Camelback Post Acute Care and Rehabilitation

Name: Camelback Post Acute Care and Rehabilitation
Address: 4635 NORTH 14TH STREET, Phoenix, AZ, 85014, US
Telephone: 6022649039

4635 North 14th Street, Phoenix, AZ 85014 · Maricopa County · 107 certified beds · avg 84 residents/day · certified since Jan 6, 1984

Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.32

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5

⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.

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 9, 2023 · F-0760 · triggered by a complaint

The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.

Why it matters: A serious medication error can cause real harm, hospitalization, or worse.

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 22, 2023 (Deficient, Provider has date of correction)

All citations in the current public record (21)

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
Jun 3, 2026	D · Potential for harm, one-off	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
Jan 13, 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
May 29, 2024	E · Potential for harm, repeated	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. · from a complaint
May 29, 2024	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint
May 29, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint
Apr 24, 2024	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Apr 24, 2024	E · Potential for harm, repeated	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.
Apr 24, 2024	D · Potential for harm, one-off	The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. · from a complaint
Apr 24, 2024	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Apr 24, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Apr 24, 2024	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Apr 24, 2024	D · Potential for harm, one-off	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Apr 24, 2024	D · Potential for harm, one-off	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Nov 9, 2023	▲ G · Actual harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Aug 20, 2021	E · Potential for harm, repeated	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.
Aug 20, 2021	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Aug 20, 2021	D · Potential for harm, one-off	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.
Aug 20, 2021	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.
Aug 20, 2021	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Aug 20, 2021	D · Potential for harm, one-off	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.
Aug 20, 2021	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.

Inspection trend by year

Year	Citations	Serious (G–L)	Worst severity that year
2021	7	0	E
2023	1	1	G ▲
2024	11	0	E
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)

No fines or payment denials in the published 3-year window.

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)	3.32	3.97	3.95	bottom 24% in Arizona; bottom 27% in the U.S.
Registered Nurse hours	0.84	0.69	0.69	top 23% in Arizona; top 24% in the U.S.
Weekend total nurse staffing	2.79	3.50	3.50	bottom 17% in Arizona; bottom 20% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.57	0.49	0.48	top 25% in Arizona; top 25% in the U.S.
Total nursing staff turnover (%)	34.4	45.2	45.8	top 17% in Arizona; top 23% in the U.S.
RN turnover (%)	20.0	43.6	42.9	top 13% in Arizona; top 13% 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 3.25, RN 0.83, weekend 2.74. Staffing rating: 4/5.

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	Managing Control - Governing Body	NOT APPLICABLE	10/01/2006
Burnam, Soon	Individual	Corporate Officer	NOT APPLICABLE	10/01/2006
Caretrust GP LLC	Organization	ADP of the SNF	NOT APPLICABLE	06/01/2000
Caretrust Reit INC	Organization	ADP of the SNF	NOT APPLICABLE	06/01/2000
Clark, Randolph	Individual	Operational/Managerial Control	NOT APPLICABLE	05/03/2023
Clark, Randolph	Individual	ADP of the SNF	NOT APPLICABLE	08/22/2025
Ensign Services INC	Organization	ADP of the SNF	NOT APPLICABLE	06/01/2000
Jones, Christine	Individual	Corporate Director	NOT APPLICABLE	01/02/2022
Keetch, Chad	Individual	Corporate Officer	NOT APPLICABLE	03/01/2011
Port, Barry	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	07/03/2025
The Ensign Group INC	Organization	ADP of the SNF	NOT APPLICABLE	06/01/2000
Zobell, Gavin	Individual	Managing Control - Governing Body	NOT APPLICABLE	05/05/2026
Zobell, Gavin	Individual	Operational/Managerial Control	NOT APPLICABLE	05/05/2026
Zobell, Gavin	Individual	ADP of the SNF	NOT APPLICABLE	05/05/2026

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What systems do you use to prevent medication errors, and what happens when one occurs?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
"How do you assess and manage residents' pain, especially for those who have trouble communicating?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Under what circumstances would you discharge or transfer a resident, and what notice and appeal rights would we have?"
"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
Maryland Gardens Post Acute	2.2 mi	Phoenix, AZ	★★★☆☆	2/5	abuse
Desert Terrace Healthcare Center	2.3 mi	Phoenix, AZ	★★★☆☆	2/5	abuse
Desert Haven Care Center	2.4 mi	Phoenix, AZ	★☆☆☆☆	1/5	abuse
The Terraces of Phoenix	2.9 mi	Phoenix, AZ	★★★★★	4/5
Haven of Phoenix	2.9 mi	Phoenix, AZ	★★★☆☆	2/5	abuse
The Rehabilitation Center at the Palazzo	3.3 mi	Phoenix, AZ	★★★★☆	3/5
Beatitudes Campus	3.7 mi	Phoenix, AZ	★★★☆☆	2/5
Haven Health Sky Harbor, LLC	3.7 mi	Phoenix, AZ	★★☆☆☆	1/5
North Mountain Medical and Rehabilitation Center	4.6 mi	Phoenix, AZ	★★★★★	5/5
Arizona State Veteran Home-Phx	6.3 mi	Phoenix, AZ	★★☆☆☆	1/5	abuse

Compare this facility with the 3 closest →

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Facility data as of CMS processing date 2026-08-01. CCN 035088.

The Care File

Visit checklist — Camelback Post Acute Care and Rehabilitation

4635 North 14th Street, Phoenix, AZ 85014 · 6022649039

Health inspection rating 2/5 · CMS overall 3/5· Fines (3y): $0

Most serious findings on record:

▲ Nov 9, 2023 (F-0760, Actual harm, one-off): The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.

Questions for the administrator:

☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
☐ "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Under what circumstances would you discharge or transfer a resident, and what notice and appeal rights would we have?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 035088 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)