4 health deficiencies
Top issue: Resident Rights (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Mesa, AZ
5-star overall rating with 4-star inspections with $3,146 in total fines with 4 recent health deficiencies
5358 East Baseline Road, Mesa, AZ
(480) 699-9624
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
70
Certified beds
Average residents
66
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Sante
Operator or chain grouping
Approved since
2011-06-14
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
1.01
Registered nurse staffing · state 0.72 · national 0.68
LPN hours / resident day
1.60
Licensed practical nurse staffing · state 1.04 · national 0.87
Aide hours / resident day
2.83
Nurse aide staffing · state 2.36 · national 2.35
Total nurse hours
5.44
All reported nurse hours · state 4.12 · national 3.89
Licensed hours
2.61
RN + LPN hours · state 1.76 · national 1.54
Weekend hours
4.58
Weekend nurse staffing · state 3.62 · national 3.43
Weekend RN hours
0.94
Weekend registered nurse coverage · state 0.51 · national 0.47
Physical therapist
0.28
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.89
CMS adjusted RN staffing hours
Adjusted total hours
4.77
CMS adjusted total nurse staffing hours
Case-mix index
1.56
Higher values indicate more complex resident acuity
RN turnover
41%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
37%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Program rank
7,108
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
30.72
Composite VBP score used to determine payment impact.
Payment multiplier
0.9861
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.25
Baseline 19.64% · Performance 19.93% · Measure score 3.25 · Achievement 3.25 · Improvement 0
Healthcare-associated infections
2.14
Baseline 6.82% · Performance 7.20% · Measure score 2.14 · Achievement 2.14 · Improvement 0
Total nurse turnover
3.35
Baseline 62.74% · Performance 50.00% · Measure score 3.35 · Achievement 3.35 · Improvement 2.86
Adjusted total nurse staffing
3.56
Baseline 4.21 hours · Performance 4.09 hours · Measure score 3.56 · Achievement 3.56 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.47% |
10.72%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 628 · Observed rate 10.99% · Lower 95% interval 9.74% |
| Discharge to community | 69.25% |
50.57%
18.7 pts better
|
Better than the National Rate · Eligible stays 591 · Observed rate 66.5% · Lower 95% interval 65.31% |
| Medicare spending per beneficiary | 0.98 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 95.91% |
95.27%
0.6 pts better
|
Numerator 375 · Denominator 391 |
| Falls with major injury | 0.51% |
0.77%
0.3 pts better
|
Numerator 2 · Denominator 391 |
| Discharge self-care score | 58.59% |
53.69%
4.9 pts better
|
Numerator 150 · Denominator 256 |
| Discharge mobility score | 57.42% |
50.94%
6.5 pts better
|
Numerator 147 · Denominator 256 |
| Pressure ulcers or injuries, new or worsened | 1.02% |
2.29%
1.3 pts better
|
Numerator 4 · Denominator 391 · Adjusted rate 1.09% |
| Healthcare-associated infections requiring hospitalization | 7.2% |
7.12%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 331 · Observed rate 7.25% · Lower 95% interval 4.77% |
| Staff COVID-19 vaccination coverage | 9.26% |
8.2%
1.1 pts better
|
Numerator 15 · Denominator 162 |
| Staff flu vaccination coverage | 76.69% |
42%
34.7 pts better
|
Numerator 125 · Denominator 163 |
| Discharge function score | 62.11% |
56.45%
5.7 pts better
|
Numerator 159 · Denominator 256 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 355 · Denominator 355 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 15.35% |
25.2%
9.8 pts worse
|
Numerator 31 · Denominator 202 |
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 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
2.1%
2.1 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who lose too much weight | 0.0% |
5.3%
5.3 pts better
|
5.4%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 33.3% |
20.5%
12.8 pts worse
|
19.6%
13.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 33.3% |
| 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 · 4Q avg 0.0% |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.2%
1.2 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with pressure ulcers | 0.0% |
4.8%
4.8 pts better
|
5.1%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.2% |
91.1%
8.1 pts better
|
81.7%
17.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.1% · Q2 99.2% · Q3 99.4% · Q4 99.0% · 4Q avg 99.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.6% |
10.7%
0.9 pts worse
|
12.0%
0.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.6% · Observed 11.3% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.4% |
1.1%
0.7 pts better
|
1.6%
1.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.3% · Q2 0.0% · Q3 0.3% · Q4 0.9% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.8% |
87.3%
7.5 pts better
|
79.7%
15.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.2% |
24.6%
1.4 pts better
|
23.9%
0.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.2% · Observed 21.6% · Expected 22.2% · Used in QM five-star |
Survey summary
Top issue: Resident Rights (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Resident Rights (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Health
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Corrected 2025-08-16
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-10-19
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2024-10-19
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-10-19
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-05-24
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-04-15
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2022-12-16
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2022-12-16
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2022-12-16
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-12-16
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-12-16
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2021-12-08
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2021-12-08
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2021-12-08
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2021-12-08
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2021-12-08
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2021-12-08
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2021-12-08
Health
Provide and implement an infection prevention and control program.
Corrected 2021-12-08
Penalties and ownership
Fine · fine $3,146
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
Mesa, AZ
5-star overall rating with 4-star inspections with 4 recent health deficiencies
Mesa, AZ
3-star overall rating with 2-star inspections with abuse icon flag with $6,510 in total fines with 8 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
Mesa, AZ
4-star overall rating with 3-star inspections with $8,278 in total fines with 9 recent health deficiencies
Jump out