LAKE PLEASANT POST ACUTE REHABILITATION CENTER

20625 NORTH LAKE PLEASANT ROAD
PEORIA, AZ 85382

πŸ“ž 6235660642
For profit - CorporationTHE ENSIGN GROUP128 certified beds~108 residents/day

20625 NORTH LAKE PLEASANT ROAD, PEORIA, AZ

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CMS Five-Star Ratings

Source: CMS Provider Data Catalog. Ratings updated monthly.

Overall Rating

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Composite of health inspections, staffing, and quality measures

Health Inspections

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Based on results of onsite inspection surveys

Staffing

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Nurse staffing levels relative to resident census

Quality Measures

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Clinical quality metrics from resident assessments

Staffing Data

Higher staffing hours = better care outcomes. RN turnover over 40% is a warning sign.

Total Nurse Hours / Resident / Day

3.50 hrs

Recommended: 4.1+ hrs

RN Hours / Resident / Day

0.57 hrs

Recommended: 0.5+ hrs

RN Turnover Rate

60%

Warning if >40%

Total Nurse Turnover

47%

Warning if >50%

Inspection Deficiency Citations

Recent citations from CMS health inspections. Severity A–F = no resident harm. G–L = resident harm occurred.

F0880DInfection Control Deficiencies

Provide and implement an infection prevention and control program.

Inspection: 2025-12-05Corrected: 2026-01-16
F0550EResident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Inspection: 2024-05-10Corrected: 2024-06-24
F0582DResident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Inspection: 2024-05-10Corrected: 2024-06-24
F0696DQuality of Life and Care Deficiencies

Provide appropriate care/assistance for a resident with a prosthesis.

Inspection: 2024-05-10Corrected: 2024-06-24
F0812ENutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Inspection: 2024-05-10Corrected: 2024-06-24
F0880DInfection Control Deficiencies

Provide and implement an infection prevention and control program.

Inspection: 2024-05-10Corrected: 2024-06-24
F0692EQuality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

Inspection: 2024-01-17Corrected: 2024-03-01
F0609DAbuse CitationFreedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Inspection: 2023-12-13Corrected: 2024-01-19
F0610DAbuse CitationFreedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Inspection: 2023-12-13Corrected: 2024-01-19
F0580DResident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Inspection: 2023-01-26Corrected: 2023-03-05
F0658EResident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Inspection: 2023-01-26Corrected: 2023-03-05
F0677DQuality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Inspection: 2023-01-26Corrected: 2023-03-05
F0685DQuality of Life and Care Deficiencies

Assist a resident in gaining access to vision and hearing services.

Inspection: 2023-01-26Corrected: 2023-03-05
F0725ENursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Inspection: 2023-01-26Corrected: 2023-03-05
F0757DPharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Inspection: 2023-01-26Corrected: 2023-03-05
F0758EPharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Inspection: 2023-01-26Corrected: 2023-03-05
F0580DResident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Inspection: 2021-12-08Corrected: 2022-01-25
F0584EResident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Inspection: 2021-12-08Corrected: 2022-01-25
F0641DResident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Inspection: 2021-12-08Corrected: 2022-01-25
F0757DPharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Inspection: 2021-12-08Corrected: 2022-01-25

About This Data

All data is sourced directly from the CMS Provider Data Catalog (data.cms.gov) and updated every month. NursingHomeUSA receives no compensation from this facility.

CMS Provider Number (CCN): 035111

Medicare approved: 1985-07-29

Quick Facts

Certified beds128
Avg residents/day108
OwnershipFor profit - Corporation
ChainTHE ENSIGN GROUP
Abuse alertNo
Special Focus (SFF)No

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