Diamondback Healthcare Center
3000 N 91st Avenue, Phoenix, AZ 85037 · Maricopa County · 94 certified beds · avg 91 residents/day · certified since Jul 21, 2022
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · 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.
All citations in the current public record (10)
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 |
|---|---|---|
| Feb 6, 2026 | D · Potential for harm, one-off | 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. |
| Feb 6, 2026 | 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. |
| Jan 29, 2026 | 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 |
| Jan 29, 2026 | 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. · from a complaint |
| Dec 5, 2025 | E · Potential for harm, repeated | 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 |
| Jan 7, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
| Jan 7, 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 |
| Oct 31, 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. |
| Aug 14, 2024 | 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 |
| Apr 5, 2023 | D · Potential for harm, one-off | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | D |
| 2024 | 2 | 0 | E |
| 2025 | 3 | 0 | E |
| 2026 | 4 | 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)
2 fines totaling $5,073.
| Date | Type | Amount / length |
|---|---|---|
| Jan 8, 2024 | Fine | $1,899 |
| Dec 18, 2023 | Fine | $3,174 |
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) | 3.45 | 3.97 | 3.95 | bottom 35% in Arizona; bottom 34% in the U.S. |
| Registered Nurse hours | 0.41 | 0.69 | 0.69 | bottom 17% in Arizona; bottom 23% in the U.S. |
| Weekend total nurse staffing | 2.92 | 3.50 | 3.50 | bottom 25% in Arizona; bottom 27% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.33 | 0.49 | 0.48 | bottom 28% in Arizona; bottom 39% in the U.S. |
| Total nursing staff turnover (%) | 72.1 | 45.2 | 45.8 | bottom 2% in Arizona; bottom 5% in the U.S. |
| RN turnover (%) | 84.2 | 43.6 | 42.9 | bottom 2% in Arizona; bottom 4% 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 4.91, RN 0.58, weekend 4.15. Staffing rating: 1/5.
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: 4/5 · long-stay residents: 3/5 · short-stay residents: 5/5
Who owns this facility
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| 91st Avenue Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 05/03/2021 |
| Ascension Alpha Fund, LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 09/03/2025 |
| California Ironworkers Field Pension Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 09/03/2025 |
| Ih-Az Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/03/2021 |
| Locust Pointe Senior Debt Fund, II, L.P. | Organization | Indirect Ownership Interest | NOT APPLICABLE | 09/03/2025 |
| Lotus Development LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/03/2021 |
| LPC GP II, LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 09/03/2025 |
| LPPC Feeder, LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 09/03/2025 |
| Matrix Capital Partners LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/03/2021 |
| Pacific Private Credit Fund III L. P. | Organization | Indirect Ownership Interest | NOT APPLICABLE | 09/03/2025 |
| Prime Access Mortgage INC. | Organization | 5% or Greater Indirect Ownership Interest | — | 05/03/2021 |
| Red Clover Technology LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/03/2021 |
| Smith, Eric | Individual | Indirect Ownership Interest | NOT APPLICABLE | 09/03/2025 |
| Teacher's Retirement System of the State of Illinois | Organization | Indirect Ownership Interest | NOT APPLICABLE | 09/03/2025 |
| 91st Avenue Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/25/2021 |
| 91st Avenue Properties LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/25/2021 |
| Ascension Alpha Fund, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/03/2025 |
| California Ironworkers Field Pension Trust | Organization | ADP of the SNF | NOT APPLICABLE | 09/03/2025 |
| Cohen, Yaakov | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Cohen, Yaakov | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
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 did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "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 |
|---|---|---|---|---|---|
| Northpark Health and Rehabilitation of Cascadia | 0.8 mi | Phoenix, AZ | ★★★☆☆ | 3/5 | |
| Bella Vita Health and Rehabilitation Center | 5.1 mi | Glendale, AZ | ★★★☆☆ | 2/5 | abuse |
| Palm Valley Post Acute | 5.3 mi | Goodyear, AZ | ★★☆☆☆ | 1/5 | SFF |
| Estrella Health and Rehabilitation Center | 5.7 mi | Avondale, AZ | ★★★★☆ | 3/5 | |
| Az - Rio Vista Post Acute and Rehabilitation | 6.0 mi | Peoria, AZ | ★★★★★ | 4/5 | |
| Sun Health la Loma Care Center | 6.1 mi | Litchfield Park, AZ | ★★★☆☆ | 2/5 | |
| Immanuel Campus of Care | 6.4 mi | Peoria, AZ | ★★★☆☆ | 2/5 | abuse |
| Agave Grove Post Acute | 6.5 mi | Glendale, AZ | ★★☆☆☆ | 2/5 | abuse |
| Horizon Post Acute and Rehabilitation Center | 8.1 mi | Glendale, AZ | ★★★☆☆ | 2/5 | abuse |
| Sunview Respiratory and Rehabilitation | 8.2 mi | Youngtown, AZ | ★★☆☆☆ | 1/5 | abuseSFF |
| Peoria Post Acute and Rehabilitation | 8.5 mi | Peoria, AZ | ★★★★☆ | 4/5 | |
| Boswell Transitional Care of Cascadia | 8.7 mi | Sun City, AZ | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 035302.