Cycle 1
Health 2024-05-31 · Fire 2024-05-31
5 health deficiencies
Top issue: Infection Control (2 deficiencies)
2 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Phoenix, AZ
The Terraces Of Phoenix
5-star overall rating with 3-star inspections with 5 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
7550 North 16th Street, Phoenix, AZ
(602) 944-4455
Overall
5 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
64
Certified beds
Average residents
46
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Humangood
Operator or chain grouping
Approved since
1967-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
17 facilities
Chain averages 4 overall / 4 health / 5 staffing / 4 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
Hours and turnover
RN hours / resident day
1.22
Registered nurse staffing · state 0.72 · national 0.68
LPN hours / resident day
1.26
Licensed practical nurse staffing · state 1.04 · national 0.87
Aide hours / resident day
2.42
Nurse aide staffing · state 2.36 · national 2.35
Total nurse hours
4.90
All reported nurse hours · state 4.12 · national 3.89
Licensed hours
2.48
RN + LPN hours · state 1.76 · national 1.54
Weekend hours
4.35
Weekend nurse staffing · state 3.62 · national 3.43
Weekend RN hours
0.67
Weekend registered nurse coverage · state 0.51 · national 0.47
Physical therapist
0.15
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
1.29
CMS adjusted RN staffing hours
Adjusted total hours
5.16
CMS adjusted total nurse staffing hours
Case-mix index
1.30
Higher values indicate more complex resident acuity
RN turnover
29%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
25%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
164
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
80.59
Composite VBP score used to determine payment impact.
Payment multiplier
1.0260
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
8.32
Baseline 19.32% · Performance 17.57% · Measure score 8.32 · Achievement 8.32 · Improvement 7.12
Healthcare-associated infections
8.75
Baseline 4.88% · Performance 5.22% · Measure score 8.75 · Achievement 8.75 · Improvement 0
Total nurse turnover
8.32
Baseline 47.69% · Performance 29.69% · Measure score 8.32 · Achievement 8.32 · Improvement 7.38
Adjusted total nurse staffing
6.85
Baseline 5.04 hours · Performance 5.03 hours · Measure score 6.85 · Achievement 6.85 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.23% |
10.72%
1.5 pts better
|
No Different than the National Rate · Eligible stays 336 · Observed rate 5.65% · Lower 95% interval 6.39% |
| Discharge to community | 69.91% |
50.57%
19.3 pts better
|
Better than the National Rate · Eligible stays 315 · Observed rate 72.38% · Lower 95% interval 63.41% |
| Medicare spending per beneficiary | 0.83 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 99.44% |
95.27%
4.2 pts better
|
Numerator 179 · Denominator 180 |
| Falls with major injury | 0.56% |
0.77%
0.2 pts better
|
Numerator 1 · Denominator 180 |
| Discharge self-care score | 62.42% |
53.69%
8.7 pts better
|
Numerator 98 · Denominator 157 |
| Discharge mobility score | 59.87% |
50.94%
8.9 pts better
|
Numerator 94 · Denominator 157 |
| Pressure ulcers or injuries, new or worsened | 1.67% |
2.29%
0.6 pts better
|
Numerator 3 · Denominator 180 · Adjusted rate 2.08% |
| Healthcare-associated infections requiring hospitalization | 5.22% |
7.12%
1.9 pts better
|
No Different than the National Rate · Eligible stays 198 · Observed rate 2.02% · Lower 95% interval 2.69% |
| Staff COVID-19 vaccination coverage | 10.89% |
8.2%
2.7 pts better
|
Numerator 11 · Denominator 101 |
| Staff flu vaccination coverage | 21.78% |
42%
20.2 pts worse
|
Numerator 22 · Denominator 101 |
| Discharge function score | 69.43% |
56.45%
13 pts better
|
Numerator 109 · Denominator 157 |
| Transfer of health information to provider | 96.47% |
95.95%
0.5 pts better
|
Numerator 82 · Denominator 85 |
| Transfer of health information to patient | 97.59% |
96.28%
1.3 pts better
|
Numerator 81 · Denominator 83 |
| Resident COVID-19 vaccinations up to date | 31.03% |
25.2%
5.8 pts better
|
Numerator 27 · Denominator 87 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.5 |
1.7
0.8 pts worse
|
1.9
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 1.4 · Expected 1.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
1.5
0.4 pts better
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 0.7 · Expected 1.1 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.1% |
97.1%
1 pts worse
|
93.4%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 95.0% · 4Q avg 96.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.3% |
94.6%
3.3 pts worse
|
95.5%
4.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 91.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.3% |
2.1%
0.8 pts better
|
3.3%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 0.0% · 4Q avg 1.3% · 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% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 3.4% |
5.3%
1.9 pts better
|
5.4%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 6.9% |
20.5%
13.6 pts better
|
19.6%
12.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 6.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 4.1% |
11.8%
7.7 pts better
|
16.7%
12.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.1% · 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% · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.0% |
10.8%
6.2 pts worse
|
14.9%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 17.0% · 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% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.6% |
1.2%
1.4 pts worse
|
1.7%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.3% |
20.5%
6.8 pts worse
|
19.8%
7.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 27.3% |
| Percentage of long-stay residents with pressure ulcers | 6.0% |
4.8%
1.2 pts worse
|
5.1%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.1% · Q2 5.4% · 4Q avg 6.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.4% |
91.1%
6.3 pts better
|
81.7%
15.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.7% · Q2 99.1% · Q3 98.7% · Q4 94.9% · 4Q avg 97.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.7% |
10.7%
1 pts worse
|
12.0%
0.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.7% · Observed 9.9% · Expected 9.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
1.1%
0.1 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 1.1% · Q3 1.1% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.4% |
87.3%
5.1 pts better
|
79.7%
12.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 92.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.8% |
24.6%
2.8 pts better
|
23.9%
2.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.8% · Observed 15.7% · Expected 17.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-02-02 · Fire 2023-02-02
6 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2022-02-02 · Fire 2022-02-02
2 health deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-05-31
K131 · Construction Deficiencies
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2024-08-14
E · Potential for more than minimal harm
2024-05-31
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-08-14
D · Potential for more than minimal harm
2023-02-02
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 2023-04-24
D · Potential for more than minimal harm
2023-02-02
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-04-24
D · Potential for more than minimal harm
2023-02-02
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-04-24
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-06-13
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 2025-07-21
D · Potential for more than minimal harm
2024-08-10
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 2024-08-22
D · Potential for more than minimal harm
2024-08-10
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-08-22
E · Potential for more than minimal harm
2024-05-31
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-08-14
E · Potential for more than minimal harm
2024-05-31
F882 · Infection Control Deficiencies
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2024-07-02
E · Potential for more than minimal harm
2024-05-31
F947 · Nursing and Physician Services Deficiencies
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2024-08-14
D · Potential for more than minimal harm
2024-05-31
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 2024-08-14
D · Potential for more than minimal harm
2024-05-31
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 2024-08-14
D · Potential for more than minimal harm
2023-06-06
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 2023-07-29
D · Potential for more than minimal harm
2023-06-06
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 2023-07-29
D · Potential for more than minimal harm
2023-02-02
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-05-08
D · Potential for more than minimal harm
2023-02-02
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-05-08
D · Potential for more than minimal harm
2023-02-02
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 2023-05-08
Penalties and ownership
What sits behind the stars
Ownership
Humangood Arizona Inc
5% Or Greater Direct Ownership Interest · Organization
Baker, Judith
Operational/Managerial Control · Individual
Baker, Judith
Corporate Director · Individual
Brown, Herman
Operational/Managerial Control · Individual
Brown, Herman
Corporate Director · Individual
Brown, Herman
Corporate Officer · Individual
Cochrane, John
Operational/Managerial Control · Individual
Cochrane, John
Corporate Officer · Individual
Dahan, David
Operational/Managerial Control · Individual
Dahan, David
Corporate Director · Individual
Decker, David
Operational/Managerial Control · Individual
Decker, David
Corporate Director · Individual
Erickson, Kordell
Operational/Managerial Control · Individual
Ferris, Rand
Operational/Managerial Control · Individual
Ferris, Rand
Corporate Director · Individual
Ghassemi, Bethany
Operational/Managerial Control · Individual
Ghassemi, Bethany
Corporate Officer · Individual
Humangood
5% Or Greater Indirect Ownership Interest · Organization
Humangood Arizona Inc
Operational/Managerial Control · Organization
Humangood Cornerstone
5% Or Greater Indirect Ownership Interest · Organization
Humangood Norcal
Operational/Managerial Control · Organization
Kelley, Albert
Operational/Managerial Control · Individual
Kelley, Albert
Corporate Director · Individual
Kumaravel, Sree Devi
Operational/Managerial Control · Individual
Lopez, Jessica
Operational/Managerial Control · Individual
Mcdonald, Andrew
Operational/Managerial Control · Individual
Mcdonald, Andrew
Corporate Officer · Individual
Norhton, Todd
Operational/Managerial Control · Individual
Ogus, Daniel
Operational/Managerial Control · Individual
Ogus, Daniel
Corporate Officer · Individual
Sanchez, Delia
Operational/Managerial Control · Individual
Soriano, Mariele
Operational/Managerial Control · Individual
Tinker, Bret
Operational/Managerial Control · Individual
Tinker, Bret
Corporate Director · Individual
U.s. Bank
5% Or Greater Security Interest · Organization
Vangelisto, Gwen
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Maryland Gardens Post Acute
Phoenix, AZ
2-star overall rating with 2-star inspections with abuse icon flag with 7 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
North Mountain Medical And Rehabilitation Center
Phoenix, AZ
5-star overall rating with 5-star inspections with 1 recent health deficiencies
#3
Camelback Post Acute Care And Rehabilitation
Phoenix, AZ
4-star overall rating with 3-star inspections with 9 recent health deficiencies
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