Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Beatitudes Campus during CMS and state inspections, most recent first.
A resident with dementia and other conditions reported to a nurse that a CNA had pulled her hair during care. Although the incident was documented as a grievance and an internal investigation was conducted, there was no evidence that the allegation was self-reported to the State Agency as required by facility policy. Staff interviews revealed confusion about the reporting process, and the incident was not included in the facility's list of self-reported incidents.
The facility failed to develop comprehensive care plans for two residents, one requiring oxygen therapy and another using mobility aids. Despite physician orders and assessments, the care plan for a resident with COPD lacked specific interventions for oxygen use. Another resident's care plan did not address the use of a power wheelchair seatbelt or bedrails, contrary to the facility's policy on restraint-free environments. These deficiencies could result in residents not receiving necessary care according to their needs.
The facility failed to properly administer oxygen to two residents, leading to potential complications. One resident, with COPD, was found without oxygen despite being dependent, and the equipment was not maintained. Another resident received oxygen therapy without a physician order, violating facility policy. Staff interviews revealed non-compliance with policies, highlighting deficiencies in respiratory care practices.
The facility failed to follow infection control practices, including improper sanitization of wound care supplies, lack of Enhanced Barrier Precautions signage, inadequate hand hygiene, and failure to disinfect reusable equipment. Observations revealed CNAs not performing hand hygiene between resident interactions, and a resident's catheter bag was found on the floor, posing infection risks.
The facility failed to maintain a safe and comfortable environment for residents, as observed during a walk-through of the 4th floor unit. Issues included water stains on ceiling tiles, a brown substance on a door frame, and a leaking temperature probe. These problems were not reported in the work order system, indicating a lapse in maintenance processes. Despite regular walkthroughs by maintenance staff, the deficiencies persisted, contradicting the facility's policies for a safe and homelike environment.
The facility failed to maintain an effective training program for a registered nurse and a housekeeper, with no evidence of required annual training modules being completed after their respective hire dates. Interviews revealed a lack of clarity regarding training requirements, and the facility had not updated their training since COVID-19, with a new policy currently being written.
The facility failed to provide ongoing education on resident rights for a registered nurse and a housekeeper, as required by their annual training policy. The RN and housekeeper completed their initial training upon hire but did not receive further training, leading to potential deficits in staff knowledge. Interviews revealed that the facility's training policy had not been updated since COVID-19, and a new policy was being developed.
The facility failed to provide required annual training on abuse, neglect, and exploitation to a registered nurse and a housekeeper. The RN completed training in November 2022, and the housekeeper in August 2023, with no further training documented. Interviews revealed confusion about mandatory training requirements, and the facility had not updated training since COVID-19, prompting a new policy development.
The facility failed to provide annual infection control training for a registered nurse and a housekeeper, as required by their policy. The RN completed the training upon hire but had no further training, while the housekeeper also lacked subsequent training. Interviews revealed confusion about training requirements, and the facility had not updated its training since COVID-19, leading to this deficiency.
A resident with severe cognitive impairment was moved to a different room without prior written notice or consent from their POA. The Social Worker had initially informed the POA of a planned room change, which was later canceled, but the change occurred while the SW was out of town, resulting in miscommunication and non-compliance with the facility's notification policy.
A facility failed to assess and care plan for a resident's use of a power wheelchair seatbelt and bed rails/mobility bars, which are potential restraints. The resident, with conditions like transverse myelitis and hemiplegia, had no documented assessments or interventions for these devices. Observations confirmed their presence, but staff interviews revealed a lack of awareness and process for restraint assessment, contrary to facility policy.
The facility failed to ensure daily staff postings were current and visible at the beginning of each shift. Observations showed outdated or missing postings on the 4th floor, while the 3rd floor had postings with altered dates. The DON and administrator confirmed the postings were primarily on the 3rd floor, and residents were not informed about this arrangement.
The facility failed to store food properly in the third-floor nourishment refrigerator, as observed with two undated and partially uncovered fruit plates. The registered dietician confirmed the oversight by night-shift staff, who did not label or cover the plates according to policy, leading to potential food safety risks.
Failure to Timely Report Alleged Abuse to State Agency
Penalty
Summary
The facility failed to ensure that an allegation of abuse involving a resident with dementia, epilepsy, and major depressive disorder was properly reported to the State Agency. The resident, who was cognitively intact as indicated by a BIMS score of 15, reported to a nurse that a CNA had pulled her hair during care. This allegation was documented as a grievance, and an internal investigation was initiated, with the grievance marked as resolved several days later. Despite the facility's policy requiring immediate reporting of abuse allegations to the administrator, state agency, and other authorities within specified timeframes, there was no evidence that the incident was self-reported to the State Agency as required. When surveyors requested a list of self-reported incidents from the past ninety days, both the DON and the VP of Health Services stated that there had been no such reports, and a review of state agency records confirmed that no self-report had been submitted for this incident. Interviews with facility staff revealed confusion regarding the documentation and reporting process. The DON claimed to have submitted a report online and provided an email indicating a request for email verification, but there was no documentation confirming that the complaint was finalized and submitted. The VP of Health Services later attributed the omission from the self-report list to an oversight. The facility's failure to ensure timely and proper reporting of the abuse allegation constituted a deficiency.
Deficiencies in Care Planning for Oxygen Therapy and Mobility Aids
Penalty
Summary
The facility failed to develop a comprehensive person-centered care plan for two residents, leading to deficiencies in their care. Resident #38, who was readmitted with chronic obstructive pulmonary disease (COPD) and chronic hypoxemic respiratory failure, was documented as being oxygen-dependent. Despite multiple physician orders and assessments indicating the need for continuous oxygen therapy, the care plan related to oxygen use was not developed with interventions until several months after the resident's readmission. Interviews with staff revealed that the resident was often encouraged to wear oxygen as ordered, but the care plan lacked specific interventions and measurable objectives as required by the facility's policy. Resident #44, admitted with acute transverse myelitis and hemiplegia following a cerebral infarction, also had deficiencies in their care plan. The care plan did not address the use of a power wheelchair seatbelt or bedrails/mobility bars, despite observations of these items being present and used by the resident. The facility's policy on a restraint-free environment required that care plans be updated to include interventions addressing any risks related to the use of restraints, which was not done in this case. The lack of comprehensive care plans for these residents could result in them not receiving the necessary care and services according to their assessed needs. The facility's policies on oxygen therapy and restraint-free environments were not followed, leading to the deficiencies identified during the survey. Staff interviews indicated a reliance on external hospice care for oxygen management and a lack of documentation for the use of mobility aids, contributing to the oversight in care planning.
Deficiencies in Oxygen Administration for Two Residents
Penalty
Summary
The facility failed to ensure proper administration of oxygen for two residents, leading to potential complications. Resident #38, who was readmitted with chronic obstructive pulmonary disease (COPD) and chronic respiratory failure, was observed without oxygen despite being oxygen-dependent. The resident's oxygen saturation levels were below the recommended threshold, and the oxygen equipment was not properly set up or maintained. The resident's nasal cannula was found on the floor, and the oxygen tank attached to the wheelchair was empty, indicating a lack of adherence to the physician's orders and facility policies regarding oxygen administration. Resident #50 was receiving oxygen therapy without a documented physician order, which is against the facility's policy. Despite being on continuous oxygen therapy, there was no evidence of a physician order for oxygen administration in the resident's medical records. Observations confirmed that the resident was receiving oxygen, but the necessary documentation and orders were missing, highlighting a significant oversight in the facility's medication administration process. Interviews with staff, including LPNs and the Director of Nursing, revealed a lack of compliance with facility policies requiring physician orders for oxygen administration. The absence of proper documentation and orders for oxygen use for Resident #50, along with the improper setup and monitoring of oxygen for Resident #38, demonstrate deficiencies in the facility's respiratory care practices, potentially leading to adverse outcomes for the residents involved.
Infection Control Deficiencies in LTC Facility
Penalty
Summary
The facility failed to adhere to infection control practices, as evidenced by several observations and staff interviews. During a wound care observation, an LPN used a multiuse wound wash solution and betadine container without sanitizing them after use, contrary to the facility's policy. The LPN admitted to not wiping down the containers before returning them to the treatment cart, which was confirmed by the Director of Nursing (DON) as a breach of protocol. Enhanced Barrier Precautions (EBP) were not properly communicated, as there were no EBP signs posted in the hallways of resident rooms. The DON acknowledged that the absence of signage was an issue and posed a risk of infection spread. Staff interviews revealed that EBP signs were placed only after the survey team arrived, indicating a lapse in maintaining consistent infection control measures. Hand hygiene practices were inadequate, with hand sanitizer not readily accessible inside or outside resident rooms. Observations showed CNAs failing to perform hand hygiene between resident interactions. The Assistant Director of Nursing (ADON) and DON confirmed the expectation for hand hygiene, but the lack of accessible sanitizer and inconsistent practices highlighted a deficiency in infection control. Additionally, reusable resident equipment, such as blood pressure cuffs, was not disinfected after use, and a resident's catheter bag was observed on the floor, both of which were acknowledged by staff as risks for infection.
Facility Fails to Maintain Safe and Comfortable Environment
Penalty
Summary
The facility failed to ensure a safe and comfortable environment for residents, as evidenced by multiple deficiencies observed during a walk-through of the 4th floor unit. Several rooms were found with water stains on the ceiling tiles, a door frame with a splatter of a brown substance, and a temperature probe above the dining area that had a built-up substance and appeared to be leaking. These issues were not reflected in the open work order report generated prior to the observations, indicating a lapse in the facility's maintenance and reporting processes. Interviews with staff revealed that there was a work order system in place, but the issues identified had not been reported or addressed. The Senior Maintenance Engineer stated that regular walkthroughs were conducted, yet the deficiencies persisted. The facility's policies emphasized the importance of maintaining a safe, clean, and homelike environment, but the observed conditions contradicted these standards. The administrator acknowledged the importance of a clean and safe environment for residents' quality of life and safety, yet the facility failed to meet these expectations, potentially putting residents at risk for injury and discomfort.
Deficient Staff Training Program
Penalty
Summary
The facility failed to maintain an effective training program for two staff members, a registered nurse and a housekeeper, which could potentially affect resident care. The registered nurse was hired on November 7, 2022, and completed the required training modules on November 8, 2022. However, there was no evidence of any further training modules being completed after that date. Similarly, the housekeeper, hired on August 21, 2023, completed the required training modules on the same day of hire, with no further training documented thereafter. Interviews with facility staff revealed a lack of clarity and awareness regarding the annual training requirements. The human resources assistant was unable to specify which training modules were required for all employees, contract staff, and volunteers. The administrator confirmed the absence of annual training module transcripts for the two staff members and acknowledged that annual training should occur within the past 365 days. The VP of Human Resources and Risk Management admitted that the facility had not updated their training since the onset of COVID-19 and was in the process of writing a new policy to address the missing old policy.
Deficiency in Staff Training on Resident Rights
Penalty
Summary
The facility failed to ensure that two staff members, a registered nurse and a housekeeper, received ongoing education on resident rights, which is a required component of their annual training. The registered nurse was hired on November 7, 2022, and completed the required training modules on November 8, 2022, but there was no evidence of further training on resident rights after that date. Similarly, the housekeeper, hired on August 21, 2023, completed the required training on the same day but had no subsequent training on resident rights. This lack of ongoing education could lead to a deficit in staff knowledge and skills, potentially affecting resident care. Interviews with facility staff revealed gaps in the understanding and implementation of the annual training requirements. The HR assistant was unable to specify which training modules were required for all employees, and the administrator acknowledged the absence of annual training module transcripts for the two staff members. The VP of HR indicated that the facility's training policy had not been updated since the onset of COVID-19, and a new policy was being written to address these deficiencies. The facility's existing policy mandates that orientation and annual training include topics such as resident rights, infection control, and other essential areas, but this was not adhered to in the cases of the RN and housekeeper.
Deficiency in Staff Training on Abuse, Neglect, and Exploitation
Penalty
Summary
The facility failed to ensure that two staff members, a registered nurse and a housekeeper, received the required annual training on abuse, neglect, and exploitation. The registered nurse, hired on November 7, 2022, completed the necessary training on November 8, 2022, but there was no evidence of further training after that date. Similarly, the housekeeper, hired on August 21, 2023, completed the required training on the same day but had not received any additional training since then. This lack of ongoing training could lead to a deficit in staff knowledge and skills, potentially affecting resident care and leading to harm. Interviews with facility staff revealed a lack of clarity regarding the required annual training modules. The human resources assistant was unable to specify which training modules were mandatory for all employees, contract staff, and volunteers. The administrator confirmed the absence of recent training records for the two staff members and acknowledged that annual training should occur within the past 365 days. The Vice President of Human Resources and Risk Management noted that the facility had not updated their training since the onset of COVID-19 and was in the process of writing a new policy to address this issue. The facility's existing policy outlined the need for orientation and annual training on various topics, including resident rights and infection control.
Deficiency in Annual Infection Control Training for Staff
Penalty
Summary
The facility failed to ensure that two staff members, a registered nurse and a housekeeper, received the required annual training on infection control. The registered nurse was hired on November 7, 2022, and completed the required training modules, including infection control, on November 8, 2022. However, there was no evidence of any further infection control training after that date. Similarly, the housekeeper, hired on August 21, 2023, completed the required training on the same day but had no subsequent infection control training. This lack of ongoing training was identified during a review of personnel files and interviews with staff. Interviews with the human resources assistant and the administrator revealed a lack of clarity regarding the specific annual training requirements for all employees. The administrator confirmed that there were no updated training records for the two staff members within the past 365 days. The Vice President of Human Resources and Risk Management acknowledged that the facility had not updated their training since the onset of COVID-19 and was in the process of writing a new policy. The facility's existing policy required annual training on various topics, including infection control, but this was not adhered to, leading to the deficiency.
Failure to Notify Resident and POA of Room Change
Penalty
Summary
The facility failed to notify a resident and their Power of Attorney (POA) prior to a room change, which is a violation of the resident's rights. The resident, who was admitted with severe cognitive impairment due to vascular dementia and other conditions, was moved from the 4th floor to the 3rd floor without prior written notice or consent. The resident's POA was unaware of the room change until visiting the facility and discovering the resident had been relocated. Interviews and documentation revealed that the Social Worker (SW) had initially communicated with the POA about a planned room change, which was later canceled. However, the room change was implemented while the SW was out of town, leading to a miscommunication and failure to follow the facility's policy on room change notifications. The policy requires a 30-day notice and a signed consent form from the resident or their legal representative, which was not completed in this case.
Failure to Assess and Care Plan for Potential Restraints
Penalty
Summary
The facility failed to ensure that a resident was properly assessed and care planned for the use of a power wheelchair seatbelt and bed rails/mobility bars, which are considered potential restraints. The resident, who was admitted with diagnoses including acute transverse myelitis, hemiplegia following cerebral infarction, major depressive disorder, and myocardial infarction, had a care plan that did not address the use of these devices. There were no physician orders or clinical record assessments regarding the seatbelt or bedrails/mobility bars, and the Treatment Administration Record for July 2024 showed no assessment, intervention, or monitoring for these items. Observations and interviews revealed that the resident had intact cognition and confirmed the presence of mobility bars and a seatbelt on her power wheelchair. However, staff interviews indicated a lack of awareness and process for assessing and monitoring potential restraints. The Director of Nursing acknowledged the absence of assessments for the resident's seatbelt and bedrails/mobility bars, which contradicted the facility's policy on maintaining a restraint-free environment. The policy required specific assessments and care plan updates for any potential restraints, which were not conducted in this case.
Failure to Post Current Daily Staff Information
Penalty
Summary
The facility failed to ensure that daily staff postings were current and posted at the beginning of each shift, as required. Observations conducted on the 4th floor on multiple occasions revealed that the daily staff postings were either outdated or missing entirely. On August 26, 2024, the posting on the 4th floor was dated January 3, 2024, and on the 3rd floor, it was dated August 6, 2024. Subsequent observations on August 27 and 28, 2024, found no staff postings on the 4th floor. Interviews with staff, including the Director of Nursing (DON) and a registered nurse (RN), confirmed the absence of current postings on the 4th floor and indicated that the postings were available on the 3rd floor. The DON admitted that the daily staff posting was located on the 3rd floor and that residents and their families from the 4th floor could request this information. The DON also provided a copy of a staff posting with an altered date, suggesting an attempt to update the posting date from August 6 to August 26, 2024. The administrator acknowledged that residents from the 4th floor often visited the 3rd floor for various activities and could view the postings there, but also admitted that residents and families had not been informed about the location of the postings. The RN on the 4th floor pointed out the usual location for the posting, which was empty, indicating a lack of adherence to the requirement for visible and current staff postings on each floor.
Improper Food Storage in Nourishment Refrigerator
Penalty
Summary
The facility failed to ensure proper storage of food in the third-floor resident nourishment refrigerator, which did not comply with professional standards for food service safety. During an observation, it was found that two fruit plates were undated and partially uncovered. The plates contained green grapes and banana slices, with red liquid puddles and stains on the paper plates. The clear plastic wrap was pulled back, leaving the fruit exposed, which could lead to the growth of harmful bacteria and pose a risk of foodborne illness. An interview with the registered dietician revealed that the fruit plates were prepared by the night-shift staff, who neglected to place a use-by dated sticker and properly cover the plates with saran wrap. The registered dietician acknowledged the oversight and disposed of the undated fruit plates. The facility's policy requires that unused portions and open packages be covered, labeled, and dated with an orange-color label system, and food should be discarded past the use-by or expiration date.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 229 citations issued within 25 miles in the last 12 months — including the 2 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Phoenix
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Rehabilitation Center At The Palazzo | 0.7 mi | — | 1 | 0 |
| Maryland Gardens Post Acute | 1.8 mi | — | 0 | 0 |
| North Mountain Medical And Rehabilitation Center | 2.7 mi | — | 2 | 0 |
| Haven Of Phoenix | 2.9 mi | — | 1 | 0 |
| The Terraces Of Phoenix | 2.9 mi | — | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Beatitudes Campus.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.