Payson Care Center
107 East Lone Pine Drive, Payson, AZ 85541 · Gila County · 163 certified beds · avg 41 residents/day · certified since Nov 25, 1985
Part of chain: LIFE CARE CENTERS OF AMERICA (194 facilities, chain avg rating 3.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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 (30)
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 |
|---|---|---|
| Apr 17, 2025 | 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 |
| Mar 7, 2025 | E · Potential for harm, repeated | 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. |
| Mar 7, 2025 | E · Potential for harm, repeated | The facility did not develop, carry out, or maintain an effective training program for all new and existing staff members. |
| Mar 7, 2025 | E · Potential for harm, repeated | The facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation. |
| Mar 7, 2025 | 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. |
| Mar 7, 2025 | 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. · from a complaint |
| Mar 7, 2025 | 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. |
| Mar 7, 2025 | D · Potential for harm, one-off | The facility did not provide specialized rehabilitation services — like physical, occupational, or speech therapy — by qualified staff when a doctor ordered them for a resident. |
| Mar 7, 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 |
| Mar 7, 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 |
| Jan 30, 2025 | 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. · from a complaint |
| Jan 30, 2025 | 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. · from a complaint |
| Jan 30, 2025 | 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 |
| Jan 14, 2025 | E · Potential for harm, repeated | 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 14, 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 14, 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 |
| Jan 14, 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 |
| Jan 14, 2025 | 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 |
| Apr 6, 2023 | E · Potential for harm, repeated | The facility's activities program was not run by a qualified professional. The person directing recreation and social activities must have proper training or credentials. |
| Apr 6, 2023 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Apr 6, 2023 | 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. |
| Jan 27, 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. |
| Jan 27, 2022 | 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. |
| Jan 27, 2022 | 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. |
| Jan 27, 2022 | D · Potential for harm, one-off | The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. |
| Jan 27, 2022 | 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 27, 2022 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Jan 27, 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. |
| Jan 27, 2022 | 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. |
| Jan 27, 2022 | 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
Citations from standard inspections increased between the last two inspection cycles (3 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 9 | 0 | D |
| 2023 | 3 | 0 | E |
| 2025 | 18 | 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) | 4.06 | 3.97 | 3.95 | top 30% in Arizona; top 37% in the U.S. |
| Registered Nurse hours | 0.84 | 0.69 | 0.69 | top 22% in Arizona; top 24% in the U.S. |
| Weekend total nurse staffing | 3.64 | 3.50 | 3.50 | top 30% in Arizona; top 36% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.63 | 0.49 | 0.48 | top 21% in Arizona; top 21% in the U.S. |
| Total nursing staff turnover (%) | 53.5 | 45.2 | 45.8 | bottom 22% in Arizona; bottom 28% in the U.S. |
| RN turnover (%) | 50.0 | 43.6 | 42.9 | bottom 39% in Arizona; bottom 39% 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 3.96, RN 0.82, weekend 3.55. 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: 3/5 · short-stay residents: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Developers Investment Company INC | Organization | Direct Ownership Interest | NOT APPLICABLE | 04/08/1989 |
| Preston, Forrest | Individual | Indirect Ownership Interest | NOT APPLICABLE | 04/08/1989 |
| Butner, Nancy | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/16/2018 |
| Butner, Nancy | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/16/2018 |
| Cross, Cindy | Individual | Corporate Officer | NOT APPLICABLE | 04/21/1994 |
| Developers Investment Company INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2006 |
| Egbo, Obinna | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2026 |
| Egbo, Obinna | Individual | ADP of the SNF | NOT APPLICABLE | 06/10/2026 |
| Fletcher, Todd | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/13/2024 |
| Henry, Terry | Individual | Corporate Officer | NOT APPLICABLE | 08/16/1999 |
| Keenom, Stephanie | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/16/2025 |
| Keenom, Stephanie | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/16/2025 |
| Lay, Lisa | Individual | Corporate Officer | NOT APPLICABLE | 02/09/2018 |
| Life Care Centers of America, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/21/1984 |
| Life Care Centers of America, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 03/14/2025 |
| Payson United Medical Investors LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/19/2007 |
| Preston, Aubrey | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/13/2024 |
| Preston, Forrest | Individual | ADP of the SNF | NOT APPLICABLE | 12/19/2007 |
| Swanker, Richard | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2011 |
| Thurmond, Joan | Individual | Corporate Officer | NOT APPLICABLE | 09/22/2000 |
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 often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "What training do new hires get before working with residents, and what ongoing training do all staff receive?"
- "What training do all staff get on dementia care and on spotting and reporting abuse?"
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How does your staff help residents who use artificial limbs or other prosthetic devices?"
- "How quickly do residents start therapy after a doctor orders it, and who provides it?"
- "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 |
|---|---|---|---|---|---|
| Rim Country Health & Retirement Community | 0.8 mi | Payson, AZ | ★★☆☆☆ | 2/5 | abuse |
Compare this facility with the 1 closest →
Facility data as of CMS processing date 2026-08-01. CCN 035117.