The Lingenfelter Center

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.

Therapy staffing: this home’s payroll records show 0.09 therapist hours per resident per day in 2026Q1 — more than 5% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 6% 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.

Staffing

How full it usually is: this home is certified for 88 beds and averages 73.0 residents a day — about 83% occupied, or roughly 15 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 3.72 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.58 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.47 is at or above 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 3.40 hrs/resident/day on weekends vs 3.85 on weekdays — 11% thinner on weekends. RN hours go from 0.68 to 0.34 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 46% 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

Deficiencies are more than at the previous inspection — worsening. 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.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

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 · Dcited before2026-04-08 · 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, facility documentation, and staff interviews, the facility failed to protect the rights for two of three sampled residents (#3, #5) to be free from physical abuse by another resident. The deficient practice could lead to additional resident-to-resident altercations, creating an unsafe environment. The sample was 3. The universe was 3.Findings include:A facility-reported 5-day investigation, submitted to the State Agency on April 3, 2026, revealed that a resident-to-resident altercation occurred on March 31, 2026, at approximately 7:11 PM, involving Resident #3 and Resident #5. The report included an interview conducted with Resident #3 on March 31, 2026, at 7:26 PM revealed that he had been pushed from behind, told Resident #5 to leave him alone, and was then struck in the face. The report included an interview with the alleged aggressor, Resident #5 on March 31, 2026, at 7:32 PM which revealed that Resident #3 approached him, and Resident #5 pushed him and struck him in the neck…

  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 before2025-05-15 · 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 reviews, staff interviews, facility documentation and policies and procedures, the facility failed to ensure that one resident (#4) was free from physical abuse by another resident (#2). The deficient practice could result in residents suffering from injuries. Findings include: Regarding resident #4 -Resident #4 was admitted on [DATE] with diagnoses that included unspecified dementia, rash and other nonspecific skin eruption, insomnia, hypothyroidism, unspecified complications of genitourinary prosthetic device and bradycardia. An annual Minimum Data Set (MDS) assessment dated [DATE] revealed that the resident had a Brief Interview for Mental Status (BIMS) score of 12 indicating the resident had moderate cognitive impairment. The resident ' s MDS also revealed physical behavioral symptoms directed towards others that included, but was not limited to, hitting, kicking and pushing. Review of the resident ' s behavioral care plan dated September 12, 2024 revealed a problem of the 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-11-14 · 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, facility documentation, and staff interviews, the facility failed to ensure two residents (#3 and #4) were provided adequate supervision to prevent resident abuse. The deficient practice could result in residents being at risk for abuse. Findings include: -Resident # 3 (alleged perpetrator) was admitted to the facility on [DATE] which include diagnoses of Hypertension, Diabetes Mellitus, Non-Alzheimer's Dementia, and Post Traumatic Stress Disorder (PTSD). Review of plan of care document titled, Standard Care Plans, dated October 29, 2024 revealed resident has confusion-poor decision making related to cognitive impairment, limited mental function and disease process. The interventions include reorient to situations as needed, anticipate needs, observe for signs and symptoms of disease, administer medications as ordered, observe for side effects and effectiveness, and note changes and notify medical doctor as needed. Review of plan of care document titled, Standard Care Plans,…

  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 · D2024-11-14 · 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, facility documentation, and staff interviews, the facility failed to ensure two residents (#3 and #4) were provided adequate supervision to prevent resident abuse. The deficient practice could result in residents being at risk for abuse. Findings include: -Resident # 3 (alleged perpetrator) was admitted to the facility on [DATE] which include diagnoses of Hypertension, Diabetes Mellitus, Non-Alzheimer's Dementia, and Post Traumatic Stress Disorder (PTSD). Review of plan of care document titled, Standard Care Plans, dated October 29, 2024 revealed resident has confusion-poor decision making related to cognitive impairment, limited mental function and disease process. The interventions include reorient to situations as needed, anticipate needs, observe for signs and symptoms of disease, administer medications as ordered, observe for side effects and effectiveness, and note changes and notify medical doctor as needed. Review of plan of care document titled, Standard Care Plans,…

  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 · E2024-06-06 · tag F0732 — pattern
  Post nurse staffing information every day.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on documentation, staff interviews, and the facility policy and procedures, the facility failed to ensure all of the correct information was on the daily staff posting. Findings include: Review of the daily staff posting dated April 14, 2024 revealed the date, census, total number of licensed staff, the total number of non-licensed staff, total hours for licensed staff and total hours for non-licensed staff, but did not reveal the actual hours worked for each category of licensed and non-licensed staff. The daily staff posting dated January 1, 2024 was not provided by the facility. An interview was conducted on June 6, 2024 at 8:28 a.m. with the Resident Care Coordinator (staff #4), who stated that she is responsible for updating the daily staff posting and posting it daily and requires the date, first and last name of staff scheduled to work. She stated that the purpose of the daily staff posting is to make staff aware of their schedule. She reviewed the daily staff posting dated April 14, 2024 and acknowledged that the postings did not include the actual hours worked for 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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-06-06 · 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 procedures, the facility failed to ensure that resident (#69) to resident (#25) abuse did not occur with two residents. The deficient practice could result in residents being physically and emotionally injured. Findings include: Resident #69 was admitted to the facility on [DATE] with diagnoses that included dementia in other diseases classified elsewhere, severe, with behavioral, mood, and psychotic disturbance. The minimum data set (MDS) dated [DATE] included a brief interview for mental status score of 7 indicating the resident had a severe cognitive impairment. A progress note dated December 2, 2023 revealed that the resident wandered about the unit approaching others' personal space and attempted to push residents who were in their wheelchairs and Geri chairs around. A progress note dated December 4, 2023 revealed that the resident was observed rapidly pacing around the unit. She was moving furniture and other residents. She appeared 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-06-06 · 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 clinical record review, staff interviews, and review of facility policies and procedures, the facility failed to ensure one resident's (#70) clinical record included the required information for discharge. The deficient practice could result in residents not having a safe and effective transition of care. Findings include: Resident #70 was admitted on [DATE] with diagnosis including recurrent major depressive disorder, pneumonia, dementia with mood disturbance, agitation and psychotic disturbance, anemia, wandering, insomnia and hypertension. A review of the electronic health record for resident #70 revealed two short-term unplanned hospital discharges, one on November 7, 2023 and the other on February 12, 2024. A review of the quarterly MDS (minimum data set) dated March 15, 2024 revealed a BIMS (brief interview of mental status) score of 3, suggesting severe cognitive impairment. A review of the progress notes revealed that notifications for both of the aforenoted hospital discharges transpired…

  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
• Potential for harm · D2024-06-06 · 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 clinical record review, staff interviews and policy review, the facility failed to ensure that one resident's (#76) care planned interventions were reassessed for effectiveness and revised as needed. The deficient practice could result in a care plan that does not meet the resident's needs. Findings include: Resident #76 was admitted on [DATE] with diagnoses that included chronic obstructive pulmonary disease, malignant neoplasm of left bronchus, metabolic encephalopathy, dementia, major depressive disorder, and insomnia. A care plan dated December 26, 2023 indicated that resident has an order for psychotropic medications and exhibits behavior of psychosis and difficulty sleeping related to depression. Interventions include to administer medication per physician orders, medication use to be evaluated every 4 months and tapered to the lowest effective dose, notify nurse if increase in lethargy or change in behaviors or cognitive function. Review of the quarterly Minimum Data Set (MDS) assessment dated…

  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 before2024-06-06 · 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 Based on clinical record review, interviews, and facility policy, the facility failed to ensure that ordered fluid restrictions were followed for one resident (#21) on dialysis. The deficient practice could result in the potential for complications and fluid overload for residents. Findings include: Resident # 21 was admitted on [DATE] with diagnosis that included congestive heart failure and dependence on renal dialysis. A review of the MDS (minimum data set) dated revealed a BIMS (brief interview of mental status) score of 5, suggesting severe cognitive impairment. The MDS further noted that the resident was noted to be on dialysis. A review of the physician orders revealed that the resident was on 950 cc (cubic centimeter) fluid restriction every day and night for end stage renal disease. A review of the progress notes, revealed no documentation that CNA's (certified nursing assistants) had notified nursing staff of fluid intake beyond the ordered amount. A review of the facility POC (plan of care) revealed…

  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 · D2024-06-06 · tag F0680 — isolated
  Ensure the activities program is directed by a qualified professional.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on documentation, staff interviews, and facility policy and procedures, the facility failed to designate a qualified individual to provide recreational activities. The deficient practice could result in appropriate activities not being identified and assessed for the residents. Findings include: Review of the employee record revealed that staff #95 was: -employed by the facility on October 27, 2020 as an Activities Assistant. -employed by the facility on May 5, 2021, as the Director of Activities. -employed by the facility on May 15, 2023 as the Director of Life Enrichment. The employee record did not reveal a certification as an activities professional , or two years of prior experience in recreational activities prior to staff #95 being employed as the Director of Activities on May 5, 2021. Review of staff #95's resume revealed that staff #95: -received a high school diploma. -did not have prior experience in recreational activities. -did not have certification as an activities professional. An interview was conducted on June 5, 2024 at 8:30 a.m. with the Human Resource…

  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

“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

CMS files one row per role, so the 31 rows in the source record cover these 12 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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.

About 87% 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. This home reported $600K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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