Peoria Post Acute and Rehabilitation
13215 North 94th Drive, Peoria, AZ 85381 · Maricopa County · 179 certified beds · avg 171 residents/day · certified since Jun 10, 1987
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: ★★★★☆4/5 · 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 (8)
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 |
|---|---|---|
| Mar 20, 2026 | D · Potential for harm, one-off | 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. |
| Mar 20, 2026 | 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. |
| Mar 20, 2026 | 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 20, 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. |
| Sep 11, 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 |
| Jun 24, 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 |
| Apr 5, 2024 | 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. |
| Dec 15, 2022 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 1 | 0 | D |
| 2024 | 1 | 0 | E |
| 2025 | 2 | 0 | D |
| 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)
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) | 3.16 | 3.97 | 3.95 | bottom 13% in Arizona; bottom 20% in the U.S. |
| Registered Nurse hours | 0.55 | 0.69 | 0.69 | bottom 38% in Arizona; bottom 45% in the U.S. |
| Weekend total nurse staffing | 2.83 | 3.50 | 3.50 | bottom 21% in Arizona; bottom 22% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.51 | 0.49 | 0.48 | top 32% in Arizona; top 31% in the U.S. |
| Total nursing staff turnover (%) | 0.0 | 45.2 | 45.8 | — |
| RN turnover (%) | 0.0 | 43.6 | 42.9 | — |
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 4.13, RN 0.72, weekend 3.71. 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: 5/5 · long-stay residents: 4/5 · short-stay residents: 5/5
Who owns this facility
For profit - Partnership
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bandera Healthcare LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 01/31/2018 |
| The Ensign Group INC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 09/25/2006 |
| Burnam, Soon | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/31/2018 |
| Burnam, Soon | Individual | Corporate Officer | NOT APPLICABLE | 01/31/2018 |
| Grand Avenue Health Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2022 |
| Jones, Christine | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2026 |
| Keetch, Chad | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2011 |
| Llewellyn, Matthew | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/01/2026 |
| Llewellyn, Matthew | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2026 |
| Llewellyn, Matthew | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2026 |
| Port, Barry | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 12/16/2025 |
| Sciara, Patrick | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/01/2018 |
| Sciara, Patrick | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2018 |
| Sciara, Patrick | Individual | ADP of the SNF | NOT APPLICABLE | 07/05/2025 |
| Standard Bearer Healthcare Op LP | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2022 |
| The Ensign Group INC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2022 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "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 |
|---|---|---|---|---|---|
| Freedom Plaza Care Center | 0.3 mi | Peoria, AZ | ★★★★★ | 5/5 | |
| Boswell Transitional Care of Cascadia | 1.7 mi | Sun City, AZ | ★★★★★ | 4/5 | |
| Immanuel Campus of Care | 2.3 mi | Peoria, AZ | ★★★☆☆ | 2/5 | abuse |
| Sunview Respiratory and Rehabilitation | 2.4 mi | Youngtown, AZ | ★★☆☆☆ | 1/5 | abuseSFF |
| Az - Rio Vista Post Acute and Rehabilitation | 2.9 mi | Peoria, AZ | ★★★★★ | 4/5 | |
| Center at Arrowhead, LLC | 3.4 mi | Glendale, AZ | ★★★★★ | 4/5 | |
| Sun City Post Acute | 3.5 mi | Sun City, AZ | ★★★★☆ | 3/5 | |
| Advanced Health Care of Glendale | 4.1 mi | Glendale, AZ | ★★★★★ | 4/5 | |
| Agave Grove Post Acute | 4.6 mi | Glendale, AZ | ★★☆☆☆ | 2/5 | abuse |
| Life Care Center of North Glendale | 4.6 mi | Glendale, AZ | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 035144.