint · F919 · Corrected January 31, 2025

  3. E

    Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.

    December 4, 2024 · Complaint · F920 · Corrected January 31, 2025

Resident Assessment and Care Planning3D
  1. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    July 2, 2026 · Standard · F657 · Corrected August 12, 2026

  2. D

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

    July 12, 2024 · Complaint · F658 · Corrected August 30, 2024

  3. D

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

    March 10, 2023 · Standard · F658 · Corrected May 10, 2023

Nutrition and Dietary2E
  1. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    July 2, 2026 · Standard · F812 · Corrected August 12, 2026

  2. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    March 10, 2023 · Standard · F812 · Corrected May 10, 2023

Infection Control2D
  1. D

    Provide and implement an infection prevention and control program.

    July 2, 2026 · Standard · F880 · Corrected August 12, 2026

  2. D

    Provide and implement an infection prevention and control program.

    July 12, 2024 · Standard · F880 · Corrected August 30, 2024

Nursing and Physician Services1D
  1. 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.

    March 10, 2023 · Standard · F727 · Corrected May 10, 2023

Inspection history

  1. 2026-07-02

    9 health deficiencies · 3 fire-safety deficiencies

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

  2. 2024-07-12

    17 health deficiencies · 2 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (8 deficiencies)

  3. 2023-03-10

    4 health deficiencies · 6 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 3 h 35 min of nursing staff time a day, 18 min of it from a registered nurse.

This home

3 h 35 min

Arizona average

4 h 5 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 66% of nursing staff and 40% 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

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 vaccine5.3 pts better100.0%94.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.4 pts better0.9%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 weight4.3 pts better1.1%5.4%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication7 pts worse28.4%21.4%19.5%
Percentage of long-stay residents who received an antipsychotic medication22.7 pts worse33.3%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 worsened9.8 pts better1.9%11.7%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased10.6 pts better0.0%10.6%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better0.0%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 incontinence7.9 pts better12.4%20.3%18.3%
Percentage of long-stay residents with pressure ulcers0.4 pts worse4.7%4.3%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.3 pts better97.9%92.6%82.3%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine7.6 pts better95.5%87.9%80.1%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Providence Group Inc5% Or Greater Direct Ownership Interest · Organization100%32 facilities
Apt, FrederickCorporate Officer · Individual0%258 facilities
Carroll, KeithW-2 Managing Employee · Individual0%2 facilities
Mitchell, JohnCorporate Officer · Individual0%276 facilities

·

Fire safety

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

Smoke6D
  1. D

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

    July 12, 2024 · K321 · Corrected August 30, 2024

  2. D

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

    July 12, 2024 · K355 · Corrected August 30, 2024

  3. D

    Install corridor and hallway doors that block smoke.

    July 12, 2024 · K363 · Corrected August 30, 2024

  4. D

    Install corridor and hallway doors that block smoke.

    March 10, 2023 · K363 · Corrected May 10, 2023

  5. D

    Have approved installation, maintenance and testing program for fire alarm systems.

    February 25, 2022 · K345 · Corrected March 28, 2022

  6. D

    Inspect, test, and maintain automatic sprinkler systems.

    February 25, 2022 · K353 · Corrected March 28, 2022

Gas, Vacuum, and Electrical Systems3D
  1. D

    Ensure proper usage of power strips and extension cords.

    March 10, 2023 · K920 · Corrected May 10, 2023

  2. D

    Ensure proper usage of power strips and extension cords.

    February 25, 2022 · K920 · Corrected March 28, 2022

  3. D

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

    February 25, 2022 · K926 · Corrected March 28, 2022

Services1E
  1. E

    Have properly installed electrical wiring and gas equipment.

    February 25, 2022 · K511 · Corrected March 28, 2022

Emergency Preparedness1D
  1. D

    Establish policies and procedures including evacuation.

    February 25, 2022 · E20 · Corrected March 28, 2022

·

Other homes nearby

  1. The Terraces of Phoenix

    Phoenix, AZ · Humangood

    Worst citation, 3 yrs
    E
    Nursing / resident / day
    4 h 47 min
    Fines
    $0
  2. The Rehabilitation Center At The Palazzo

    Phoenix, AZ · Aspen Skilled Healthcare

    Worst citation, 3 yrs
    E
    Nursing / resident / day
    3 h 53 min
    Fines
    $0
  3. Beatitudes Campus

    Phoenix, AZ

    Worst citation, 3 yrs
    E
    Nursing / resident / day
    3 h 48 min
    Fines
    $0