Phoenix Mountain Post Acute
13232 North Tatum Blvd, Phoenix, AZ 85032 · Maricopa County · 130 certified beds · avg 119 residents/day · certified since Nov 25, 1979
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: ★★☆☆☆2/5 · 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 · Jun 11, 2024 · F-0600 · triggered by a complaint
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.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
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: Jul 25, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (27)
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 19, 2025 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Nov 19, 2025 | 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 19, 2025 | 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 19, 2025 | 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. |
| Nov 19, 2025 | D · Potential for harm, one-off | The facility did not provide timely, quality laboratory tests to meet residents' needs. |
| Jul 11, 2025 | E · Potential for harm, repeated | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · from a complaint |
| Jul 11, 2025 | D · Potential for harm, one-off | The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · from a complaint |
| Jun 17, 2025 | D · Potential for harm, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint |
| Jun 17, 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 |
| Jun 11, 2024 | ▲ G · Actual 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 |
| Jul 6, 2023 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jul 6, 2023 | E · Potential for harm, repeated | 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. |
| Jul 6, 2023 | E · Potential for harm, repeated | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Jul 6, 2023 | E · Potential for harm, repeated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Jul 6, 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. |
| Jul 6, 2023 | E · Potential for harm, repeated | The facility did not provide timely, quality laboratory tests to meet residents' needs. |
| Jul 6, 2023 | 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. |
| Jul 6, 2023 | 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. |
| Jul 6, 2023 | 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. |
| Jul 6, 2023 | 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. |
| Jul 6, 2023 | D · Potential for harm, one-off | 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. |
| Jul 6, 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. |
| Jul 6, 2023 | D · Potential for harm, one-off | The facility did not dispose of garbage and refuse properly. |
| Jul 6, 2023 | 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. |
| May 12, 2022 | E · Potential for harm, repeated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| May 12, 2022 | 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. |
| May 12, 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (14 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 3 | 0 | E |
| 2023 | 14 | 0 | E |
| 2024 | 1 | 1 | G ▲ |
| 2025 | 9 | 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)
1 fine totaling $8,018.
| Date | Type | Amount / length |
|---|---|---|
| Jun 11, 2024 | Fine | $8,018 |
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) | 3.42 | 3.97 | 3.95 | bottom 32% in Arizona; bottom 33% in the U.S. |
| Registered Nurse hours | 0.58 | 0.69 | 0.69 | bottom 44% in Arizona; bottom 49% in the U.S. |
| Weekend total nurse staffing | 3.15 | 3.50 | 3.50 | bottom 40% in Arizona; bottom 39% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.47 | 0.49 | 0.48 | top 40% in Arizona; top 37% in the U.S. |
| Total nursing staff turnover (%) | 68.4 | 45.2 | 45.8 | bottom 5% in Arizona; bottom 7% in the U.S. |
| RN turnover (%) | 61.9 | 43.6 | 42.9 | bottom 16% in Arizona; bottom 19% 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 3.26, RN 0.55, weekend 3.00. 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 - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Burnam, Soon | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2022 |
| Burnam, Soon | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2022 |
| Ensign Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2022 |
| Haerter, Charlton | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/01/2021 |
| Haerter, Charlton | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2021 |
| Haerter, Charlton | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2021 |
| Keetch, Chad | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2014 |
| Peterson, Forrest | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2022 |
| Port, Barry | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 08/20/2025 |
| Standard Bearer Healthcare Op, LP | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2022 |
| Summit Trail Health Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2022 |
| The Ensign Group INC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2022 |
| Wagner, Clayton | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/01/2019 |
| Wagner, Clayton | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2019 |
| Wagner, Clayton | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2019 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "How quickly are lab tests done and results acted on when a resident's doctor orders them?"
- "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
- "How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
- "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 |
|---|---|---|---|---|---|
| Arizona State Veteran Home-Phx | 1.9 mi | Phoenix, AZ | ★★☆☆☆ | 1/5 | abuse |
| Ridgecrest Post Acute | 2.4 mi | Phoenix, AZ | ★★★★★ | 4/5 | |
| Life Care Center of Paradise Valley | 2.6 mi | Phoenix, AZ | ★★★☆☆ | 2/5 | abuse |
| VI at Grayhawk, a VI and Plaza Companies Community | 5.5 mi | Scottsdale, AZ | ★★★★★ | 5/5 | |
| Acacia Health Center | 5.6 mi | Phoenix, AZ | ★★★★★ | 5/5 | |
| North Mountain Medical and Rehabilitation Center | 5.8 mi | Phoenix, AZ | ★★★★★ | 5/5 | |
| The Terraces of Phoenix | 5.8 mi | Phoenix, AZ | ★★★★★ | 4/5 | |
| Shea Post Acute Rehabilitation Center | 5.9 mi | Scottsdale, AZ | ★★★★★ | 5/5 | |
| Life Care Center of Scottsdale | 6.0 mi | Scottsdale, AZ | ★★★★★ | 4/5 | |
| Advance Health Care of Scottsdale | 6.1 mi | Scottsdale, AZ | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 035072.