Federal inspection record · CMS data as of October 1, 2026

Sunview Respiratory and Rehabilitation

12207 North 113th Avenue, Youngtown, AZ · (623) 977-6532

  • Cited for abuse (CMS abuse icon)
  • Special Focus Facility

CMS overall rating

2 of 5

Compare with a nearby home →
Certified beds
127
Residents per day
107
Ownership
For-Profit
Chain
The Ensign Group
Medicare / Medicaid
Medicare + Medicaid
Certified since
October 29, 1997

1

How this home got 2 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Arizona.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    2 of 5

    Matches the rating CMS publishes on Care Compare.

This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.

2

Where it sits among Arizona homes

Sunview Respiratory and Rehabilitation carries 150.5 inspection points. That is fewer than 1% of Arizona's 139 rated homes.

5★4★3★2★1★+1 homes above 158.0305102550100inspection points → fewer is better on the leftThis home · 150.5 pts · 1★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Arizona: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–9.5 pts
  • 4★ 9.5–23 pts
  • 3★ 23–38 pts
  • 2★ 38–59 pts
  • 1★ over 59 pts

Bars show every rated home in Arizona by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

18 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 2 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 9 4 pts
E 7 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (2)

  1. J

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    April 3, 2026 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected April 30, 2026

  2. J

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

    April 3, 2026 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F607 · Corrected April 30, 2026

Everything else, by area of care

Resident Rights4E
  1. E

    Allow residents to self-administer drugs if determined clinically appropriate.

    September 18, 2024 · Standard · F554 · Corrected November 3, 2024

  2. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    September 18, 2024 · Standard · F550 · Corrected November 3, 2024

  3. D

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

    November 9, 2023 · Complaint · F623 · Corrected December 17, 2023

  4. D

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    November 9, 2023 · Complaint · F625 · Corrected December 17, 2023

Freedom from Abuse, Neglect, and Exploitation3D
  1. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    April 3, 2026 · Complaint · F609 · Corrected April 30, 2026

  2. D

    Respond appropriately to all alleged violations.

    April 3, 2026 · Complaint · F610 · Corrected April 30, 2026

  3. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    March 31, 2026 · Complaint · F600 · Corrected April 30, 2026

Administration2E
  1. E

    Have a plan that describes the process for conducting QAPI and QAA activities.

    April 3, 2026 · Complaint · F865 · Corrected April 30, 2026

  2. E

    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

    March 7, 2025 · Complaint · F836 · Corrected April 21, 2025

Quality of Life and Care2E
  1. E

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

    September 18, 2024 · Complaint · F684 · Corrected November 3, 2024

  2. D

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

    September 18, 2024 · Complaint · F695 · Corrected November 3, 2024

Nursing and Physician Services1E
  1. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    May 8, 2026 · Standard · F725 · Corrected June 24, 2026

Pharmacy Service1D
  1. D

    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.

    May 8, 2026 · Standard · F761 · Corrected June 24, 2026

Nutrition and Dietary1E
  1. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    September 18, 2024 · Standard · F812 · Corrected November 3, 2024

Infection Control1E
  1. E

    Provide and implement an infection prevention and control program.

    September 18, 2024 · Complaint · F880 · Corrected November 3, 2024

Resident Assessment and Care Planning1D
  1. D

    Ensure each resident receives an accurate assessment.

    August 25, 2023 · Standard · F641 · Corrected October 3, 2023

Inspection history

  1. 2026-05-08

    8 health deficiencies · 0 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)

  2. 2024-09-18

    7 health deficiencies · 2 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

  3. 2023-08-25

    3 health deficiencies · 2 fire-safety deficiencies

    Top issue: Resident Rights (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 4 h 38 min of nursing staff time a day, 44 min of it from a registered nurse.

This home

4 h 38 min

Arizona average

4 h 5 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 45% of nursing staff and 40% of registered nurses left in the past year, along with 1 administrator.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$62,621 in federal fines on record over the past three years.

DatePenaltyAmount
2026-03-31Fine$62,621

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2 pts better98.8%96.8%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.3 pts worse90.4%94.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts better1.9%2.3%3.2%
Percentage of long-stay residents who have depressive symptoms1.8 pts better1.9%3.7%13.5%
Percentage of long-stay residents who lose too much weight2.5 pts worse7.9%5.4%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication16.4 pts worse37.8%21.4%19.5%
Percentage of long-stay residents who received an antipsychotic medication7.5 pts better3.1%10.6%15.4%
Percentage of long-stay residents who were physically restrained3.6 pts worse3.9%0.3%0.1%
Percentage of long-stay residents whose ability to walk independently worsened2.4 pts better9.3%11.7%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased7 pts better3.6%10.6%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same0.7%0.7%0.7%
Percentage of long-stay residents with a urinary tract infection0.8 pts better0.4%1.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.6 pts better17.7%20.3%18.3%
Percentage of long-stay residents with pressure ulcers4.3 pts worse8.6%4.3%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine1.1 pts better93.7%92.6%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit8.2 pts better1.8%10.0%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts worse1.6%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.5 pts better91.4%87.9%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission4 pts worse27.5%23.5%23.4%

·

Who owns and runs it

5 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Albrechtsen, JohnW-2 Managing Employee · Individual0%2 facilities
Albrechtsen, JohnOperational/Managerial Control · Individual0%2 facilities
Burnam, SoonCorporate Officer · Individual0%353 facilities
Christensen, ChristopherCorporate Director · Individual0%8 facilities
Wittekind, BeverlyCorporate Officer · Individual0%5 facilities

·

Fire safety

4 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke2D
  1. D

    Inspect, test, and maintain automatic sprinkler systems.

    September 18, 2024 · K353 · Corrected November 3, 2024

  2. D

    Install corridor and hallway doors that block smoke.

    August 25, 2023 · K363 · Corrected October 16, 2023

Emergency Preparedness1D
  1. D

    Conduct testing and exercise requirements.

    September 18, 2024 · E39 · Corrected October 17, 2024

Egress1D
  1. D

    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.

    August 25, 2023 · K222 · Corrected October 16, 2023

·

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