Chandler Post Acute and Rehabilitation

Name: Chandler Post Acute and Rehabilitation
Address: 2121 WEST ELGIN STREET, Chandler, AZ, 85224, US
Telephone: 4808996717

2121 West Elgin Street, Chandler, AZ 85224 · Maricopa County · 120 certified beds · avg 106 residents/day · certified since Jan 24, 1985

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

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.83

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

⚠ 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.

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
Dec 12, 2025	E · Potential for harm, repeated	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · from a complaint
Dec 12, 2025	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
Nov 20, 2025	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
Nov 20, 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
Nov 20, 2025	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Nov 17, 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
Nov 17, 2025	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Nov 1, 2024	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
Apr 2, 2024	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. · from a complaint
Dec 7, 2023	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. · from a complaint
Oct 17, 2023	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. · from a complaint
Oct 20, 2022	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Oct 20, 2022	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Oct 20, 2022	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Oct 20, 2022	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.
Oct 20, 2022	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.
Oct 20, 2022	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Jun 17, 2021	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.
Jun 17, 2021	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jun 17, 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.
Jun 17, 2021	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.

Inspection trend by year

Year	Citations	Worst severity that year
2021	4	E
2022	6	D
2023	2	D
2024	2	D
2025	7	E

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)	3.83	3.97	3.95	top 41% in Arizona; top 47% in the U.S.
Registered Nurse hours	0.81	0.69	0.69	top 27% in Arizona; top 27% in the U.S.
Weekend total nurse staffing	3.18	3.50	3.50	bottom 44% in Arizona; bottom 41% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.46	0.49	0.48	top 40% in Arizona; top 37% in the U.S.
Total nursing staff turnover (%)	43.7	45.2	45.8	top 42% in Arizona; top 46% in the U.S.
RN turnover (%)	47.6	43.6	42.9	bottom 40% in Arizona; bottom 40% 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 3.75, RN 0.79, weekend 3.11. 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	Corporate Officer	NOT APPLICABLE	12/15/2014
Ensign Services INC	Organization	ADP of the SNF	NOT APPLICABLE	11/01/2015
Jones, Brett	Individual	Managing Control - Governing Body	NOT APPLICABLE	11/01/2015
Jones, Brett	Individual	Operational/Managerial Control	NOT APPLICABLE	11/01/2015
Jones, Brett	Individual	ADP of the SNF	NOT APPLICABLE	06/22/2025
Keetch, Chad	Individual	Corporate Officer	NOT APPLICABLE	03/01/2011
Monks, Chandler	Individual	Corporate Officer	NOT APPLICABLE	03/01/2024
Peterson, Forrest	Individual	Corporate Director	NOT APPLICABLE	01/01/2019
Port, Barry	Individual	Managing Control - Governing Body	NOT APPLICABLE	07/26/2018
Sato, Ami	Individual	Corporate Officer	NOT APPLICABLE	09/09/2024
Uy, Marietta	Individual	Managing Control - Governing Body	NOT APPLICABLE	05/09/2016
Uy, Marietta	Individual	Operational/Managerial Control	NOT APPLICABLE	05/09/2016
Uy, Marietta	Individual	ADP of the SNF	NOT APPLICABLE	05/09/2016

Questions to ask on your visit

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

"Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"If my family member is able to manage their own medications, would you allow it, and how is that decided?"
"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
Sante of Chandler	0.4 mi	Chandler, AZ	★★★★★	4/5
Archstone Care Center	0.4 mi	Chandler, AZ	★★★★★	4/5
Desert Cove Nursing Center	0.6 mi	Chandler, AZ	★★☆☆☆	1/5	abuse
River Park Post Acute	3.3 mi	Chandler, AZ	★★★★★	4/5
Tempe Post Acute	5.6 mi	Tempe, AZ	★★★★★	5/5
Ahwatukee Post Acute	6.4 mi	Phoenix, AZ	★★★☆☆	3/5
Friendship Village of Tempe	6.6 mi	Tempe, AZ	★★★☆☆	4/5
Wellsprings of Gilbert	7.5 mi	Gilbert, AZ	★★★★★	5/5
The Center at Val Vista, LLC	7.6 mi	Gilbert, AZ	★★★★★	5/5
Mirabella at Asu	9.3 mi	Tempe, AZ	★★★☆☆	3/5
Sandridge Post Acute	9.8 mi	Mesa, AZ	★★★☆☆	2/5
Citrus Heights Respiratory and Rehabilitation	10.3 mi	Mesa, AZ	★★★☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Chandler →

Facility data as of CMS processing date 2026-08-01. CCN 035101.

The Care File

Visit checklist — Chandler Post Acute and Rehabilitation

2121 West Elgin Street, Chandler, AZ 85224 · 4808996717

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
☐ "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 035101 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)