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Aspire Transitional Care

1521 North Pine Cliff Drive, Flagstaff, AZ 86001 · Non profit - Corporation · 50 certified beds · (928) 440-2350 Medicare only — no Medicaid

Call the home — (928) 440-2350 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0609) — cited Aug 2025Behavioral-health or dementia-care citation — no harm found (F0758)
Insights

This home’s record is mixed — some reassuring signs, some worth asking about.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • a high number of inspection citations overall (19) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure score sits well above its independent inspection score

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 5 of 5

Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
1485 N Turquoise Dr · (928) 226-2900 · Call to confirm hours
Pharmacy
77 W Forest Ave Ste 104 · (928) 773-2565 · Call to confirm hours
Grocery
1000 N Humphreys St · (928) 774-2101 · Call to confirm hours
Park
1650 N Turquoise Dr · Typically dawn to dusk
Place of worship
951 N Switzer Canyon Dr · (928) 774-3679

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 5 of 5
Short-stay residentsrehab / post-hospital 5 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 3 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Short-stay residents who newly got an antipsychotic medication0.7%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine91.2%87.3%79.4%better
Short-stay residents rehospitalized after admission26.4%23.7%22.6%worse
Short-stay residents with an outpatient ER visit12.5%10.4%12.0%typical

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

66.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 500 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

66.0%U.S. median 51.5%
Got home and stayed home
7.7%U.S. median 10.7%
Went back to hospital
72.7%U.S. median 56.6%
Met the expected recovery
0.84U.S. median 0.31
Therapy hours / resident / day
0.48hours / resident / day
Physical therapy
0.30hours / resident / day
Occupational therapy
0.06hours / resident / day
Speech therapy

Met the expected recovery: 72.7% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 253 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.84 therapist hours per resident per day in 2026Q1 — more than 95% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 13% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF66.0%CMS range 61.5–70.151.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF7.7%CMS range 5.3–10.210.7%Oct 2022–Sep 2024better than U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge72.7%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge76.7%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge64.8%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified99.7%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge97.4%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.9%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.3%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.0%CMS range 4.6–10.27.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.961.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

1.66
RN hours/ resident / day
0.43
LPN hours/ resident / day
2.07
Aide hours/ resident / day
4.16
Total nurse hours/ resident / day
1.20
RN hoursweekends
47.8%
Total nursing turnover
40.0%
RN turnover

How full it usually is: this home is certified for 50 beds and averages 42.4 residents a day — about 85% occupied, or roughly 8 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.16 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.66 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.07 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.74 hrs/resident/day on weekends vs 4.33 on weekdays — 14% thinner on weekends. RN hours go from 1.85 to 1.20 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 48% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

1
deficiencies at the latest standard inspection (2025-08-21)
10
at the previous standard inspection (2024-08-22)

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

19 citations, most serious first. The 10 most serious are shown; the remaining 9 are one tap away and print in full.

  • Potential for harm · Ecited before2025-08-21 · tag F0609 — failed to report abuse allegations — pattern
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility failed to ensure that an allegation of resident abuse was reported to all applicable agencies for 3 out of 4 residents. Based on clinical record review, facility documentation, staff interviews, and policy review, the facility failed to ensure an allegation of resident abuse was reported to all applicable state agencies for 3 out of 4 residents (#57, #58, and #59). The deficient practice could result in further allegations of abuse not being reported and investigated by the appropriate state agencies. Findings include:-Regarding Resident # 57Resident # 57 was admitted to the facility on [DATE], with diagnoses of surgery aftercare for genitourinary system, urinary tract infection, sepsis, Parkinson's, and dementia. A comprehensive care plan dated February 27, 2024, revealed that Resident # 57 required assistance with activities of daily livings (ADL) due to weakness. The care plan also revealed that Resident # 57 had a potential for alteration in comfort related to decrease ability to move and recent…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-08-21 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and policy review, the facility failed to ensure proper infection control practices were implemented during wound care for one of one sampled residents (Resident #62). The deficient practice could result in the transmission of infection.Findings Include:Resident #62 was admitted to the facility on [DATE], with diagnoses that included infection and inflammatory reaction due to internal fixation device of the right tibia, bacteremia, end-stage renal disease, and Type 2 diabetes mellitus.During the initial pool screening on August 19, 2025, Resident #62 revealed he had a wound to his right lower extremity. He stated that nurses change the dressing every day.A provider order written on August 4, 2025, instructed staff to clean the wound to the right lower extremity with normal saline (NS), cover with xeroform, wrap with rolled gauze, and cover with an ACE wrap, every day.An additional provider order, written on August 2, 2025, instructed staff to wear personal protective equipment…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-08-07 · tag F0609 — failed to report abuse allegations — pattern
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, facility documentation, staff interviews, and policy review, the facility failed to ensure an allegation of resident abuse was reported to all applicable state agencies for 3 out of 3 residents (#3, #7, and #5). The deficient practice could result in further allegations of abuse not being reported and investigated by the appropriate state agencies. Findings include:-Regarding Resident # 3Resident # 3 was admitted to the facility on [DATE], with diagnoses of cellulitis, streptococcal infection, and depression. A comprehensive care plan dated June 27, 2023, revealed that Resident # 3 had alteration in skin integrity related to cellulitis. A progress note dated June 27, 2023 at 4:30 p.m., revealed that Resident # 3 was upset with the wound nurse because the nurse seemed inexperienced and lacked wound care experience. Resident # 3 stated to staff that wound nurse intentionally shoved trauma scissors right into the wound causing an indentation.Review of the initial State Agency Report…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-08-22 · tag F0678 — failed to provide CPR when needed — pattern
    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on personnel file review, staff interviews, facility policy review, the facility failed to ensure that two of ten sampled staff (Staff # 19 and #49) had current Cardio Pulmonary Resuscitation (CPR) certification. The deficient practice could result in staff not knowledgeable of how to provide emergency care to residents. Findings include: Review of the personnel file records for a Licensed Practical Nurse (LPN/ Staff #49) revealed a hire date of [DATE] with a valid CPR certification issued on [DATE], however, the CPR expired on [DATE]. Further review revealed no evidence of current CPR certification. Review of the personnel file for a Certified Nurse Assistance (CNA/Staff #19), revealed a hire date of [DATE] with valid CPR certification issued on February 18, 2022, however, CPR certification expired on February 28, 2024. Further review revealed no evidence of current CPR certification. Review of staff #49 punch detail revealed that the Staff #49 worked as LPN at this facility after CPR certification had…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-08-22 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observations, staff and resident interviews, and policy review, the facility failed to ensure that the environment remained free from accident hazards for 3 residents (#281, #26, and #482). The deficient practice could result in potential harm to residents due to unsupervised access to sharps. Findings include: - Regarding Resident #281 Resident #281 was admitted on [DATE]. Record review of the medical diagnoses for resident #281 revealed type two diabetes mellitus accompanied by unspecified dementia and a need for assistance with personal care. Review of the admission MDS (Minimum Data Set) assessment dated [DATE] revealed that resident #281 had a BIMS score of 08 that indicated moderate cognitive impairment. Within the same MDS assessment it was documented that resident #281 was able to utilize a walker and wheelchair to mobilize. On August 19, 2024 at 2:08 p.m, an observation of the resident environment revealed a blood glucometer and an opened container of lancets on a table in the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-08-22 · tag F0698 — failed to provide proper dialysis care — pattern
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, and review of clinical records and policy the facility failed to ensure dialysis care and services, including nutrition, assessments, or coordination of care, were appropriately followed for 3 Residents (#15, #10, and #234). The deficient practice may result in complications of care and services to residents receiving dialysis. Findings include: -Regarding Resident # 15 Resident # 15 was admitted into the facility on August 01, 2024 with diagnoses that included dependence on renal dialysis, implants and grafts, and end stage renal disease. A review of the admission MDS (minimum data set) assessment dated [DATE] revealed a BIMS (brief interview of mental status) score of 8, which indicated the resident was moderately cognitively impaired. The care-plan initiated on August 06, 2024 revealed that Resident # 15 needs dialysis (hemo) related to renal failure. The goal was for resident to have no signs or symptoms through the review date. Interventions included to not draw…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-08-22 · tag F0761 — failed to label and store drugs safely — pattern
    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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, and policy review, the facility failed to ensure that medications and controlled substances were kept locked. The deficient practice could result in residents, staff, and visitors having access to medications. Findings include: An observation of a medication cart on Hall A was conducted on August 19, 2024 at 11:58 AM. The medication cart was unlocked and unattended outside of room [ROOM NUMBER]. An observation of a treatment cart on Hall A was conducted on August 21, 2024 at 10:30 AM. The treatment cart was unlocked in the 140 ' s hall. An interview was conducted with a Registered Nurse (RN/staff #36) on August 19, 2024 at 12:11 PM, and confirmed that the medication cart was left unlocked. The RN stated that medication carts are secured and keys are passed between staff each shift, and when leaving the unit. He further stated that the risk of leaving the cart unlocked could result in patients or visitors accessing the medication. An interview was conducted with an RN…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-08-22 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, staff interviews, resident interviews, and policy review, the facility failed to ensure that food was stored under sanitary conditions that maintained freshness in the kitchen fridge and nourishment refrigerator. The deficient practice could result in potential foodborne illness. Findings include: An observation was conducted on August 19, 2024 at 10:44 a.m. of the walk-in fridge during the initial kitchen tour which revealed the Dining Services Director (staff#68) attempted to discard macaroni and cheese labeled with a discard date of 8/6 - 8/12, cheese sauce labeled with a discard date of 8/9 - 8/16, turkey gravy with a discard date of 8/13 - 8/19, and bread stuffing without a label or discard date. Moreover, a bowl of unlabeled cooked potatoes without a discard date was observed on the fridge shelf. A follow-up observation was conducted on August 19, 2024 at 11:05 a.m. which revealed a gallon of cow's milk labeled August 18 2024 and another labeled August 15 2024. On August 19, 2024 at 11:29 a.m., an observation by surveyor #51124 revealed a wait…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-08-22 · tag F0842 — failed to keep accurate, complete medical records — pattern
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, staff interviews, facility documentation, and facility policy, the facility failed to ensure that clinical records accurately reflected care and services provided to two out of two sampled residents (#281 and #19), regarding fluid restriction, care interventions, and the use of an air mattress. The deficient practice has the potential for clinical records to inaccurately and incompletely reflect the status of residents and alter the actual care that is provided. Findings Include: - Regarding Resident #281 regarding fluid restriction: Resident #281 was admitted to the facility on [DATE] with diagnoses that included unspecified injury of head, dementia, unsteadiness on feet, repeated falls, syndrome of inappropriate secretion of antidiuretic hormone, and hypo-osmolality and hyponatremia. Review of the care plan initiated on August 04, 2024, revealed that Resident #234 had potential for alteration in nutrition needs related to conditions associated with confusion, dementia, and…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-08-22 · tag F0622 — isolated
    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on closed record review, staff interviews, and policy review the facility failed to ensure that proper documentation was provided to responsible parties and the receiving facility(short-term general hospital) for 1 of 2 sampled residents (#29) and one of two sampled residents ( #29) received proper notice of discharge. The deficient practice could lead to notifications of resident transfer/discharge not being made to all required parties. Findings include: Resident #29 was initially admitted on [DATE], with a diagnosis that included unspecified fracture of left foot, subsequent encounter for fracture with routine healing. An admission Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMs) assessment score of 15 identifying no cognitive impairment. A discharge MDS dated [DATE], revealed a discharge code 04 indicating that Resident #29 was discharged on August 1, 2024 to a short-term general hospital (acute hospital, inpatient prospective payment system (IPPS)).…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
Show the remaining 9 citations
  • Potential for harm · D2024-08-22 · tag F0655 — isolated
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, interviews, and facility policy review, the facility failed to ensure one of one sampled resident (#19) had a baseline care plan and/or comprehensive care plan to address the resident's immediate needs within 48 hours of admission regarding his weightbearing status and proper use of orthotic. The deficient practice could result in a resident not receiving the necessary care, services, or assistance, leading to harm. Findings include: Resident #19 was admitted into the facility on July 07, 2024, with diagnoses that included a history of left proximal tibia fracture, diabetes mellitus, hypertension, and acute anemia. A review of the admission MDS (minimum data set) assessment dated [DATE] for Resident #19 revealed a BIMS (brief interview of mental status) score of 12, which indicated the resident was moderately cognitively impaired. Upon review of the physical therapy initial evaluation dated July 08, 2024, under the section labeled Precautions, it was documented for Resident…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-08-22 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Finding Include: Resident #432 was admitted on [DATE] with Alzheimer's Disease, Dementia, Unspecified Severity with Anxiety, Acute Respiratory Failure with Hypoxia, Hypertensive Chronic Kidney Disease with stage 1 through 4 Chronic Kidney Disease, Unspecified Protein-Calorie Malnutrition, and Chronic Kidney Disease, Stage 3 Unspecified. Review of Nurse's note on 08/08/2024 revealed that the nurse was notified that resident #432 had tripped and fallen in her room, due to her long oxygen tubing that became trapped around the resident's wheelchair. The nurse's note also revealed that she was notified by the Certified Nursing Assistant (CNA) that housekeeping helped the patient off the floor into her wheelchair on 08/08/24 at 2:35PM. The admission Minimum Data Set (MDS) assessments was performed on 08/9/24 revealed a Brief Interview for Mental Status (BIMS) score of 15 signifying the resident had no cognitive impairment. MDS revealed the resident does not have Potential indicators of psychosis: Hallucinations,…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-08-22 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on the clinical review, interviews, facility documentation and policy review, the facility failed to maintain Enchanced -Based Precautions (EBP) for 2 of 5 sampled residents (#430, #234).The deficient practice could result in spread of infection. Findings Include: - Regarding Resident #430: Resident #430 was admitted on [DATE] with diagnosis Type 2 diabetes mellitus, atherosclerotic heart, necrotizing fasciitis, chronic respiratory failure with hypoxia, acute on chronic systolic (congestive) heart failure, hypokalemia, hypomagnesemia and klebsiella pneumoniae. Physician orders included to wear PPE (Personal Protective Equipment) for Enhanced Barrier Precaution (EBP) and to use EBP sign as refers for direct care. The order also included that staff would need to wear non-sterile gown, gloves, every shift for wound care. The Progress notes for resident #430 revealed resident had first degree Av block & history of ESBL E coli infection. During an observation conducted on August 19, 2024 11:23 AM an EBP sign…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-08-18 · tag F0757 — failed to avoid unnecessary drugs — pattern
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, staff interviews, observation, facility documentation, review of policies and procedures, the facility failed to ensure residents did not receive unnecessary medications including antibiotics with no indication of use for two resident (#19 and #28). Findings include: Regarding resident #19: -Resident #19 was admitted on [DATE] with diagnoses that included infection and inflammatory reaction due other internal orthopedic prosthetic devices, sepsis due to streptococcus pneumoniae and anxiety disorder. Review of the physician orders revealed the following: -7/6/2023: Ceftriaxone sodium solution (an antibiotic) 2 grams intravenously every 24 hours for infection until August 11, 2023. -8/12/2023: Amoxicillin-Pot Clavulanate oral tablet (an antibiotic) 875-125 milligrams one tablet by mouth two times a day for infection for 7 days. Review of medication administration records dated July and August 2023 revealed the antibiotics were administered as ordered. However, record review…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-08-18 · tag F0881 — failed to use antibiotics responsibly — pattern
    Implement a program that monitors antibiotic use.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, staff interviews, and the facility's policies and procedures, the facility failed to conduct an ongoing review for antibiotic stewardship as required by Center for Medicare and Medicaid Services (CMS) guidelines, and failed to review clinical signs and symptoms to determine if antibiotics are indicated. The deficient practice could have the potential for residents to have adverse effects due to the lack of protocols and monitoring. Findings include: Regarding resident #19 -Resident #19 was admitted on [DATE] with diagnoses that included infection and inflammatory reaction due other internal orthopedic prosthetic devices, sepsis due to streptococcus pneumoniae, and anxiety disorder. Review of the physician orders revealed the following: -7/6/2023: Ceftriaxone sodium solution (an antibiotic) 2 grams intravenously every 24 hours for infection until August 11, 2023. -8/12/2023: Amoxicillin-Pot Clavulanate oral tablet (an antibiotic) 875-125 milligrams one tablet by mouth two times a…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-08-18 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, resident interview, staff interviews, observations and review of facility policies, the facility failed to ensure that one residents, #23, received adequate supervision to prevent medication accidents. The deficient practice could result in the resident sustaining medication accident-related injuries. Findings include: Resident #23 was admitted on [DATE] with diagnosis including staphylococcal arthritis of the right knee, type II diabetes, essential hypertension, hyperlipidemia, hypokalemia, obseity, muscle weakness, open wound of the left knee and abnormalities of gait and mobility. The admission MDS (minimum data set) dated July 22, 2023 revealed a BIMS (brief interview of mental status) score of 15, indicating that the resident is cognitively intact. A review of the physician orders for resident #23, revealed no evidence of an order for self-administration of medications. A review of the electronic medical record revealed no evidence of an assessment for medications at bedside…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-08-18 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, interviews, and review of facility policies, the facility failed to ensure that medications were available as ordered for one resident (#16). The deficient practice resulted in 1 resident not receiving medications that are physician ordered and necessary. Findings include: Resident #16 was admitted [DATE] with pertinent diagnosis that include E-coli, Diabetes type 2, Depression, Acute kidney failure, Deep vein thrombosis, Right femur fracture, neurogenic bladder, dementia and hypertension. Record review of an admission MDS (Minimum Data Set) dated June 26, 2023 noted a BIMS (Brief Interview for Mental Status) of 15, indicating that the resident has no cognitive impairment. A physician's order dated June 21, 2023, revealed Epoetin Alfa injection with instructions indicating 8000 u (units) be given subcutaneously one time a day for supplementation. A physician's order dated August 14, 2023 revealed Retacrit injection solution with instructions indicating 8000 u be given…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-08-18 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, clinical record review, facility documentation, and policy reviews, the facility failed to ensure that the prn (as needed) use of Trazodone (anti-depressant) for one resident (#19) is limited to 14 days, unless the attending physician documents a rationale to extend the medication. The deficient practice places the resident at risk of receiving unnecessary medications without evaluation. Findings include: -Resident #19 was admitted on [DATE] with diagnoses that included infection and inflammatory reaction due other internal orthopedic prosthetic devices, sepsis due to streptococcus pneumoniae, and anxiety disorder. A physician's order dated July 5, 2023, revealed an order for Trazodone tablet 100 mg (milligram) by mouth every 24 hours as needed for insomnia for 14 days. Review of medication administration record (MAR) dated July 2023, revealed the medication was administered ten times / over the 14 days it was prescribed. The psychotropic medication care plan initiated on…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-08-18 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on clinical record review, staff interview, and the facility's policies and procedures, the facility failed to conduct an ongoing infection control surveillance as required by Center for Medicare and Medicaid Services (CMS) guidelines. The deficient practice could put the residents at risk for communicable diseases and outbreaks due to lack of ongoing infection control surveillance. Findings include: -An infection control surveillance record review was conducted with the infection control preventionist (ICP) /director of nurses (staff #84) on August 16, 2023 at 1:45 p.m. Record review of the facility form, Infection Monitoring Log, for the month of May, June and July 2023 revealed 5 columns with the following information: -room number -patient name -infection -medication -admission (community acquired) or in patient (health care acquired) Record review of the May 2023 infection surveillance revealed an order listing report for antimicrobial, antifungals, antivirals, anti-infectives, and antiseptics were printed on May 10, May 24, and May 31, 2023. The order listing report…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to THE GOODMAN GROUP — 9 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 4 of 53.2+0.8 vs chain
Health inspection 3 of 52.8+0.2 vs chain
Staffing 4 of 53.7+0.3 vs chain
Quality measures 5 of 54.2+0.8 vs chain
The other 8 homes this chain runs (chain average 3.2★, per CMS)

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleShareSince
FLAGSTAFF TRANSITIONAL CARE, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 02/14/2020
THE GOODMAN FAMILY OPERATING FOUNDATIONOrganization5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 01/01/2024
EDINGER, CRAIGIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; CORPORATE DIRECTOR14%since 01/01/2024
GOODMAN, SHANEIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; CORPORATE DIRECTOR14%since 01/01/2024
REILING, MARKIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; CORPORATE DIRECTOR14%since 01/01/2024
SALMEN, THOMASIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; CORPORATE DIRECTOR; CORPORATE OFFICER14%since 01/01/2024
WEICHERT, JAMESIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; CORPORATE DIRECTOR14%since 01/01/2024
WILSON, MARKIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; CORPORATE DIRECTOR; CORPORATE OFFICER14%since 01/01/2024
EBEID, SADEKIndividualCONTRACTED MANAGING EMPLOYEEsince 08/01/2020
DORRIS, KEITHIndividualW-2 MANAGING EMPLOYEEsince 08/01/2020
KNACKE, CLINTONIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 01/01/2024

CMS files one row per role, so the 20 rows in the source record cover these 11 parties — each is shown once here with every role it holds. Nothing is omitted.

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$6.9M
Net patient revenuemost recent cost report
-29.3%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 12%Medicare 69%Other / private 19%

A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$738per resident / day
operating cost
$22,428per month
≈ monthly operating cost
$571per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in AZ

Paying with Medicaid

CMS lists this home as Medicare-certified only — it is not Medicaid-certified, so it generally cannot accept Medicaid as payment for a long-term stay. That makes it one of roughly 545 homes nationally where a Medicaid-funded placement is not an option. If you expect to rely on Medicaid, ask the home directly before you tour, and see the Arizona Medicaid page for homes that do.

Typical monthly cost in Arizona
$8,365/mo
Nursing home (semi-private)
$11,437/mo
Nursing home (private)
$6,250/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 035296. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-08-21, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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