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

North Mountain Medical And Rehabilitation Center

9155 North Third Street, Phoenix, AZ · (602) 944-1666

  • CMS high-performer trophy

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
164
Residents per day
158
Ownership
For-Profit
Chain
The Ensign Group
Medicare / Medicaid
Medicare + Medicaid
Certified since
November 2, 1983

1

How this home got 5 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

    no change (already 5)

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Arizona homes

North Mountain Medical And Rehabilitation Center carries 10 inspection points. That is fewer than 89% of Arizona's 139 rated homes.

5★4★3★2★1★+5 homes above 105.7505102550100inspection points → fewer is better on the leftThis home · 10 pts · 5★

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

4 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 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 2 4 pts
E 2 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

Infection Control1E
  1. E

    Provide and implement an infection prevention and control program.

    November 25, 2025 · Complaint · F880 · Corrected January 9, 2026

Pharmacy Service1D
  1. D

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

    November 25, 2025 · Standard · F757 · Corrected January 9, 2026

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

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

    December 2, 2024 · Complaint · F600 · Corrected January 16, 2025

Nursing and Physician Services1E
  1. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    July 14, 2022 · Standard · F725 · Corrected August 31, 2022

Inspection history

  1. 2025-11-25

    2 health deficiencies · 0 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

  2. 2023-09-01

    1 health deficiencies · 0 fire-safety deficiencies

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

  3. 2022-07-14

    1 health deficiencies · 3 fire-safety deficiencies

    Top issue: Nursing and Physician Services (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 6 h 3 min of nursing staff time a day, 1 h 25 min of it from a registered nurse.

This home

6 h 3 min

Arizona average

4 h 5 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 39% of nursing staff and 46% 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.
Number of hospitalizations per 1000 long-stay resident days0.2 pts better1.31.51.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts better0.71.21.7
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 vaccine0.4 pts worse94.3%94.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.7 pts better0.6%2.3%3.2%
Percentage of long-stay residents who have depressive symptoms3.5 pts better0.2%3.7%13.5%
Percentage of long-stay residents who lose too much weight10.7 pts worse16.1%5.4%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication23.8 pts worse45.2%21.4%19.5%
Percentage of long-stay residents who received an antipsychotic medication0.4 pts better10.2%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 worsened4 pts better7.7%11.7%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased7.7 pts better2.9%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 infection0.2 pts better1.0%1.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.2 pts worse28.5%20.3%18.3%
Percentage of long-stay residents with pressure ulcers4.2 pts worse8.5%4.3%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7 pts better99.6%92.6%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit3.8 pts better6.2%10.0%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.7 pts better0.4%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine7.1 pts better95.0%87.9%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission0.5 pts worse24.0%23.5%23.4%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Bandera Healthcare LLCDirect Ownership Interest · Organization0%7 facilities
Burnam, SoonCorporate Officer · Individual0%353 facilities
Caretrust Gp LLCAdp Of The SNF · Organization0%95 facilities
Caretrust Reit IncAdp Of The SNF · Organization0%102 facilities
Ctr Partnership LPAdp Of The SNF · Organization0%104 facilities
Ensign Services IncAdp Of The SNF · Organization0%299 facilities
Gandhi, HemangManaging Control - Governing Body · Individual0%2 facilities
Gandhi, HemangOperational/Managerial Control · Individual0%2 facilities
Gandhi, HemangAdp Of The SNF · Individual0%2 facilities
Keetch, ChadCorporate Officer · Individual0%301 facilities
Peterson, ForrestCorporate Officer · Individual0%42 facilities
Port, BarryIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%203 facilities
Postl, JasonManaging Control - Governing Body · Individual0%1 facilities
Postl, JasonOperational/Managerial Control · Individual0%1 facilities
Postl, JasonAdp Of The SNF · Individual0%1 facilities
The Ensign Group IncIndirect Ownership Interest · Organization0%135 facilities
Valley Health Holdings LLCAdp Of The SNF · Organization0%1 facilities

·

Fire safety

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

Smoke2D
  1. D

    Install corridor and hallway doors that block smoke.

    February 7, 2020 · K363 · Corrected March 6, 2020

  2. D

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

    February 7, 2020 · K372 · Corrected March 6, 2020

Gas, Vacuum, and Electrical Systems1D
  1. D

    Ensure proper usage of power strips and extension cords.

    February 7, 2020 · K920 · Corrected March 6, 2020

·

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