8 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Casa Grande, AZ
2-star overall rating with 2-star inspections with abuse icon flag with $13,761 in total fines with 8 recent health deficiencies
161 West Rodeo Road Suite 1, Casa Grande, AZ
(520) 836-1772
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
Beds
134
Certified beds
Average residents
105
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2010-10-04
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.52
Registered nurse staffing · state 0.72 · national 0.68
LPN hours / resident day
0.86
Licensed practical nurse staffing · state 1.04 · national 0.87
Aide hours / resident day
1.84
Nurse aide staffing · state 2.36 · national 2.35
Total nurse hours
3.22
All reported nurse hours · state 4.12 · national 3.89
Licensed hours
1.38
RN + LPN hours · state 1.76 · national 1.54
Weekend hours
2.79
Weekend nurse staffing · state 3.62 · national 3.43
Weekend RN hours
0.35
Weekend registered nurse coverage · state 0.51 · national 0.47
Physical therapist
0.11
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.57
CMS adjusted RN staffing hours
Adjusted total hours
3.56
CMS adjusted total nurse staffing hours
Case-mix index
1.24
Higher values indicate more complex resident acuity
RN turnover
39%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
39%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Program rank
7,241
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
30.30
Composite VBP score used to determine payment impact.
Payment multiplier
0.9859
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 20.67% · Performance 22.96% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
5.38
Baseline 10.17% · Performance 7.13% · Measure score 5.38 · Achievement 2.37 · Improvement 5.38
Total nurse turnover
5.14
Baseline 43.75% · Performance 42.68% · Measure score 5.14 · Achievement 5.14 · Improvement 0.06
Adjusted total nurse staffing
1.61
Baseline 2.87 hours · Performance 3.48 hours · Measure score 1.61 · Achievement 1.42 · Improvement 1.61
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.47% |
10.72%
1.2 pts better
|
No Different than the National Rate · Eligible stays 162 · Observed rate 8.02% · Lower 95% interval 7.17% |
| Discharge to community | 60.38% |
50.57%
9.8 pts better
|
Better than the National Rate · Eligible stays 179 · Observed rate 54.19% · Lower 95% interval 53.37% |
| Medicare spending per beneficiary | 0.98 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 39.69% |
95.27%
55.6 pts worse
|
Numerator 52 · Denominator 131 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 131 |
| Discharge self-care score | 48.65% |
53.69%
5 pts worse
|
Numerator 36 · Denominator 74 |
| Discharge mobility score | 43.24% |
50.94%
7.7 pts worse
|
Numerator 32 · Denominator 74 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 131 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.13% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 98 · Observed rate 7.14% · Lower 95% interval 4.48% |
| Staff COVID-19 vaccination coverage | 27.48% |
8.2%
19.3 pts better
|
Numerator 36 · Denominator 131 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 43.24% |
56.45%
13.2 pts worse
|
Numerator 32 · Denominator 74 |
| Transfer of health information to provider | 62.96% |
95.95%
33 pts worse
|
Numerator 68 · Denominator 108 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 2.82% |
25.2%
22.4 pts worse
|
Numerator 2 · Denominator 71 |
Quality measures
| 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 | 97.4% |
94.6%
2.8 pts better
|
95.5%
1.9 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.7% |
2.1%
1.4 pts better
|
3.3%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.0% · Q3 0.0% · Q4 1.5% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.4% |
4.2%
3.8 pts better
|
11.4%
11 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% |
| Percentage of long-stay residents who lose too much weight | 7.7% |
5.3%
2.4 pts worse
|
5.4%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 6.0% · Q3 7.5% · Q4 12.7% · 4Q avg 7.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.2% |
20.5%
9.3 pts better
|
19.6%
8.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 11.9% · Q3 9.0% · Q4 10.9% · 4Q avg 11.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.3% |
11.8%
4.5 pts better
|
16.7%
9.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 5.7% · Q3 10.3% · Q4 8.2% · 4Q avg 7.3% · 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 | 3.3% |
14.5%
11.2 pts better
|
16.3%
13 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 6.8% · Q3 2.6% · Q4 0.0% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.8% |
10.8%
6 pts better
|
14.9%
10.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 1.6% · Q3 4.7% · Q4 5.0% · 4Q avg 4.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.0% |
0.9%
2.1 pts worse
|
1.0%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 3.2% · Q3 2.6% · Q4 3.7% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.5% |
1.2%
0.3 pts worse
|
1.7%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 0.0% · Q3 1.4% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 8.8% |
20.5%
11.7 pts better
|
19.8%
11 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 5.8% · Q3 6.9% · Q4 10.3% · 4Q avg 8.8% |
| Percentage of long-stay residents with pressure ulcers | 6.3% |
4.8%
1.5 pts worse
|
5.1%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.4% · Q2 6.2% · Q3 1.9% · Q4 5.3% · 4Q avg 6.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.5% |
91.1%
8.4 pts better
|
81.7%
17.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.4% · Q2 99.4% · Q3 99.4% · Q4 99.7% · 4Q avg 99.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.7% |
10.7%
6 pts worse
|
12.0%
4.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.7% · Observed 17.0% · Expected 11.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.4% |
1.1%
0.3 pts worse
|
1.6%
0.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 0.9% · Q3 1.4% · Q4 1.5% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.4% |
87.3%
7.1 pts better
|
79.7%
14.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.5% |
24.6%
3.1 pts better
|
23.9%
2.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.5% · Observed 23.4% · Expected 25.9% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Quality of Life and Care (5 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Quality of Life and Care (6 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-01-23
Inspection history
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-06-30
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-05-01
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-05-01
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-05-01
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-06-24
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-06-03
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-05-17
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-05-17
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-05-17
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-05-17
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-05-17
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2024-05-17
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-17
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-05-30
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-05-30
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-05-30
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-01-23
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-01-23
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-01-23
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-01-23
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-01-23
Health
Respond appropriately to all alleged violations.
Corrected 2023-01-23
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-01-23
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2023-01-23
Health
Assess the resident when there is a significant change in condition
Corrected 2023-01-23
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-01-23
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-01-23
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2023-01-23
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-01-23
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 2023-01-23
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2023-01-23
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-01-23
Health
Provide and implement an infection prevention and control program.
Corrected 2023-01-23
Health
Post nurse staffing information every day.
Corrected 2023-01-23
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2021-08-01
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2021-08-01
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2021-08-01
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2021-08-01
Health
Provide activities to meet all resident's needs.
Corrected 2021-08-01
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2021-08-01
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected 2021-08-01
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2021-08-01
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2021-08-01
Penalties and ownership
Fine · fine $4,587
Fine
Fine · fine $4,587
Fine
Fine · fine $4,587
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Nearby options
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