Deficiency Index

Aspire Transitional Care

Flagstaff, Arizona · CCN 035296

8 surveys since 2019, and no finding has been recorded at harm level.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
47
Surveys
8
Harm or worse
0
Immediate jeopardy
0
The record, 2019–2025
’19’20’25
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file4/8

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
50
Ownership
Non profit - Other
Chain
THE GOODMAN GROUP
County
Coconino
Medicare-certified since
2018

CMS ratings

Overall
5
Health inspection
5
Staffing
4
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more weighted findings than its peer group.

Weighted by harm level, against 31 facilities with fewer than 66 beds in Arizona.

Last survey on record

Aug 21, 2025

445 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.165.20
Registered-nurse hours per resident day1.66—
Annual nurse turnover47.8%53.2%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD947.4%E1052.6%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 19 of the 47 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8803×

    Provide and implement an infection prevention and control program.

  • F6092×

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

  • F6892×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F6221×

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

  • F6551×

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

In the surveyor’s words

From the most serious findings on record at Aspire Transitional Care, in the surveyor’s own words.

  • No harm, potential for more than minimal, patternF609Aug 21, 2025

    The facility failed to ensure that an allegation of resident abuse was reported to all applicable agencies for 3 out of 4 residents. Based on clinical record review, facility documentation, staff interviews, and policy review, the facility failed to ensure an allegation of resident abuse was reported to all applicable state agencies for 3 out of 4 residents (#57, #58, and #59). The deficient practice could result in further allegations of abuse not being reported and investigated by the appropriate state agencies. Findings include:-Regarding Resident # 57Resident # 57 was admitted to the facility on [DATE], with diagnoses of surgery aftercare for genitourinary system, urinary tract infection, sepsis, Parkinson's, and dementia. […]

  • No harm, potential for more than minimal, patternF609Aug 7, 2025

    Based on clinical record review, facility documentation, staff interviews, and policy review, the facility failed to ensure an allegation of resident abuse was reported to all applicable state agencies for 3 out of 3 residents (#3, #7, and #5). The deficient practice could result in further allegations of abuse not being reported and investigated by the appropriate state agencies. Findings include:-Regarding Resident # 3Resident # 3 was admitted to the facility on [DATE], with diagnoses of cellulitis, streptococcal infection, and depression. A comprehensive care plan dated June 27, 2023, revealed that Resident # 3 had alteration in skin integrity related to cellulitis. […]

  • No harm, potential for more than minimal, patternF678Aug 22, 2024

    Based on personnel file review, staff interviews, facility policy review, the facility failed to ensure that two of ten sampled staff (Staff # 19 and #49) had current Cardio Pulmonary Resuscitation (CPR) certification. The deficient practice could result in staff not knowledgeable of how to provide emergency care to residents. Findings include: Review of the personnel file records for a Licensed Practical Nurse (LPN/ Staff #49) revealed a hire date of [DATE] with a valid CPR certification issued on [DATE], however, the CPR expired on [DATE]. Further review revealed no evidence of current CPR certification. […]

  • No harm, potential for more than minimal, patternF689Aug 22, 2024

    Based on record review, observations, staff and resident interviews, and policy review, the facility failed to ensure that the environment remained free from accident hazards for 3 residents (#281, #26, and #482). The deficient practice could result in potential harm to residents due to unsupervised access to sharps. Findings include: - Regarding Resident #281 Resident #281 was admitted on [DATE]. Record review of the medical diagnoses for resident #281 revealed type two diabetes mellitus accompanied by unspecified dementia and a need for assistance with personal care. Review of the admission MDS (Minimum Data Set) assessment dated [DATE] revealed that resident #281 had a BIMS score of 08 that indicated moderate cognitive impairment. […]

  • No harm, potential for more than minimal, patternF698Aug 22, 2024

    Based on observations, staff interviews, and review of clinical records and policy the facility failed to ensure dialysis care and services, including nutrition, assessments, or coordination of care, were appropriately followed for 3 Residents (#15, #10, and #234). The deficient practice may result in complications of care and services to residents receiving dialysis. Findings include: -Regarding Resident # 15 Resident # 15 was admitted into the facility on [DATE] with diagnoses that included dependence on renal dialysis, implants and grafts, and end stage renal disease. A review of the Admission MDS (minimum data set) assessment dated [DATE] revealed a BIMS (brief interview of mental status) score of 8, which indicated the resident was moderately cognitively impaired. […]

Read 20 findings in full →The most serious and the most recent: 20 of 47 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 21, 2025Standard and complaint2 findings
  • Aug 7, 2025Complaint1 finding
  • Aug 22, 2024Standard10 findings
  • Aug 18, 2023Standard6 findings
  • May 26, 2023Complaint2 findings
  • Jun 23, 2022Standard and complaint7 findings
  • Jun 3, 2020Infection control1 finding
  • Nov 22, 2019Standard and complaint18 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction