Mesa, AZ

Springdale Village Post Acute

1-star overall rating with 2-star inspections with 12 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

7255 East Broadway Road, Mesa, AZ

(480) 981-8844

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

122

Certified beds

Average residents

34

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Allegiant Healthcare

Operator or chain grouping

Approved since

1991-04-24

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.67

Registered nurse staffing

LPN hours / resident day

1.10

Licensed practical nurse staffing

Aide hours / resident day

1.92

Nurse aide staffing

Weekend hours

2.83

Weekend nurse staffing

RN turnover

100%

Annual RN turnover

Total nurse turnover

100%

Annual nurse turnover

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
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
Percentage of long-stay residents who have depressive symptoms 4.1%
4.2%
0.1 pts better
11.4%
7.3 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents who received an antianxiety or hypnotic medication 12.7%
20.5%
7.8 pts better
19.6%
6.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 9.3%
11.8%
2.5 pts better
16.7%
7.4 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose need for help with daily activities has increased 13.3%
10.8%
2.5 pts worse
14.9%
1.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 5.7%
0.9%
4.8 pts worse
1.0%
4.7 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 34.2%
20.5%
13.7 pts worse
19.8%
14.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 4.9%
4.8%
0.1 pts worse
5.1%
0.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 79.6%
91.1%
11.5 pts worse
81.7%
2.1 pts worse
Short Stay · 2024Q4-2025Q3
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
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 67.2%
87.3%
20.1 pts worse
79.7%
12.5 pts worse
Short Stay · 2024Q3-2025Q2

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-04-04 · Fire 2024-04-04

12 health deficiencies

Top issue: Resident Assessment and Care Planning (5 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2022-12-15 · Fire 2022-12-15

13 health deficiencies

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

4 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2021-09-30 · Fire 2021-09-30

3 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

4 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2024-04-04

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-19

F · Potential for more than minimal harm 2022-12-15

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-02-08

F · Potential for more than minimal harm 2022-12-15

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-02-08

E · Potential for more than minimal harm 2022-12-15

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-02-08

E · Potential for more than minimal harm 2022-12-15

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-02-08

E · Potential for more than minimal harm 2021-09-30

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2021-10-26

E · Potential for more than minimal harm 2021-09-30

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2021-10-26

E · Potential for more than minimal harm 2021-09-30

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2021-10-26

E · Potential for more than minimal harm 2021-09-30

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2021-10-26

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-04-10

F578 · Resident Rights Deficiencies

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 2025-05-25

D · Potential for more than minimal harm 2025-04-10

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 2025-05-25

D · Potential for more than minimal harm 2025-04-10

F657 · Resident Assessment and Care Planning Deficiencies

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 2025-05-25

D · Potential for more than minimal harm 2025-04-10

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-05-25

D · Potential for more than minimal harm 2025-04-10

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 2025-05-05

D · Potential for more than minimal harm 2025-04-10

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 2025-05-25

D · Potential for more than minimal harm 2025-01-02

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-02-01

D · Potential for more than minimal harm 2024-10-03

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 2024-11-25

E · Potential for more than minimal harm 2024-04-04

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2024-05-19

E · Potential for more than minimal harm 2024-04-04

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-05-19

E · Potential for more than minimal harm 2024-04-04

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2024-05-19

D · Potential for more than minimal harm 2024-04-04

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 2024-05-19

D · Potential for more than minimal harm 2024-04-04

F680 · Quality of Life and Care Deficiencies

Health

Ensure the activities program is directed by a qualified professional.

Corrected 2024-05-19

D · Potential for more than minimal harm 2024-04-04

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2024-05-19

E · Potential for more than minimal harm 2022-12-15

F657 · Resident Assessment and Care Planning Deficiencies

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 2023-01-26

E · Potential for more than minimal harm 2022-12-15

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-01-26

E · Potential for more than minimal harm 2022-12-15

F690 · Quality of Life and Care Deficiencies

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 2023-01-26

E · Potential for more than minimal harm 2022-12-15

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-01-26

E · Potential for more than minimal harm 2022-12-15

F761 · Pharmacy Service Deficiencies

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 2023-01-26

E · Potential for more than minimal harm 2022-12-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-01-26

D · Potential for more than minimal harm 2022-12-15

F584 · Resident Rights Deficiencies

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 2023-01-26

D · Potential for more than minimal harm 2022-12-15

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-01-26

D · Potential for more than minimal harm 2022-12-15

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 2023-01-26

D · Potential for more than minimal harm 2022-12-15

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-01-26

D · Potential for more than minimal harm 2022-12-15

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2023-01-26

E · Potential for more than minimal harm 2021-09-30

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2021-10-26

E · Potential for more than minimal harm 2021-09-30

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 2021-10-26

D · Potential for more than minimal harm 2021-09-30

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2021-10-26

Penalties and ownership

What sits behind the stars

Ownership

Allegiant Holding C LLC

5% Or Greater Direct Ownership Interest · Organization

100% 2 facilities 2017-03-01
Berger, Eliot

5% Or Greater Indirect Ownership Interest · Individual

25% 9 facilities 2017-03-01
Fein, Ariel

5% Or Greater Indirect Ownership Interest · Individual

25% 5 facilities 2017-03-01
Langer, Irving

5% Or Greater Indirect Ownership Interest · Individual

25% 2 facilities 2017-03-01
Weintraub, Jake

5% Or Greater Indirect Ownership Interest · Individual

25% 2 facilities 2017-03-01
Berger, Eliot

Corporate Officer · Individual

0% 9 facilities 2017-03-01
Cibc Bank Usa

5% Or Greater Security Interest · Organization

0% 121 facilities 2017-03-01
Miller, Laura

W-2 Managing Employee · Individual

0% 7 facilities 2017-03-01
Smith, Edmund

W-2 Managing Employee · Individual

0% 2 facilities 2017-03-17
Weintraub, Jake

Corporate Officer · Individual

0% 2 facilities 2017-03-01

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#3

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Overall
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Health
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Staffing
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Fines
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