Baptist Homes Of Arcadia Valley

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

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.

Staffing

CMS has not published payroll-based (PBJ) staffing hours for this facility yet — this can happen for newer, hospital-based, or recently-certified homes. It can also mean the home simply did not file, which CMS does not distinguish in this data, so treat the gap as unexplained rather than benign. Staffing is one of the three parts of the CMS star rating; where it’s missing, weigh the independent health-inspection score most, and ask the facility directly about its nurse-to-resident ratios and weekend RN coverage.

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.

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.

21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.

• Potential for harm · Ecited before2026-06-17 · tag F0880 — failed to prevent and control infections — pattern
  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 observation, interview, record review, and review of facility policy, the facility failed to implement Enhanced Barrier Precautions (EBP - precautions used during high-contact resident care activities for residents infected or colonized with a multidrug-resistant organism (MDRO - microorganisms resistant to one or more classes of antimicrobial agents) or for residents with a chronic wound and/or an indwelling medical device) for three residents (Residents #5, #18, and #30); failed to perform hand hygiene and change gloves between contaminated and clean care activities during resident care for six residents (Residents #5, #8, #9, #18, #27, and #30); and failed to complete and/or maintain required tuberculosis (TB - an infectious bacterial disease that primarily affects the lungs) screening and related documentation for five residents (Residents #5, #8, #11, #18, and #27). These deficient practices created the potential for transmission of infectious organisms among residents, staff, and the environment. The facility census was 29.Review of the facility's policy titled…

  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 before2026-06-17 · 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

  Based on interview and record review, the facility failed to maintain an Infection Prevention and Control Program (IPCP) that included an antibiotic stewardship program to with infection surveillance and antibiotic use protocols. This deficient practice had the potential to affect all residents in the facility. The facility census was 29.Review of the facility's policy titled, Antibiotic Stewardship, dated 2024, showed:- It is the policy that this facility's antibiotic stewardship program promotes the appropriate use of antibiotics and a system of monitoring to improve resident outcomes and reduce antibiotic resistance;- Antibiotics will be prescribed for the correct indication, dose, and duration to appropriately treat the resident while attempting to reduce the development of antibiotic-resistant organisms or other adverse consequences or outcomes;- The Antibiotic Stewardship Program will be incorporated in the overall infection prevention and control program and reviewed on an annual basis and as needed;- The Infection Preventionist will track antibiotic use and monitor adherence…

  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 · D2026-06-17 · tag F0552 — isolated
  Ensure that residents are fully informed and understand their health status, care and treatments.
  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 interview and record review, the facility failed to ensure informed consent was obtained and documented before administering psychotropic (a medication that affects brain activities associated with mental processes and behavior) medications for four residents (Residents #3, #6, #21, and #27) out of four sampled residents. This failure prevented the residents and/or their representatives from receiving information regarding the risks, benefits, and alternatives associated with psychotropic medication use before treatment. The facility census was 29. Review of the facility's policy titled, Psychotropic Medication Use, dated July 2022, showed:- Residents will not receive medications that are not clinically indicated to treat a specific condition;- Consideration of the use of any psychotropic medication is based on comprehensive review of the resident. This includes evaluation of the resident's signs and symptoms in order to identify underlying causes;- Non-pharmacological approaches are used (unless…

  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 · D2026-06-17 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  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, interview and record review, the facility failed to ensure residents' advance directive decisions, including code status, were documented and readily available in the medical record for three residents (Residents #27, #28, and #36) out of 12 sample residents. The facility census was 29. Review of the facility policy titled, Advance Directives, dated [DATE], showed:- Advance care planning - a process of communication between individuals and their healthcare agents to understand, reflect on, discuss, and plan for future healthcare decisions for a time when individuals are not able to make their own healthcare decisions;- Advance directive - a written instruction, such as a living will or durable power of attorney for health care, recognized by state law, relating to the provisions of health care when the individual is incapacitated;- Prior to or upon admission of a resident, the social services director (SSD) or designee inquires of the resident, his/her family members and/or his or her legal…

  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 · D2026-06-17 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  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, interview, and record review, the facility failed to provide a safe, clean, and comfortable homelike environment. The facility census was 29.Review of the facility's policy titled, Homelike Environment, revised February 2021, showed:- Residents are provided with a safe, clean, comfortable and home-like environment and encouraged to use their personal belongings to the extent possible;- Staff provides person-centered care that emphasizes the residents' comfort, independence and personal needs and preferences;- The facility staff and management maximize, to the extent possible, the characteristics of the facility that reflect a personalized, homelike setting including a clean, sanitary and orderly environment. Review of the facility's policy titled, Infection Prevention and Control Manual Environmental Services/Housekeeping/Laundry, dated 2024, showed:- Surfaces such as tabletops, window ledges, bedside stands, counters, sinks, tubs, shower floors, toilet seats, floors, and all other surfaces…

  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 · D2026-06-17 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  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 interview and record review, the facility failed to provide required written transfer and discharge information, including complete bed-hold notices and required advocacy agency contact information for hospital transfers and notify the Office of the State Long-Term Care Ombudsman of resident transfers or discharges for five residents (Residents #4, #5, #11, #18, and #33). The facility also failed to provide a discharge summary that included a recapitulation of the resident's stay for one resident (Resident #35) out of one sampled resident discharged to the community. The facility census was 29.The facility did not provide a policy for addressing transfer/discharge notices, bed-hold notices, notification of the Office of the State Long-Term Care Ombudman or required advocacy agency contact information. Review of the facility policy titled, Discharge Summary and Plan, revised October 2022, showed:- When a resident's discharge is anticipated, a discharge summary and post-discharge plan is developed 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-17 · tag F0636 — isolated
  Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
  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 interview and record review, the facility failed to complete a comprehensive Minimum Data Set (MDS - a federally mandated assessment instrument completed by the facility staff) within the required time frame for one resident (Resident #10) out of nine sampled residents. This failure had the potential to affect the resident's comprehensive assessment and care planning. The facility's census was 29.Review of the facility's policy titled, MDS Completion and Submission Timeframes, dated July 2019, showed:- Assessments be completed and submitted according to federal and state requirements. Review of the Resident Assessment Instrument (RAI) Manual, dated October 2025, showed:- The next comprehensive assessment be completed within 366 days of the previous comprehensive assessment. 1. Review of Resident #10's medical record showed:- admitted on [DATE];- An annual MDS assessment with a completion date of 04/10/25;- A quarterly MDS assessments with completion dates of 07/11/25, 10/11/25, and 01/02/26;- The next…

  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 · D2026-06-17 · tag F0637 — isolated
  Assess the resident when there is a significant change in condition
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to timely complete a significant change Minimum Data Set (MDS - a federally mandated assessment instrument completed by facility staff) assessment within 14 days of admission to hospice services for two residents (Residents #1 and #30) out of two sampled residents. The facility census was 39.Review of the facility's policy titled, MDS Completion and Submission Timeframes, revised July 2017, showed:- Our facility will conduct and submit resident assessments in accordance with current federal and state submission timeframes. Review of the MDS 3.0 Resident Assessment Instrument (RAI) User's Manual, dated October 2025, showed:- A significant change in status assessment is required to be performed when a terminally ill resident enrolls in a hospice program or changes hospice providers and remains a resident at the nursing home. The assessment reference date (ARD) must be within 14 days from the effective date of the hospice election. A significant change in status assessment must be performed regardless of whether an assessment…

  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 · D2026-06-17 · tag F0638 — isolated
  Assure that each resident’s assessment is updated at least once every 3 months.
  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 interview and record review, the facility failed to complete quarterly Minimum Data Set (MDS - a federally mandated assessment instrument completed by the facility) assessments within the required time frames for six residents (Residents #2, #7, #9, #16, #22, and #29) out of 12 sampled residents. This failure had the potential to affect the residents' comprehensive assessments and care planning. The facility's census was 29.Review of the facility's policy titled, MDS Completion and Submission Timeframes, dated July 2019, showed:- Assessments be completed and submitted according to federal and state requirements. Review of the Resident Assessment Instrument (RAI) Manual, dated October 2025, showed:- Quarterly assessments are due within 92 days of the previous Omnibus Budget Reconciliation Act (OBRA - Nursing Home Reform Act of 1987, which improved the quality of care in nursing homes by setting federal standards of how care should be provided to residents) assessment's assessment reference date (ARD);-…

  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 · D2026-06-17 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  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, interview, and record review, the facility failed to develop and implement comprehensive, person-centered care plans that reflected residents' current diagnoses, physician orders, and care needs through measurable, resident-specific interventions for two residents (Residents #3 and #30) out of 16 sampled residents. The facility census was 29.The facility did not provide a care plan policy. Review of Resident #3's medical record showed:- admitted on [DATE];- Diagnoses of Myasthenia gravis (chronic neuromuscular disease that causes weakness in the voluntary muscles) without (acute) exacerbation, Heart failure (a condition that develops when your heart doesn't pump enough blood for your body's needs), depression (a serious medical illness that negatively affects how you feel, the way you think and how you act), Atrial fibrillation (heart dysrhythmia), personal history of other venous thrombosis (when a blood clot blocks a vein) and embolism (blockage of a blood vessel), polyneuropathy (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.

  Resident Assessment and Care Planning 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 26 rows in the source record cover these 24 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.

What families pay in MO