Lake Pleasant Post Acute Rehabilitation Center

Name: Lake Pleasant Post Acute Rehabilitation Center
Address: 20625 NORTH LAKE PLEASANT ROAD, Peoria, AZ, 85382, US
Telephone: 6235660642

20625 North Lake Pleasant Road, Peoria, AZ 85382 · Maricopa County · 128 certified beds · avg 102 residents/day · certified since Jul 29, 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

3.39

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 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 (20)

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 26, 2026	E · Potential for harm, repeated	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
Feb 26, 2026	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.
Feb 26, 2026	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.
Feb 26, 2026	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.
Feb 26, 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.
May 10, 2024	E · Potential for harm, repeated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
May 10, 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.
May 10, 2024	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
May 10, 2024	D · Potential for harm, one-off	The facility did not provide proper care or assistance for a resident who uses a prosthesis, such as an artificial limb.
May 10, 2024	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 17, 2024	E · Potential for harm, repeated	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint
Dec 13, 2023	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
Dec 13, 2023	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
Jan 26, 2023	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.
Jan 26, 2023	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.
Jan 26, 2023	E · Potential for harm, repeated	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Jan 26, 2023	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.
Jan 26, 2023	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.
Jan 26, 2023	D · Potential for harm, one-off	The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids.
Jan 26, 2023	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 5).

Year	Citations	Worst severity that year
2023	9	E
2024	6	E
2026	5	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)	3.39	3.97	3.95	bottom 29% in Arizona; bottom 31% in the U.S.
Registered Nurse hours	0.60	0.69	0.69	top 46% in Arizona; top 48% in the U.S.
Weekend total nurse staffing	2.97	3.50	3.50	bottom 29% in Arizona; bottom 30% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.46	0.49	0.48	top 42% in Arizona; top 38% in the U.S.
Total nursing staff turnover (%)	50.0	45.2	45.8	bottom 36% in Arizona; bottom 38% in the U.S.
RN turnover (%)	61.1	43.6	42.9	bottom 17% in Arizona; bottom 20% 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 3.32, RN 0.59, weekend 2.92. Staffing rating: 2/5.

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 - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Burnam, Soon	Individual	Corporate Officer	NOT APPLICABLE	07/01/2015
Ensign Services INC	Organization	ADP of the SNF	NOT APPLICABLE	07/01/2015
Fischbeck, Courtney	Individual	Corporate Officer	NOT APPLICABLE	01/01/2025
Hill, Sean	Individual	Managing Control - Governing Body	NOT APPLICABLE	07/01/2015
Hill, Sean	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2015
Hill, Sean	Individual	ADP of the SNF	NOT APPLICABLE	07/01/2015
Keetch, Chad	Individual	Corporate Officer	NOT APPLICABLE	03/01/2011
Nagle, Craig	Individual	Managing Control - Governing Body	NOT APPLICABLE	05/15/2025
Nagle, Craig	Individual	Operational/Managerial Control	NOT APPLICABLE	05/15/2025
Nagle, Craig	Individual	ADP of the SNF	NOT APPLICABLE	05/15/2025
Peterson, Forrest	Individual	Corporate Director	NOT APPLICABLE	01/01/2019
Port, Barry	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	08/06/2025
Sato, Ami	Individual	Corporate Officer	NOT APPLICABLE	09/09/2024
Sun Grove Village Care Center, LLC	Organization	ADP of the SNF	NOT APPLICABLE	10/23/1995

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 written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
"How does your staff help residents who use artificial limbs or other prosthetic devices?"
"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
Sun City Post Acute	1.3 mi	Sun City, AZ	★★★★☆	3/5
Center at Arrowhead, LLC	4.0 mi	Glendale, AZ	★★★★★	4/5
Freedom Plaza Care Center	4.5 mi	Peoria, AZ	★★★★★	5/5
Boswell Transitional Care of Cascadia	4.7 mi	Sun City, AZ	★★★★★	4/5
Sun West Choice Healthcare & Rehab	4.7 mi	Sun City West, AZ	★★★★★	4/5
Peoria Post Acute and Rehabilitation	4.7 mi	Peoria, AZ	★★★★☆	4/5
Advanced Health Care of Glendale	5.1 mi	Glendale, AZ	★★★★★	4/5
Sunview Respiratory and Rehabilitation	5.4 mi	Youngtown, AZ	★★☆☆☆	1/5	abuseSFF
Sun Health Grandview Care Center	5.8 mi	Sun City West, AZ	★★★★★	5/5
Sante of Surprise	5.8 mi	Surprise, AZ	★★★★☆	4/5
Surprise Health and Rehabilitation Center	6.0 mi	Surprise, AZ	★★★★★	4/5
Immanuel Campus of Care	6.8 mi	Peoria, AZ	★★★☆☆	2/5	abuse

Compare this facility with the 3 closest →

All facilities in Peoria →

Facility data as of CMS processing date 2026-08-01. CCN 035111.

The Care File

Visit checklist — Lake Pleasant Post Acute Rehabilitation Center

20625 North Lake Pleasant Road, Peoria, AZ 85382 · 6235660642

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

Questions for the administrator:

☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
☐ "How does your staff help residents who use artificial limbs or other prosthetic devices?"
☐ "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 035111 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)