Surprise Health and Rehabilitation Center
14660 West Parkwood Drive, Surprise, AZ 85374 · Maricopa County · 100 certified beds · avg 101 residents/day · certified since Oct 4, 2019
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: 5/5
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 27, 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. |
| Mar 27, 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 27, 2026 | 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. |
| Mar 11, 2025 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · from a complaint |
| Mar 6, 2025 | D · Potential for harm, one-off | The facility was not properly licensed, or did not operate in compliance with federal, state, and local laws, regulations, and accepted professional standards. · from a complaint |
| Jun 27, 2024 | 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 |
| Dec 23, 2022 | E · Potential for harm, repeated | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Dec 23, 2022 | 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. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 2 | 0 | E |
| 2024 | 1 | 0 | D |
| 2025 | 2 | 0 | D |
| 2026 | 3 | 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) | 3.08 | 3.97 | 3.95 | bottom 10% in Arizona; bottom 17% in the U.S. |
| Registered Nurse hours | 0.54 | 0.69 | 0.69 | bottom 36% in Arizona; bottom 44% in the U.S. |
| Weekend total nurse staffing | 2.60 | 3.50 | 3.50 | bottom 7% in Arizona; bottom 13% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.65 | 0.49 | 0.48 | top 21% in Arizona; top 19% in the U.S. |
| Total nursing staff turnover (%) | 40.9 | 45.2 | 45.8 | top 29% in Arizona; top 39% in the U.S. |
| RN turnover (%) | 40.0 | 43.6 | 42.9 | top 39% in Arizona; top 46% 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 5.05, RN 0.89, weekend 4.26. 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 |
|---|---|---|---|---|
| Bandera Healthcare LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 06/07/2019 |
| Burnam, Soon | Individual | Corporate Officer | NOT APPLICABLE | 06/07/2019 |
| Ensign Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 06/07/2019 |
| Glazier, Mark | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/01/2019 |
| Glazier, Mark | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2019 |
| Glazier, Mark | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2019 |
| Keetch, Chad | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2011 |
| Nassour, William | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/01/2021 |
| Nassour, William | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2021 |
| Nassour, William | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2021 |
| Peterson, Forrest | Individual | Corporate Officer | NOT APPLICABLE | 08/01/2019 |
| Port, Barry | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 09/12/2025 |
| Standard Bearer Healthcare Op, LP | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2022 |
| Statler 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 |
| Ventura Medstaff, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/01/2019 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you coordinate and monitor care for residents who receive dialysis?"
- "Can you tell me about this citation and confirm your license and compliance status today?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "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 |
|---|---|---|---|---|---|
| Sante of Surprise | 0.8 mi | Surprise, AZ | ★★★★☆ | 4/5 | |
| Sun Health Grandview Care Center | 1.0 mi | Sun City West, AZ | ★★★★★ | 5/5 | |
| Sun West Choice Healthcare & Rehab | 1.4 mi | Sun City West, AZ | ★★★★★ | 4/5 | |
| Sun City Post Acute | 5.8 mi | Sun City, AZ | ★★★★☆ | 3/5 | |
| Sunview Respiratory and Rehabilitation | 5.9 mi | Youngtown, AZ | ★★☆☆☆ | 1/5 | abuseSFF |
| Lake Pleasant Post Acute Rehabilitation Center | 6.0 mi | Peoria, AZ | ★★★★☆ | 3/5 | |
| Boswell Transitional Care of Cascadia | 6.0 mi | Sun City, AZ | ★★★★★ | 4/5 | |
| Freedom Plaza Care Center | 7.5 mi | Peoria, AZ | ★★★★★ | 5/5 | |
| Peoria Post Acute and Rehabilitation | 7.5 mi | Peoria, AZ | ★★★★☆ | 4/5 | |
| Az - Rio Vista Post Acute and Rehabilitation | 8.1 mi | Peoria, AZ | ★★★★★ | 4/5 | |
| Immanuel Campus of Care | 8.2 mi | Peoria, AZ | ★★★☆☆ | 2/5 | abuse |
| Center at Arrowhead, LLC | 9.2 mi | Glendale, AZ | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 035297.