Payson, AZ

Payson Care Center

3-star overall rating with 2-star inspections with abuse icon flag with 10 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

107 East Lone Pine Drive, Payson, AZ

(928) 474-6896

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

163

Certified beds

Average residents

49

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Life Care Centers Of America

Operator or chain grouping

Approved since

1985-11-25

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

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.61

Registered nurse staffing · state 0.72 · national 0.68

LPN hours / resident day

0.83

Licensed practical nurse staffing · state 1.04 · national 0.87

Aide hours / resident day

1.97

Nurse aide staffing · state 2.36 · national 2.35

Total nurse hours

3.40

All reported nurse hours · state 4.12 · national 3.89

Licensed hours

1.43

RN + LPN hours · state 1.76 · national 1.54

Weekend hours

2.86

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

0.02

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.63

CMS adjusted RN staffing hours

Adjusted total hours

3.55

CMS adjusted total nurse staffing hours

Case-mix index

1.31

Higher values indicate more complex resident acuity

RN turnover

43%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

41%

Annual nurse turnover · state 48% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,350

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

Performance score

33.20

Composite VBP score used to determine payment impact.

Payment multiplier

0.9876

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.89

Baseline 18.78% · Performance 20.09% · Measure score 2.89 · Achievement 2.89 · Improvement 0

Healthcare-associated infections

1.97

Baseline 6.64% · Performance 7.25% · Measure score 1.97 · Achievement 1.97 · Improvement 0

Total nurse turnover

5.68

Baseline 42.86% · Performance 40.48% · Measure score 5.68 · Achievement 5.68 · Improvement 0.82

Adjusted total nurse staffing

2.75

Baseline 3.52 hours · Performance 3.86 hours · Measure score 2.75 · Achievement 2.75 · Improvement 1

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.82%
10.72%
0.9 pts better
No Different than the National Rate · Eligible stays 124 · Observed rate 7.26% · Lower 95% interval 6.94%
Discharge to community 68.26%
50.57%
17.7 pts better
Better than the National Rate · Eligible stays 110 · Observed rate 67.27% · Lower 95% interval 58.4%
Medicare spending per beneficiary 0.75
1.02
0.3 pts better
Drug regimen review with follow-up 98.59%
95.27%
3.3 pts better
Numerator 70 · Denominator 71
Falls with major injury 1.41%
0.77%
0.6 pts worse
Numerator 1 · Denominator 71
Discharge self-care score 79.49%
53.69%
25.8 pts better
Numerator 31 · Denominator 39
Discharge mobility score 79.49%
50.94%
28.5 pts better
Numerator 31 · Denominator 39
Pressure ulcers or injuries, new or worsened 1.41%
2.29%
0.9 pts better
Numerator 1 · Denominator 71 · Adjusted rate 1.89%
Healthcare-associated infections requiring hospitalization 7.25%
7.12%
0.1 pts worse
No Different than the National Rate · Eligible stays 73 · Observed rate 6.85% · Lower 95% interval 3.9%
Staff COVID-19 vaccination coverage 8.62%
8.2%
0.4 pts better
Numerator 5 · Denominator 58
Staff flu vaccination coverage 14.94%
42%
27.1 pts worse
Numerator 13 · Denominator 87
Discharge function score 84.62%
56.45%
28.2 pts better
Numerator 33 · Denominator 39
Transfer of health information to provider 96.15%
95.95%
0.2 pts better
Numerator 25 · Denominator 26
Transfer of health information to patient 88.89%
96.28%
7.4 pts worse
Numerator 32 · Denominator 36
Resident COVID-19 vaccinations up to date 3.33%
25.2%
21.9 pts worse
Numerator 1 · Denominator 30

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 96.7%
94.6%
2.1 pts better
95.5%
1.2 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.7%
Percentage of long-stay residents experiencing one or more falls with major injury 0.9%
2.1%
1.2 pts better
3.3%
2.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.7% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 28.3%
4.2%
24.1 pts worse
11.4%
16.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 66.7% · Q2 40.0% · Q3 8.3% · Q4 6.5% · 4Q avg 28.3%
Percentage of long-stay residents who lose too much weight 2.1%
5.3%
3.2 pts better
5.4%
3.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 0.0% · Q3 4.0% · Q4 0.0% · 4Q avg 2.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 17.3%
20.5%
3.2 pts better
19.6%
2.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 30.4% · Q2 13.0% · Q3 12.0% · Q4 14.8% · 4Q avg 17.3%
Percentage of long-stay residents who received an antipsychotic medication 13.4%
11.8%
1.6 pts worse
16.7%
3.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q3 5.0% · Q4 9.1% · 4Q avg 13.4% · 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 12.9%
14.5%
1.6 pts better
16.3%
3.4 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 12.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 14.7%
10.8%
3.9 pts worse
14.9%
0.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 17.4% · Q2 13.6% · Q3 12.5% · Q4 15.4% · 4Q avg 14.7% · 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 1.8%
1.2%
0.6 pts worse
1.7%
0.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.7% · Q4 3.2% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 20.9%
20.5%
0.4 pts worse
19.8%
1.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 22.9% · Q2 19.9% · Q3 12.2% · Q4 27.1% · 4Q avg 20.9%
Percentage of long-stay residents with pressure ulcers 2.6%
4.8%
2.2 pts better
5.1%
2.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 0.0% · Q3 3.8% · Q4 2.8% · 4Q avg 2.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 94.7%
91.1%
3.6 pts better
81.7%
13 pts better
Short Stay · 2024Q4-2025Q3 · Q1 94.5% · Q2 93.4% · Q3 96.8% · Q4 94.2% · 4Q avg 94.7%
Percentage of short-stay residents who had an outpatient emergency department visit 11.5%
10.7%
0.8 pts worse
12.0%
0.5 pts better
Short Stay · 20240701-20250630 · Adjusted 11.5% · Observed 10.7% · Expected 10.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.7%
1.1%
0.4 pts better
1.6%
0.9 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.6% · Q3 1.4% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 87.7%
87.3%
0.4 pts better
79.7%
8 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 87.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 16.1%
24.6%
8.5 pts better
23.9%
7.8 pts better
Short Stay · 20240701-20250630 · Adjusted 16.1% · Observed 14.3% · Expected 21.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-07 · Fire 2025-03-07

10 health deficiencies

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

8 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2023-04-06 · Fire 2023-04-06

11 health deficiencies

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

6 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2022-01-27 · Fire 2022-01-27

9 health deficiencies

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

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-03-07

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-04-13

E · Potential for more than minimal harm 2025-03-07

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2025-04-13

E · Potential for more than minimal harm 2025-03-07

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-04-13

E · Potential for more than minimal harm 2025-03-07

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-04-13

E · Potential for more than minimal harm 2025-03-07

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-04-13

E · Potential for more than minimal harm 2025-03-07

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-04-13

E · Potential for more than minimal harm 2025-03-07

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-04-13

E · Potential for more than minimal harm 2025-03-07

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-04-13

E · Potential for more than minimal harm 2023-04-06

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-06-09

E · Potential for more than minimal harm 2023-04-06

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-06-09

D · Potential for more than minimal harm 2023-04-06

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-06-09

D · Potential for more than minimal harm 2023-04-06

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-06-09

D · Potential for more than minimal harm 2023-04-06

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-06-09

D · Potential for more than minimal harm 2023-04-06

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-06-09

D · Potential for more than minimal harm 2022-01-27

E20 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures including evacuation.

Corrected 2022-03-09

D · Potential for more than minimal harm 2022-01-27

K325 · Smoke Deficiencies

Fire Safety

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2022-03-09

D · Potential for more than minimal harm 2022-01-27

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-03-09

D · Potential for more than minimal harm 2022-01-27

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-03-09

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-04-17

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-05-13

E · Potential for more than minimal harm 2025-03-07

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2025-04-11

E · Potential for more than minimal harm 2025-03-07

F940 · Administration Deficiencies

Health

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Corrected 2025-04-11

E · Potential for more than minimal harm 2025-03-07

F943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Corrected 2025-04-11

D · Potential for more than minimal harm 2025-03-07

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2025-04-11

D · Potential for more than minimal harm 2025-03-07

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 2025-04-11

D · Potential for more than minimal harm 2025-03-07

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-04-11

D · Potential for more than minimal harm 2025-03-07

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 2025-04-11

D · Potential for more than minimal harm 2025-03-07

F696 · Quality of Life and Care Deficiencies

Health

Provide appropriate care/assistance for a resident with a prosthesis.

Corrected 2025-04-11

D · Potential for more than minimal harm 2025-03-07

F826 · Quality of Life and Care Deficiencies

Health

Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor.

Corrected 2025-04-11

D · Potential for more than minimal harm 2025-01-30

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 2025-03-12

D · Potential for more than minimal harm 2025-01-30

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-03-12

D · Potential for more than minimal harm 2025-01-30

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 2025-03-12

E · Potential for more than minimal harm 2025-01-14

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 2025-03-07

D · Potential for more than minimal harm 2025-01-14

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2025-03-07

D · Potential for more than minimal harm 2025-01-14

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 2025-03-07

D · Potential for more than minimal harm 2025-01-14

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-03-07

D · Potential for more than minimal harm 2025-01-14

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 2025-03-07

E · Potential for more than minimal harm 2023-04-06

F680 · Quality of Life and Care Deficiencies

Health

Ensure the activities program is directed by a qualified professional.

Corrected 2023-06-09

D · Potential for more than minimal harm 2023-04-06

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2023-06-09

D · Potential for more than minimal harm 2023-04-06

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2023-06-09

D · Potential for more than minimal harm 2022-01-27

F552 · Resident Rights Deficiencies

Health

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

Corrected 2022-02-24

D · Potential for more than minimal harm 2022-01-27

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2022-02-24

D · Potential for more than minimal harm 2022-01-27

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2022-02-24

D · Potential for more than minimal harm 2022-01-27

F660 · Resident Assessment and Care Planning Deficiencies

Health

Plan the resident's discharge to meet the resident's goals and needs.

Corrected 2022-02-24

D · Potential for more than minimal harm 2022-01-27

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 2022-02-24

D · Potential for more than minimal harm 2022-01-27

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2022-02-24

D · Potential for more than minimal harm 2022-01-27

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-02-24

D · Potential for more than minimal harm 2022-01-27

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 2022-02-24

B · Minimal harm 2022-01-27

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2022-02-24

Penalties and ownership

What sits behind the stars

Ownership

Preston, Forrest

5% Or Greater Direct Ownership Interest · Individual

99% 188 facilities 1984-11-02
Butner, Nancy

Operational/Managerial Control · Individual

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

Corporate Officer · Individual

0% 181 facilities 1994-04-21
Developers Investment Company Inc

Operational/Managerial Control · Organization

0% 60 facilities 2006-01-01
Fletcher, Todd

Operational/Managerial Control · Individual

0% 141 facilities 2024-12-13
Henry, Terry

Corporate Officer · Individual

0% 140 facilities 1999-08-16
Keenom, Stephanie

Operational/Managerial Control · Individual

0% 1 facilities 2025-03-16
Lay, Lisa

Corporate Officer · Individual

0% 141 facilities 2018-02-09
Life Care Centers Of America, Inc.

Operational/Managerial Control · Organization

0% 194 facilities 1984-11-21
Michels, Alan

Operational/Managerial Control · Individual

0% 1 facilities 2025-01-01
Preston, Aubrey

Operational/Managerial Control · Individual

0% 135 facilities 2024-12-13
Swanker, Richard

Corporate Officer · Individual

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

Corporate Officer · Individual

0% 191 facilities 2000-09-22
Williams, Jermaine

Operational/Managerial Control · Individual

0% 1 facilities 2025-09-22
Ziegler, James

Operational/Managerial Control · Individual

0% 140 facilities 2024-12-13

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