Cycle 1
Health 2024-10-17 · Fire 2024-10-17
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Phoenix, AZ
Northpark Health And Rehabilitation Of Cascadia
5-star overall rating with 5-star inspections with $3,174 in total fines with 1 recent health deficiencies
2020 North 95th Avenue, Phoenix, AZ
(208) 401-9600
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
54
Certified beds
Average residents
54
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Cascadia Healthcare
Operator or chain grouping
Approved since
2021-03-24
CMS approved date
Coverage
Medicare
Participation flags
Chain footprint
44 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 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
0.84
Registered nurse staffing · state 0.72 · national 0.68
LPN hours / resident day
1.24
Licensed practical nurse staffing · state 1.04 · national 0.87
Aide hours / resident day
2.05
Nurse aide staffing · state 2.36 · national 2.35
Total nurse hours
4.13
All reported nurse hours · state 4.12 · national 3.89
Licensed hours
2.09
RN + LPN hours · state 1.76 · national 1.54
Weekend hours
3.64
Weekend nurse staffing · state 3.62 · national 3.43
Weekend RN hours
0.55
Weekend registered nurse coverage · state 0.51 · national 0.47
Physical therapist
0.12
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.60
CMS adjusted RN staffing hours
Adjusted total hours
2.96
CMS adjusted total nurse staffing hours
Case-mix index
1.91
Higher values indicate more complex resident acuity
RN turnover
73%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
61%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,445
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
44.30
Composite VBP score used to determine payment impact.
Payment multiplier
0.9974
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
10
Baseline 18.08% · Performance 16.97% · Measure score 10 · Achievement 10 · Improvement 9
Healthcare-associated infections
4.19
Baseline 7.11% · Performance 6.58% · Measure score 4.19 · Achievement 4.19 · Improvement 1.99
Total nurse turnover
0.65
Baseline 54.17% · Performance 61.04% · Measure score 0.65 · Achievement 0.65 · Improvement 0
Adjusted total nurse staffing
2.89
Baseline 2.40 hours · Performance 3.55 hours · Measure score 2.89 · Achievement 1.66 · Improvement 2.89
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.25% |
10.72%
1.5 pts worse
|
No Different than the National Rate · Eligible stays 456 · Observed rate 14.04% · Lower 95% interval 9.99% |
| Discharge to community | 66.55% |
50.57%
16 pts better
|
Better than the National Rate · Eligible stays 451 · Observed rate 59.42% · Lower 95% interval 62.05% |
| Medicare spending per beneficiary | 0.97 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 261 · Denominator 261 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 261 |
| Discharge self-care score | 54.26% |
53.69%
0.6 pts better
|
Numerator 102 · Denominator 188 |
| Discharge mobility score | 54.79% |
50.94%
3.9 pts better
|
Numerator 103 · Denominator 188 |
| Pressure ulcers or injuries, new or worsened | 0.38% |
2.29%
1.9 pts better
|
Numerator 1 · Denominator 261 · Adjusted rate 0.49% |
| Healthcare-associated infections requiring hospitalization | 6.58% |
7.12%
0.5 pts better
|
No Different than the National Rate · Eligible stays 264 · Observed rate 6.82% · Lower 95% interval 4.33% |
| Staff COVID-19 vaccination coverage | 50% |
8.2%
41.8 pts better
|
Numerator 12 · Denominator 24 |
| Staff flu vaccination coverage | 11.54% |
42%
30.5 pts worse
|
Numerator 15 · Denominator 130 |
| Discharge function score | 53.72% |
56.45%
2.7 pts worse
|
Numerator 101 · Denominator 188 |
| Transfer of health information to provider | 97.81% |
95.95%
1.9 pts better
|
Numerator 134 · Denominator 137 |
| Transfer of health information to patient | 95.37% |
96.28%
0.9 pts worse
|
Numerator 103 · Denominator 108 |
| Resident COVID-19 vaccinations up to date | 6.52% |
25.2%
18.7 pts worse
|
Numerator 9 · Denominator 138 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.4% |
91.1%
8.3 pts better
|
81.7%
17.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.6% · Q2 99.8% · Q3 99.5% · Q4 99.7% · 4Q avg 99.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.4% |
10.7%
1.3 pts better
|
12.0%
2.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.4% · Observed 9.7% · Expected 11.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.1% |
1.1%
1 pts better
|
1.6%
1.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.4% · 4Q avg 0.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.1% |
87.3%
5.8 pts better
|
79.7%
13.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 93.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.9% |
24.6%
7.7 pts better
|
23.9%
7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.9% · Observed 19.5% · Expected 27.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-10-20 · Fire 2023-10-20
6 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-09-01 · Fire 2022-09-01
7 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2022-09-01
E20 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2022-10-14
D · Potential for more than minimal harm
2022-09-01
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2022-10-14
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-10-17
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-11-26
D · Potential for more than minimal harm
2023-10-20
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 2023-12-28
D · Potential for more than minimal harm
2023-10-20
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-12-28
D · Potential for more than minimal harm
2023-10-20
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-12-14
D · Potential for more than minimal harm
2023-10-20
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 2023-12-14
D · Potential for more than minimal harm
2023-10-20
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 2023-12-14
D · Potential for more than minimal harm
2023-10-20
F882 · Infection Control Deficiencies
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2023-12-14
E · Potential for more than minimal harm
2022-09-01
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-10-10
D · Potential for more than minimal harm
2022-09-01
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2022-10-10
D · Potential for more than minimal harm
2022-09-01
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 2022-10-10
D · Potential for more than minimal harm
2022-09-01
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2022-10-10
D · Potential for more than minimal harm
2022-09-01
F661 · Resident Assessment and Care Planning Deficiencies
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2022-10-10
D · Potential for more than minimal harm
2022-09-01
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2022-10-10
D · Potential for more than minimal harm
2022-09-01
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2022-10-10
Penalties and ownership
What sits behind the stars
$3,174
2023-05-08
Fine
Fine · fine $3,174
Fine
Ownership
Cascadia Healthcare LLC
5% Or Greater Indirect Ownership Interest · Organization
Cascadia Services LLC
Operational/Managerial Control · Organization
Clark, Joshua
Operational/Managerial Control · Individual
Hammond, Owen
Operational/Managerial Control · Individual
Laforte, Stephen
Operational/Managerial Control · Individual
Nelson, Timothy
Operational/Managerial Control · Individual
Patil, Smita
Operational/Managerial Control · Individual
Phoenix 2020 Realty, LLC
5% Or Greater Security Interest · Organization
White Oak Healthcare Finance LLC
5% Or Greater Security Interest · Organization
Nearby options
Other facilities in reach
#1
Diamondback Healthcare Center
Phoenix, AZ
5-star overall rating with 5-star inspections with $5,073 in total fines with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Palm Valley Post Acute
Goodyear, AZ
0-star overall rating with 0-star inspections with Special Focus status with abuse icon flag with $82,607 in total fines with 6 recent health deficiencies
#3
Estrella Health And Rehabilitation Center
Avondale, AZ
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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