5 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Chandler, AZ
5-star overall rating with 4-star inspections with 5 recent health deficiencies
825 South 94th Street, Chandler, AZ
(480) 361-6636
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
70
Certified beds
Average residents
68
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Sante
Operator or chain grouping
Approved since
2011-10-24
CMS approved date
Coverage
Medicare
Participation flags
Chain footprint
5 facilities
Chain averages 4 overall / 4 health / 4 staffing / 5 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
RN hours / resident day
0.57
Registered nurse staffing · state 0.72 · national 0.68
LPN hours / resident day
1.98
Licensed practical nurse staffing · state 1.04 · national 0.87
Aide hours / resident day
2.19
Nurse aide staffing · state 2.36 · national 2.35
Total nurse hours
4.74
All reported nurse hours · state 4.12 · national 3.89
Licensed hours
2.54
RN + LPN hours · state 1.76 · national 1.54
Weekend hours
3.98
Weekend nurse staffing · state 3.62 · national 3.43
Weekend RN hours
0.31
Weekend registered nurse coverage · state 0.51 · national 0.47
Physical therapist
0.25
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.54
CMS adjusted RN staffing hours
Adjusted total hours
4.54
CMS adjusted total nurse staffing hours
Case-mix index
1.43
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Program rank
3,401
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
44.49
Composite VBP score used to determine payment impact.
Payment multiplier
0.9976
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.17
Baseline 18.61% · Performance 20.42% · Measure score 2.17 · Achievement 2.17 · Improvement 0
Healthcare-associated infections
5.61
Baseline 4.93% · Performance 6.16% · Measure score 5.61 · Achievement 5.61 · Improvement 0
Total nurse turnover
6.05
Baseline 28.05% · Performance 38.95% · Measure score 6.05 · Achievement 6.05 · Improvement 0
Adjusted total nurse staffing
3.96
Baseline 4.09 hours · Performance 4.20 hours · Measure score 3.96 · Achievement 3.96 · Improvement 0.18
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.91% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 1125 · Observed rate 9.6% · Lower 95% interval 8.28% |
| Discharge to community | 67.56% |
50.57%
17 pts better
|
Better than the National Rate · Eligible stays 1108 · Observed rate 63.45% · Lower 95% interval 64.1% |
| Medicare spending per beneficiary | 0.94 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 99.72% |
95.27%
4.5 pts better
|
Numerator 713 · Denominator 715 |
| Falls with major injury | 0.42% |
0.77%
0.4 pts better
|
Numerator 3 · Denominator 715 |
| Discharge self-care score | 65.04% |
53.69%
11.4 pts better
|
Numerator 240 · Denominator 369 |
| Discharge mobility score | 60.43% |
50.94%
9.5 pts better
|
Numerator 223 · Denominator 369 |
| Pressure ulcers or injuries, new or worsened | 0.98% |
2.29%
1.3 pts better
|
Numerator 7 · Denominator 715 · Adjusted rate 0.94% |
| Healthcare-associated infections requiring hospitalization | 6.16% |
7.12%
1 pts better
|
No Different than the National Rate · Eligible stays 649 · Observed rate 5.86% · Lower 95% interval 4.7% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 178 |
| Staff flu vaccination coverage | 17.03% |
42%
25 pts worse
|
Numerator 31 · Denominator 182 |
| Discharge function score | 63.14% |
56.45%
6.7 pts better
|
Numerator 233 · Denominator 369 |
| Transfer of health information to provider | 85.06% |
95.95%
10.9 pts worse
|
Numerator 262 · Denominator 308 |
| Transfer of health information to patient | 97.44% |
96.28%
1.2 pts better
|
Numerator 381 · Denominator 391 |
| Resident COVID-19 vaccinations up to date | 10.91% |
25.2%
14.3 pts worse
|
Numerator 42 · Denominator 385 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.0% |
91.1%
5.9 pts better
|
81.7%
15.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.0% · Q2 95.8% · Q3 97.5% · Q4 99.0% · 4Q avg 97.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.5% |
10.7%
1.2 pts better
|
12.0%
2.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.5% · Observed 9.9% · Expected 11.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.3% |
1.1%
0.2 pts worse
|
1.6%
0.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.0% · Q3 1.6% · Q4 1.4% · 4Q avg 1.3% · 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 | 23.6% |
24.6%
1 pts better
|
23.9%
0.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.6% · Observed 24.5% · Expected 24.7% · Used in QM five-star |
Survey summary
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-07-17
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-07-17
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 2024-07-17
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-07-17
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-17
Health
Provide and implement an infection prevention and control program.
Corrected 2022-04-01
Health
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.
Corrected 2022-04-01
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 2022-04-01
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-04-01
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2022-04-01
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
Contracted Managing Employee · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
Corporate Director · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Individual
Nearby options
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