Agave Grove Post Acute

Location & what’s nearby

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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

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.

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.

63.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 36 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 65.2% 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 23 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 0.15 therapist hours per resident per day in 2026Q1 — more than 12% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 3% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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.

Staffing

How full it usually is: this home is certified for 225 beds and averages 107.8 residents a day — about 48% occupied, or roughly 117 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 3.89 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.549 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.23 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 3.60 hrs/resident/day on weekends vs 4.00 on weekdays — 10% thinner on weekends. RN hours go from 0.61 to 0.40 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 34% is below the national median of 45%. 1 administrator has left in the past year.

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

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.

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.

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

• Potential for harm · D2026-06-24 · tag F0609 — failed to report abuse allegations — isolated
  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 staff and resident interviews, review of records, and review of facility policy and procedure, the facility failed to report an allegation of abuse within the required timeframe to the state agency for one (#5) out of three sampled residents. The Universe was 118. The deficient practice could lead to ongoing abuse leading to harm of a resident.-Findings include:Resident #5 was admitted to the facility on [DATE], with diagnoses that included bipolar disorder, anxiety, depression, insomnia, and hypertension. An admission minimum data set (MDS) assessment dated [DATE], revealed the resident had a Brief Interview for Mental Status (BIMS) score of 15, indicating intact cognition.A care plan initiated on April 28, 2026, revealed that Resident #5 had a behavior problem related to false and accusatory statements towards staff. The interventions included assist to develop more appropriate methods of coping, interacting and encourage to express feelings appropriately.A nursing progress note dated June 21, 2026,…

  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 · D2026-04-10 · tag F0761 — failed to label and store drugs safely — isolated
  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 observation, clinical record review, facility documentation, and staff interviews, the facility failed to ensure that medication was not left unattended in the one Resident's (#10) room. The sample size was 3. The deficient practice potential for overdose, and other residents accessing medication not prescribed for them.Findings include:Resident #10 was initially admitted on [DATE], and re-admitted on [DATE], with diagnoses that included Polyneuropathy, Dorsalgia, and Hypertension. A discharge Minimum Data Set (MDS) assessment dated [DATE], revealed no BIMS (brief interview of mental status) score but documented that Resident #10's cognitive skills for daily decision-making were independent. A care plan dated April 09, 2026, revealed a focus area noting that Resident #10 had a potential for pressure ulcer development related to immobility, obesity, and incontinence. The goal is that the resident will have intact skin and be free from blisters, redness, and discoloration. Intervention included notifying…

  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 · E2025-05-09 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, policy review, and observation of current practice, the facility failed to ensure that resident drinks were transported from the kitchen to the residents' rooms in accordance with professional standards. The sample size was 22. The deficient practice could result in contamination of the resident's drinks. Findings include: An observation was conducted on May 7, 2025 at 12:00 P.M., with a Certified Nursing Assistant (CNA/Staff #39) who was carrying a drink tray with 5 uncovered drinks down the hall, approximately 50 steps. Continued observation on May 7, 2025 at 12:05 P.M. revealed another CNA (Staff #30) carrying a tray with an uncovered drink into room [ROOM NUMBER]; approximately 50 steps. An interview was conducted on May 7, 2025 at 12:11 P.M. with a Licensed Practical Nurse (LPN/Staff #169), who stated that food is delivered first and then drinks are delivered after, and the process is the same for residents eating in their room. The LPN stated drinks should be…

  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 · Dcited before2025-05-09 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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, facility documents, and policy review, the facility failed to ensure 2 residents (#458 and #16) were free from abuse. The deficient practice resulted in residents being abused. Findings include: Related to resident #458- Resident #458 was admitted to the facility on [DATE] with diagnoses that included epilepsy, dementia, psychosis, and anxiety disorder. A review of the quarterly Minimum Data Set (MDS), dated [DATE] revealed Resident #458 had a Brief Interview for Mental Status (BIMS) score of 11, which indicated she had moderate cognitive impairment. The same MDS also noted resident #458 displayed verbal behaviors directed towards others during the assessment period. A review of a care plan, revised on January 22, 2024 indicated Resident #458 had cognitive/communication deficits due to the progression of her dementia diagnosis. The goal was for Resident #458 to remember who she was and to be able to recognize her name. Interventions included asking her closed ended…

  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 before2025-05-09 · tag F0645 — isolated
  PASARR screening for Mental disorders or Intellectual Disabilities
  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 policy review, the facility failed to ensure that one of three sampled residents (#20) had a PASARR (preadmission Screening and Resident Review) completed . The deficient practice could result in specialized services not being provided for residents who need it. Regarding Resident #20 Resident #20 was re-admitted to the facility on [DATE] with diagnoses that included bipolar disorder, anxiety, and heart failure. A care plan revised on May 04, 2025 revealed that the resident is being considered for a Level II PASARR, and that the paperwork has been submitted for review/determination. Further review revealed an approach dated February 10, 2023 for social services to review the PASARR as needed and during the annual review and recommendation of the level II will be followed- E.G routine psychological counseling. A Physicians order dated September 10, 2024 revealed an order for Trileptal tablet 150 mg for bipolar disorder. The quarterly Minimum Data Set (MDS)…

  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 · D2025-05-09 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  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, facility documentation, and policy review, the facility failed to ensure one resident (#465) received lab services as ordered by a physician. The deficient practice could lead to delayed diagnosis or treatment or potential deterioration in the resident's condition placing the resident at risk for harm. Findings include- Resident #465 was admitted to the facility on [DATE] with diagnoses that include dementia, acute kidney failure, Encephalopathy, and cerebrovascular disease. The quarterly Minimum Data Set (MDS), dated [DATE] revealed Resident #465 was not able to complete a Brief Interview for Mental Status (BIMS) assessment. However, it was noted that staff assessed her cognitive skills for daily decision making as severely impaired. Review of the physician's orders revealed a lab order, dated March 6, 2024, for Complete Blood Count (CBC) test that also includes a differential count of white blood cells and a platelet count. This was to be done on the 1st and 3rd…

  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 · Dcited before2025-05-09 · 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 facility documentation and policy, the facility failed to ensure one shower room was kept in clean and sanitary conditions. The deificient practice could result in the spread of disease and infection. On March 6, 2024 observed with Certified Nurse Assistants # 7 and 12, feces in the shower stall next to the shower chair and near the drain. During initial pool screeing, on March 6, 2025 at 10:27 a.m. a resdient revealed that receiving showers at the facility are hit and miss. The resident recalled wanting a shower the other night, but was tired of seeing feces on the floor, so she elected to have bed baths instead. An interview was conducted with Certified Nurse Assistants # 7 and # 12 on March 6, 2025 at 11:22 revealed that both parties were in agreement that the feces present on the floor is not a facility expectation. Both parties stated it will be cleaned up immediately and appropriately. CNA # 7 revealed being pulled away earlier and but was immediately planning to…

  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 · D2025-02-20 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  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 documentation, staff interviews, and the facility policy and reviews, the facility failed to revise the care plan after one resident (#33) fell and had a change of condition. The deficient practice could result in residents not being provided the sufficient level of care needed for safety. Findings include: Review of resident #33's care plan with problem start date of August 31, 2022 revealed that the resident was a low to moderate fall risk due to muscle weakness. The care plan was last edited on February 12, 2025. Interventions included to use a sit-to-stand for transfers going forward. Resident #33's clinical record stated that she was admitted to the facility on [DATE] and readmitted [DATE] with diagnoses that included unspecified fracture of left femur, Hemiplegia and hemiparesis following infarction affecting the left dominant side, and chronic kidney disease. The minimum data set (MDS) dated [DATE] included a brief interview for mental status score of 15 indicating the resident was cognitively…

  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 · D2024-11-01 · 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, interviews, review of facility policies and the State Agency (SA) complaint tracking system, the facility failed to ensure residents do not sustain injuries with falls. Having mattresses that fit resident's beds properly will reduce the risk of possible slipping off the bed. Findings include: Resident #1 was admitted to the facility on [DATE], with diagnoses of pneumonia, hemiplegia and hemiparesis following a cerebral infarction affecting right dominant side, hypothyroidism, essential primary hypertension, osteoarthritis, weakness, and repeated falls. A review of the Minimum Data Set (MDS) revealed a staff assessment of the resident, for Brief Interview Mental Status (BIMS) of 14. Meaning the resident was cognitively intact. A review of the Comprehensive Care Plan revealed a focus on the resident's risk of falls due to the history of falls with dates of February 20, 2024, April 26, 2024, October 14, 2024. The problem start date was December 08, 2022. The date of admission. A new…

  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 · Dcited before2024-08-27 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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 documentation, staff interviews, and the facility policy and process, the facility failed to ensure that resident (#1) was not abused by a staff (#42). The deficient practice could result in residents being abused by staff. Findings include: Resident #1 was admitted to the facility on [DATE] with diagnoses that included acute and chronic respiratory failure with hypoxia, alcohol cirrhosis of the liver, depression, and acute kidney failure. The minimum data set date July 10, 2024 included a brief interview for mental status score of 15 indicating the resident was cognitively intact. It also included that the resident ambulates in a wheelchair. The care plan dated July 16, 2024 revealed that the resident needs assistance at times with activities of daily living (ADLs) due to cirrhosis of the liver with ascites, asthma, diabetes mellitus, and fracture of the back. Interventions included to assist the resident with ADL care with toileting, and eating. The resident may fluctuate in the amount of care needed,…

  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

“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.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

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.

About 88% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. 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

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