The Lingenfelter Center

Name: The Lingenfelter Center
Address: 1099 SUNRISE AVENUE, Kingman, AZ, 86401, US
Telephone: 9287184852

1099 Sunrise Avenue, Kingman, AZ 86401 · Mohave County · 88 certified beds · avg 73 residents/day · certified since Jul 10, 2003

Abuse citation flag (CMS)

The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.41

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.

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
Apr 8, 2026	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
May 15, 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
Nov 14, 2024	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
Nov 14, 2024	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
Jun 6, 2024	E · Potential for harm, 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.
Jun 6, 2024	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
Jun 6, 2024	D · Potential for harm, one-off	The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out.
Jun 6, 2024	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jun 6, 2024	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.
Jun 6, 2024	D · Potential for harm, one-off	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.
Jun 6, 2024	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.
Jun 6, 2024	D · Potential for harm, one-off	The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety.
Jun 6, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jun 6, 2024	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.
Jun 6, 2024	D · Potential for harm, one-off	The facility did not dispose of garbage and refuse properly.
Jun 6, 2024	D · Potential for harm, one-off	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
May 15, 2024	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
Mar 27, 2024	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
Feb 23, 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.
Dec 16, 2021	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (1 → 12).

Year	Citations	Worst severity that year
2021	1	D
2023	1	D
2024	16	E
2025	1	D
2026	1	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)	4.41	3.97	3.95	top 24% in Arizona; top 26% in the U.S.
Registered Nurse hours	0.69	0.69	0.69	top 35% in Arizona; top 37% in the U.S.
Weekend total nurse staffing	4.04	3.50	3.50	top 21% in Arizona; top 22% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.34	0.49	0.48	bottom 32% in Arizona; bottom 40% in the U.S.
Total nursing staff turnover (%)	46.4	45.2	45.8	bottom 48% in Arizona; bottom 46% in the U.S.
RN turnover (%)	30.8	43.6	42.9	top 22% in Arizona; top 30% 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 3.72, RN 0.58, weekend 3.40. Staffing rating: 4/5.

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: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Collins, Jessica	Individual	Direct Ownership Interest	NOT APPLICABLE	02/28/2017
Collins, Jillian	Individual	Direct Ownership Interest	NOT APPLICABLE	02/28/2017
Collins, Joshua	Individual	Direct Ownership Interest	NOT APPLICABLE	02/28/2017
Creative Care INC	Organization	Direct Ownership Interest	NOT APPLICABLE	05/03/2013
Lingenfelter, Fred	Individual	Direct Ownership Interest	NOT APPLICABLE	01/01/2014
Overson, Sara	Individual	Direct Ownership Interest	NOT APPLICABLE	01/01/2014
Terry, Sandra	Individual	Direct Ownership Interest	NOT APPLICABLE	01/01/2014
Cobanovich, Stephanie	Individual	Operational/Managerial Control	NOT APPLICABLE	06/16/2020
Cobanovich, Stephanie	Individual	ADP of the SNF	NOT APPLICABLE	06/16/2020
Collins, Jessica	Individual	Corporate Director	NOT APPLICABLE	02/28/2017
Collins, Jessica	Individual	Operational/Managerial Control	NOT APPLICABLE	02/20/2017
Collins, Jessica	Individual	ADP of the SNF	NOT APPLICABLE	02/28/2017
Collins, Jillian	Individual	ADP of the SNF	NOT APPLICABLE	02/28/2017
Collins, Joshua	Individual	ADP of the SNF	NOT APPLICABLE	02/28/2017
Creative Care INC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/15/2005
Creative Care INC	Organization	ADP of the SNF	NOT APPLICABLE	02/14/2025
Ernest L Harman MD Zia Way LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2008
Ernest L Harman MD Zia Way LLC	Organization	ADP of the SNF	NOT APPLICABLE	02/28/2025
Harman, Ernest	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2008
Harman, Ernest	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2008

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?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Where do you post your daily staffing numbers, and can I see today's?"
"Under what circumstances would you discharge or transfer a resident, and what notice and appeal rights would we have?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"Who runs your activities program, what are their qualifications, and can I see this week's activity calendar?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"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
The Gardens Rehab & Care Center	0.0 mi	Kingman, AZ	★★★☆☆	3/5
Desert Highlands Care Center	0.1 mi	Kingman, AZ	★★★☆☆	3/5

Compare this facility with the 2 closest →

All facilities in Kingman →

Facility data as of CMS processing date 2026-08-01. CCN 035262.

The Care File

Visit checklist — The Lingenfelter Center

1099 Sunrise Avenue, Kingman, AZ 86401 · 9287184852

Health inspection rating 2/5 · CMS overall 2/5 · ▲ FEDERAL ABUSE CITATION FLAG· Fines (3y): $0

Questions for the administrator:

☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Where do you post your daily staffing numbers, and can I see today's?"
☐ "Under what circumstances would you discharge or transfer a resident, and what notice and appeal rights would we have?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "Who runs your activities program, what are their qualifications, and can I see this week's activity calendar?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "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 035262 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)