3 health deficiencies
Top issue: Resident Rights (2 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Gilbert, AZ
5-star overall rating with 5-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
3744 South Rome Street, Gilbert, AZ
(480) 224-9500
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
96
Certified beds
Average residents
58
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Veritas Management Group
Operator or chain grouping
Approved since
2016-11-29
CMS approved date
Coverage
Medicare
Participation flags
Chain footprint
15 facilities
Chain averages 4 overall / 4 health / 3 staffing / 5 quality stars
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
RN hours / resident day
0.70
Registered nurse staffing · state 0.72 · national 0.68
LPN hours / resident day
1.95
Licensed practical nurse staffing · state 1.04 · national 0.87
Aide hours / resident day
2.26
Nurse aide staffing · state 2.36 · national 2.35
Total nurse hours
4.91
All reported nurse hours · state 4.12 · national 3.89
Licensed hours
2.65
RN + LPN hours · state 1.76 · national 1.54
Weekend hours
4.21
Weekend nurse staffing · state 3.62 · national 3.43
Weekend RN hours
0.56
Weekend registered nurse coverage · state 0.51 · national 0.47
Physical therapist
0.14
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.51
CMS adjusted RN staffing hours
Adjusted total hours
3.60
CMS adjusted total nurse staffing hours
Case-mix index
1.86
Higher values indicate more complex resident acuity
RN turnover
13%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
43%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Program rank
1,151
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
59.43
Composite VBP score used to determine payment impact.
Payment multiplier
1.0146
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
10
Baseline 18.03% · Performance 15.99% · Measure score 10 · Achievement 10 · Improvement 9
Healthcare-associated infections
8.51
Baseline 5.21% · Performance 5.29% · Measure score 8.51 · Achievement 8.51 · Improvement 0
Total nurse turnover
3.90
Baseline 56.60% · Performance 47.73% · Measure score 3.90 · Achievement 3.90 · Improvement 2.30
Adjusted total nurse staffing
1.36
Baseline 4.06 hours · Performance 3.46 hours · Measure score 1.36 · Achievement 1.36 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.58% |
10.72%
1.1 pts better
|
No Different than the National Rate · Eligible stays 1374 · Observed rate 8.95% · Lower 95% interval 7.98% |
| Discharge to community | 72.73% |
50.57%
22.2 pts better
|
Better than the National Rate · Eligible stays 1340 · Observed rate 70.22% · Lower 95% interval 70.07% |
| Medicare spending per beneficiary | 1.08 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 99.37% |
95.27%
4.1 pts better
|
Numerator 950 · Denominator 956 |
| Falls with major injury | 0.31% |
0.77%
0.5 pts better
|
Numerator 3 · Denominator 956 |
| Discharge self-care score | 56.24% |
53.69%
2.6 pts better
|
Numerator 401 · Denominator 713 |
| Discharge mobility score | 55.12% |
50.94%
4.2 pts better
|
Numerator 393 · Denominator 713 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 956 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 5.29% |
7.12%
1.8 pts better
|
Better than the National Rate · Eligible stays 850 · Observed rate 4.59% · Lower 95% interval 3.83% |
| Staff COVID-19 vaccination coverage | 3.74% |
8.2%
4.5 pts worse
|
Numerator 4 · Denominator 107 |
| Staff flu vaccination coverage | 65.67% |
42%
23.7 pts better
|
Numerator 132 · Denominator 201 |
| Discharge function score | 61.01% |
56.45%
4.6 pts better
|
Numerator 435 · Denominator 713 |
| Transfer of health information to provider | 99.1% |
95.95%
3.1 pts better
|
Numerator 878 · Denominator 886 |
| Transfer of health information to patient | 97.96% |
96.28%
1.7 pts better
|
Numerator 48 · Denominator 49 |
| Resident COVID-19 vaccinations up to date | 12.04% |
25.2%
13.2 pts worse
|
Numerator 65 · Denominator 540 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.8% |
91.1%
7.7 pts better
|
81.7%
17.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.6% · Q2 99.1% · Q3 98.8% · Q4 98.5% · 4Q avg 98.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.5% |
10.7%
4.2 pts better
|
12.0%
5.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.5% · Observed 6.6% · Expected 11.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.1%
1.1 pts better
|
1.6%
1.6 pts better
|
Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 90.6% |
87.3%
3.3 pts better
|
79.7%
10.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 90.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.1% |
24.6%
2.5 pts better
|
23.9%
1.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.1% · Observed 22.8% · Expected 24.5% · Used in QM five-star |
Survey summary
Top issue: Resident Rights (2 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
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 2024-01-08
Inspection history
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-05-12
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 2024-02-08
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-01-11
Health
Post nurse staffing information every day.
Corrected 2021-07-16
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2021-07-16
Health
Provide and implement an infection prevention and control program.
Corrected 2021-07-16
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Corporate Officer · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
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