Cycle 1
Health 2025-08-01 · Fire 2024-08-01
3 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Sun City West, AZ
Sun Health Grandview Care Center
5-star overall rating with 4-star inspections with 3 recent health deficiencies
14505 West Granite Valley Drive, Sun City West, AZ
(623) 975-8100
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
72
Certified beds
Average residents
60
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2006-02-22
CMS approved date
Coverage
Medicare
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
Hours and turnover
RN hours / resident day
0.99
Registered nurse staffing · state 0.72 · national 0.68
LPN hours / resident day
1.39
Licensed practical nurse staffing · state 1.04 · national 0.87
Aide hours / resident day
3.21
Nurse aide staffing · state 2.36 · national 2.35
Total nurse hours
5.59
All reported nurse hours · state 4.12 · national 3.89
Licensed hours
2.38
RN + LPN hours · state 1.76 · national 1.54
Weekend hours
5.22
Weekend nurse staffing · state 3.62 · national 3.43
Weekend RN hours
0.81
Weekend registered nurse coverage · state 0.51 · national 0.47
Physical therapist
0.19
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.93
CMS adjusted RN staffing hours
Adjusted total hours
5.27
CMS adjusted total nurse staffing hours
Case-mix index
1.45
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
42%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
8,325
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
27.11
Composite VBP score used to determine payment impact.
Payment multiplier
0.9844
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 19.38% · Performance 21.57% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
2.41
Baseline 4.93% · Performance 7.11% · Measure score 2.41 · Achievement 2.41 · Improvement 0
Total nurse turnover
3.35
Performance 50.00% · Measure score 3.35 · Achievement 3.35 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
5.09
Baseline 4.19 hours · Performance 4.53 hours · Measure score 5.09 · Achievement 5.09 · Improvement 1.59
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.81% |
10.72%
3.1 pts worse
|
Worse than the National Rate · Eligible stays 395 · Observed rate 14.68% · Lower 95% interval 10.89% |
| Discharge to community | 59.91% |
50.57%
9.3 pts better
|
Better than the National Rate · Eligible stays 365 · Observed rate 56.44% · Lower 95% interval 54.27% |
| Medicare spending per beneficiary | 0.83 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 98.06% |
95.27%
2.8 pts better
|
Numerator 202 · Denominator 206 |
| Falls with major injury | 0.49% |
0.77%
0.3 pts better
|
Numerator 1 · Denominator 206 |
| Discharge self-care score | 62.59% |
53.69%
8.9 pts better
|
Numerator 92 · Denominator 147 |
| Discharge mobility score | 35.37% |
50.94%
15.6 pts worse
|
Numerator 52 · Denominator 147 |
| Pressure ulcers or injuries, new or worsened | 2.91% |
2.29%
0.6 pts worse
|
Numerator 6 · Denominator 206 · Adjusted rate 3.23% |
| Healthcare-associated infections requiring hospitalization | 7.11% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 209 · Observed rate 7.18% · Lower 95% interval 4.82% |
| Staff COVID-19 vaccination coverage | 1.71% |
8.2%
6.5 pts worse
|
Numerator 2 · Denominator 117 |
| Staff flu vaccination coverage | 15.34% |
42%
26.7 pts worse
|
Numerator 25 · Denominator 163 |
| Discharge function score | 57.82% |
56.45%
1.4 pts better
|
Numerator 85 · Denominator 147 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 155 · Denominator 155 |
| Transfer of health information to patient | 92% |
96.28%
4.3 pts worse
|
Numerator 23 · Denominator 25 |
| Resident COVID-19 vaccinations up to date | 31.71% |
25.2%
6.5 pts better
|
Numerator 39 · Denominator 123 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
1.7
0.1 pts worse
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.3 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0 |
1.5
1.5 pts better
|
1.8
1.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0 · Observed 0 · Expected 1.1 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.2% |
97.1%
2.1 pts better
|
93.4%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.6% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
94.6%
5.4 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 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 · 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 who have depressive symptoms | 0.0% |
4.2%
4.2 pts better
|
11.4%
11.4 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 who lose too much weight | 3.2% |
5.3%
2.1 pts better
|
5.4%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.9% |
20.5%
12.6 pts better
|
19.6%
11.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 7.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 0.0% |
11.8%
11.8 pts better
|
16.7%
16.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · 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 | 15.3% |
14.5%
0.8 pts worse
|
16.3%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 15.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.1% |
10.8%
0.3 pts worse
|
14.9%
3.8 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 11.1% · 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 | 0.8% |
1.2%
0.4 pts better
|
1.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.2% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.2% |
20.5%
1.7 pts worse
|
19.8%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.7% · Q2 35.4% · Q3 18.7% · Q4 15.0% · 4Q avg 22.2% |
| Percentage of long-stay residents with pressure ulcers | 1.8% |
4.8%
3 pts better
|
5.1%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 1.7% · Q3 3.1% · Q4 0.0% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.0% |
91.1%
7.9 pts better
|
81.7%
17.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.0% · Q2 99.1% · Q3 99.3% · Q4 98.7% · 4Q avg 99.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.8% |
10.7%
1.1 pts worse
|
12.0%
0.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.8% · Observed 10.6% · Expected 10.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.1% |
1.1%
1 pts better
|
1.6%
1.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.5% · 4Q avg 0.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.2% |
87.3%
10.9 pts better
|
79.7%
18.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.4% |
24.6%
0.8 pts worse
|
23.9%
1.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.4% · Observed 24.1% · Expected 22.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-08-01 · Fire 2023-04-21
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Cycle 3
Health 2023-04-21 · Fire 2022-05-19
5 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2023-04-21
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-07-11
D · Potential for more than minimal harm
2023-04-21
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-07-11
D · Potential for more than minimal harm
2022-05-19
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2022-06-09
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-08-01
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 2025-09-01
D · Potential for more than minimal harm
2025-08-01
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-09-01
D · Potential for more than minimal harm
2025-08-01
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-01
E · Potential for more than minimal harm
2024-08-01
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 2024-08-08
D · Potential for more than minimal harm
2024-08-01
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-08-08
D · Potential for more than minimal harm
2024-08-01
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 2024-08-08
D · Potential for more than minimal harm
2024-05-24
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 2024-07-24
D · Potential for more than minimal harm
2023-10-19
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 2023-12-18
D · Potential for more than minimal harm
2023-09-22
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-11-21
D · Potential for more than minimal harm
2023-07-25
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-08-18
E · Potential for more than minimal harm
2023-04-21
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 2023-07-31
D · Potential for more than minimal harm
2023-04-21
F676 · Quality of Life and Care Deficiencies
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2023-07-31
Penalties and ownership
What sits behind the stars
Ownership
Sun Health Services
5% Or Greater Direct Ownership Interest · Organization
Bojorquez, Kelly
Operational/Managerial Control · Individual
Cavanaugh-Marsh, Mary
Corporate Director · Individual
Forvis Mazars Llp
Operational/Managerial Control · Organization
Gilstrap, Greg
Corporate Director · Individual
Haskell, Cornelius
Corporate Director · Individual
Hoffman, Sintra
Corporate Director · Individual
Keating, Cherie
Operational/Managerial Control · Individual
Kovala, Irene
Corporate Director · Individual
La Rue, Joseph
Operational/Managerial Control · Individual
La Rue, Joseph
Corporate Director · Individual
La Rue, Joseph
Corporate Officer · Individual
Lakshmipathy, Arun
Operational/Managerial Control · Individual
Lancaster, Lewis
Corporate Director · Individual
Marrer, Gary
Corporate Director · Individual
Orcutt, Herman
Corporate Director · Individual
Orlopp, Sharon
Corporate Director · Individual
Reifsteck, Mark
Corporate Director · Individual
Rivera, Rey
Corporate Director · Individual
Runge, Amy
Operational/Managerial Control · Individual
Runge, Amy
Corporate Officer · Individual
Saltmarsh
Operational/Managerial Control · Organization
Solomon, Gerald
Corporate Director · Individual
Sun Health Senior Living LLC
Operational/Managerial Control · Organization
Sun Health Services
Operational/Managerial Control · Organization
Thompson, Kimberley
Operational/Managerial Control · Individual
Thompson, Kimberley
Corporate Officer · Individual
Nearby options
Other facilities in reach
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5-star overall rating with 4-star inspections with 7 recent health deficiencies
#2
Surprise Health And Rehabilitation Center
Surprise, AZ
5-star overall rating with 5-star inspections with 2 recent health deficiencies
#3
Sun West Choice Healthcare & Rehab
Sun City West, AZ
5-star overall rating with 4-star inspections with $4,838 in total fines with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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