Fountain Hills Post Acute
16300 East Keith McMahan Drive, Fountain Hills, AZ 85268 · Maricopa County · 64 certified beds · avg 58 residents/day · certified since Nov 26, 2001
Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · 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 · Apr 22, 2026 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
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: May 18, 2026 (Deficient, Provider has date of correction)
All citations in the current public record (17)
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 |
|---|---|---|
| May 29, 2026 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Apr 22, 2026 | ▲ G · Actual 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 |
| Feb 18, 2026 | 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 19, 2025 | 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. · from a complaint |
| May 30, 2025 | 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. |
| Mar 6, 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 |
| Jan 25, 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. |
| Jan 25, 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. |
| Oct 20, 2022 | E · Potential for harm, repeated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. |
| Oct 20, 2022 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| 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 did not have working policies to ensure employees report any suspected crime against a resident on time, to post notices of employees' reporting rights, and to prevent retaliation against staff who report. |
| Oct 20, 2022 | 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. |
| 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. |
| Oct 20, 2022 | 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. |
| Oct 20, 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. |
| Oct 20, 2022 | D · Potential for harm, one-off | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (2 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 9 | 0 | E |
| 2024 | 3 | 0 | D |
| 2025 | 2 | 0 | D |
| 2026 | 3 | 1 | G ▲ |
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 $13,065.
| Date | Type | Amount / length |
|---|---|---|
| Apr 22, 2026 | Fine | $13,065 |
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) | 2.99 | 3.97 | 3.95 | bottom 7% in Arizona; bottom 14% in the U.S. |
| Registered Nurse hours | 0.84 | 0.69 | 0.69 | top 24% in Arizona; top 25% in the U.S. |
| Weekend total nurse staffing | 2.66 | 3.50 | 3.50 | bottom 10% in Arizona; bottom 15% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.28 | 0.49 | 0.48 | bottom 18% in Arizona; bottom 27% in the U.S. |
| Total nursing staff turnover (%) | 35.4 | 45.2 | 45.8 | top 20% in Arizona; top 25% 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 3.16, RN 0.88, weekend 2.81. 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: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Dark Sky Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | 100% | 10/01/2022 |
| Burnam, Soon | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/01/2022 |
| Burnam, Soon | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2022 |
| Dark Sky Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2022 |
| Ensign Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2022 |
| Keetch, Chad | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2011 |
| Monks, Conner | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/01/2022 |
| Monks, Conner | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2022 |
| Monks, Conner | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2022 |
| Prabhakaran, Vinay | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/01/2022 |
| Prabhakaran, Vinay | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2022 |
| Prabhakaran, Vinay | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2022 |
| Standard Bearer Healthcare Op, LP | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2022 |
| The Ensign Group INC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2022 |
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 make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "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?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "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 |
|---|---|---|---|---|---|
| Shea Post Acute Rehabilitation Center | 8.8 mi | Scottsdale, AZ | ★★★★★ | 5/5 | |
| Life Care Center of Scottsdale | 8.8 mi | Scottsdale, AZ | ★★★★★ | 4/5 | |
| Advance Health Care of Scottsdale | 8.9 mi | Scottsdale, AZ | ★★★★★ | 4/5 | |
| Sante of North Scottsdale | 9.0 mi | Scottsdale, AZ | ★★★☆☆ | 2/5 | |
| VI at Grayhawk, a VI and Plaza Companies Community | 11.7 mi | Scottsdale, AZ | ★★★★★ | 5/5 | |
| VI at Silverstone, a VI and Plaza Companies Commun | 12.7 mi | Scottsdale, AZ | ★★☆☆☆ | 1/5 | |
| Alta Mesa Health and Rehabilitation | 12.9 mi | Mesa, AZ | ★★★★★ | 5/5 | |
| Advanced Healthcare of Mesa | 13.4 mi | Mesa, AZ | ★★★★★ | 5/5 | |
| Montecito Post Acute Care and Rehabilitation | 13.4 mi | Mesa, AZ | ★★★★☆ | 3/5 | |
| Desert Blossom Health & Rehab Center | 13.5 mi | Mesa, AZ | ★★★★★ | 4/5 | |
| Sandridge Post Acute | 13.6 mi | Mesa, AZ | ★★★☆☆ | 2/5 | |
| Mi Casa Nursing Center | 13.8 mi | Mesa, AZ | ★★★☆☆ | 2/5 | abuse |
Compare this facility with the 3 closest →
All facilities in Fountain Hills →
Facility data as of CMS processing date 2026-08-01. CCN 035260.