Freedom Plaza Care Center
13714 North Plaza Del Rio Blvd, Peoria, AZ 85381 · Maricopa County · 111 certified beds · avg 61 residents/day · certified since Dec 15, 1999
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
⚠ 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 (12)
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 |
|---|---|---|
| Nov 12, 2021 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Nov 12, 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. |
| Nov 12, 2021 | E · Potential for harm, repeated | The facility did not report COVID-19 data to residents and their families as required. Facilities must keep residents and families informed about COVID-19 cases. |
| Nov 12, 2021 | 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. |
| Nov 12, 2021 | 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. |
| Nov 12, 2021 | 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. |
| Nov 12, 2021 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Nov 12, 2021 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Nov 12, 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. |
| Nov 12, 2021 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Nov 12, 2021 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Nov 12, 2021 | B · Minimal risk, repeated | 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. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 12 | 0 | 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) | 5.00 | 3.97 | 3.95 | top 13% in Arizona; top 13% in the U.S. |
| Registered Nurse hours | 0.82 | 0.69 | 0.69 | top 26% in Arizona; top 26% in the U.S. |
| Weekend total nurse staffing | 4.42 | 3.50 | 3.50 | top 13% in Arizona; top 13% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.77 | 0.49 | 0.48 | top 15% in Arizona; top 13% in the U.S. |
| Total nursing staff turnover (%) | 32.1 | 45.2 | 45.8 | top 14% in Arizona; top 18% in the U.S. |
| RN turnover (%) | 42.9 | 43.6 | 42.9 | top 47% in Arizona; bottom 49% 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 4.87, RN 0.80, weekend 4.31. Staffing rating: 5/5.
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: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Sun Health Freedom Plaza, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 12/20/2024 |
| Sun Health Services | Organization | 5% or Greater Indirect Ownership Interest | 100% | 04/04/2018 |
| Casino, Marianne | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 01/30/2026 |
| Cavanaugh-Marsh, Mary | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2025 |
| FMC Arizona, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/01/2018 |
| FMC Arizona, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/10/2025 |
| Francese, Arsenio | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 01/30/2026 |
| Gilstrap, Greg | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2025 |
| Haskell, Cornelius | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2025 |
| Hoffman, Sintra | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2025 |
| Kovala, Irene | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2025 |
| La Rue, Joseph | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/20/2024 |
| La Rue, Joseph | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/20/2024 |
| Lancaster, Lewis | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2025 |
| Larman, Jai | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/04/2018 |
| Larman, Jai | Individual | ADP of the SNF | NOT APPLICABLE | 04/04/2018 |
| Lewis, Ian | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/29/2022 |
| Lewis, Ian | Individual | ADP of the SNF | NOT APPLICABLE | 05/29/2022 |
| Makhija, Manoj | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/04/2018 |
| Makhija, Manoj | Individual | ADP of the SNF | NOT APPLICABLE | 04/04/2018 |
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 tell me what this citation involved and what steps you took to bring care back up to standard?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you notify residents and families about COVID-19 or other infection outbreaks in the facility?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
- "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 |
|---|---|---|---|---|---|
| Peoria Post Acute and Rehabilitation | 0.3 mi | Peoria, AZ | ★★★★☆ | 4/5 | |
| Boswell Transitional Care of Cascadia | 1.8 mi | Sun City, AZ | ★★★★★ | 4/5 | |
| Sunview Respiratory and Rehabilitation | 2.5 mi | Youngtown, AZ | ★★☆☆☆ | 1/5 | abuseSFF |
| Immanuel Campus of Care | 2.5 mi | Peoria, AZ | ★★★☆☆ | 2/5 | abuse |
| Az - Rio Vista Post Acute and Rehabilitation | 3.1 mi | Peoria, AZ | ★★★★★ | 4/5 | |
| Center at Arrowhead, LLC | 3.2 mi | Glendale, AZ | ★★★★★ | 4/5 | |
| Sun City Post Acute | 3.3 mi | Sun City, AZ | ★★★★☆ | 3/5 | |
| Advanced Health Care of Glendale | 4.0 mi | Glendale, AZ | ★★★★★ | 4/5 | |
| Lake Pleasant Post Acute Rehabilitation Center | 4.5 mi | Peoria, AZ | ★★★★☆ | 3/5 | |
| Life Care Center of North Glendale | 4.6 mi | Glendale, AZ | ★★★★★ | 4/5 | |
| Agave Grove Post Acute | 4.7 mi | Glendale, AZ | ★★☆☆☆ | 2/5 | abuse |
| Horizon Post Acute and Rehabilitation Center | 6.5 mi | Glendale, AZ | ★★★☆☆ | 2/5 | abuse |
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Facility data as of CMS processing date 2026-08-01. CCN 035256.