Bella Vita Health and Rehabilitation Center
5125 North 58th Avenue, Glendale, AZ 85301 · Maricopa County · 176 certified beds · avg 160 residents/day · certified since Mar 27, 1984
Abuse citation flag (CMS)
Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Nov 6, 2025 · F-0686 · triggered by a complaint
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Dec 14, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (23)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jul 2, 2026 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Jun 3, 2026 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Dec 29, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Dec 29, 2025 | D · Potential for harm, one-off | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · from a complaint |
| Nov 6, 2025 | ▲ G · Actual harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| Mar 19, 2025 | E · Potential for harm, repeated | The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. · from a complaint |
| Mar 19, 2025 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · from a complaint |
| Oct 31, 2024 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Oct 31, 2024 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · from a complaint |
| Oct 31, 2024 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Oct 31, 2024 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Oct 31, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Sep 16, 2024 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Sep 10, 2024 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Aug 24, 2023 | E · Potential for harm, repeated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint |
| Feb 10, 2022 | E · Potential for harm, repeated | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Feb 10, 2022 | E · Potential for harm, repeated | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Feb 10, 2022 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Feb 10, 2022 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Feb 10, 2022 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Feb 10, 2022 | D · Potential for harm, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Feb 10, 2022 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Feb 10, 2022 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 8 | 0 | E |
| 2023 | 1 | 0 | E |
| 2024 | 7 | 0 | D |
| 2025 | 5 | 1 | G ▲ |
| 2026 | 2 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $8,278.
| Date | Type | Amount / length |
|---|---|---|
| Nov 6, 2025 | Fine | $8,278 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Arizona avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.32 | 3.97 | 3.95 | top 25% in Arizona; top 28% in the U.S. |
| Registered Nurse hours | 0.34 | 0.69 | 0.69 | bottom 7% in Arizona; bottom 14% in the U.S. |
| Weekend total nurse staffing | 3.82 | 3.50 | 3.50 | top 26% in Arizona; top 29% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.24 | 0.49 | 0.48 | bottom 15% in Arizona; bottom 19% in the U.S. |
| Total nursing staff turnover (%) | 44.5 | 45.2 | 45.8 | top 47% in Arizona; top 49% in the U.S. |
| RN turnover (%) | 50.0 | 43.6 | 42.9 | bottom 39% in Arizona; bottom 39% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.88, RN 0.31, weekend 3.44. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Burnam, Soon | Individual | Corporate Officer | NOT APPLICABLE | 10/11/2006 |
| Caretrust GP LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2002 |
| Caretrust Reit INC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2002 |
| Ctr Partnership LP | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2002 |
| Ensign Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2002 |
| Haney, Doug | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/01/2002 |
| Haney, Doug | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2002 |
| Haney, Doug | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2002 |
| Jones, Christine | Individual | Corporate Director | NOT APPLICABLE | 09/09/2024 |
| Port, Barry | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 01/09/2026 |
| Sky Holdings Az LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2002 |
| Srivastava, Vinee | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/01/2012 |
| Srivastava, Vinee | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2012 |
| Srivastava, Vinee | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2012 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "How do you prepare residents and families for discharge, and what support do you arrange for after they leave?"
- "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Agave Grove Post Acute | 3.6 mi | Glendale, AZ | ★★☆☆☆ | 2/5 | abuse |
| Horizon Post Acute and Rehabilitation Center | 3.7 mi | Glendale, AZ | ★★★☆☆ | 2/5 | abuse |
| Haven of Phoenix | 4.7 mi | Phoenix, AZ | ★★★☆☆ | 2/5 | abuse |
| The Rehabilitation Center at the Palazzo | 4.8 mi | Phoenix, AZ | ★★★★☆ | 3/5 | |
| Beatitudes Campus | 5.0 mi | Phoenix, AZ | ★★★☆☆ | 2/5 | |
| Diamondback Healthcare Center | 5.1 mi | Phoenix, AZ | ★★★☆☆ | 4/5 | |
| Northpark Health and Rehabilitation of Cascadia | 5.5 mi | Phoenix, AZ | ★★★☆☆ | 3/5 | |
| Maryland Gardens Post Acute | 6.5 mi | Phoenix, AZ | ★★★☆☆ | 2/5 | abuse |
| Life Care Center of North Glendale | 6.6 mi | Glendale, AZ | ★★★★★ | 4/5 | |
| Immanuel Campus of Care | 6.7 mi | Peoria, AZ | ★★★☆☆ | 2/5 | abuse |
| Az - Rio Vista Post Acute and Rehabilitation | 6.9 mi | Peoria, AZ | ★★★★★ | 4/5 | |
| Coronado Healthcare Center | 7.1 mi | Phoenix, AZ | ★★★★★ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 035092.