Deficiency Index

Desert Blossom Health & Rehab Center

Mesa, Arizona · CCN 035164

14 surveys since 2012. The first finding at harm level was recorded in 2019.

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

Citations on record
54
Surveys
14
Harm or worse
2
Immediate jeopardy
0
The record, 2012–2025
’12’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worse2

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file9/14

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

The facility

Certified beds
106
Ownership
For profit - Corporation
Chain
THE ENSIGN GROUP
County
Maricopa
Medicare-certified since
1988

CMS ratings

Overall
5
Health inspection
4
Staffing
2
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

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

Weighted by harm level, against 39 for-profit facilities of 100–127 beds in Arizona.

Last survey on record

Dec 16, 2025

328 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 day3.453.45
Registered-nurse hours per resident day0.68—
Annual nurse turnover51.6%45.6%

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

Enforcement

Fines
$8,278 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

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 harmG18.3%H—I—
No harm, potential for more than minimalD1191.7%E—F—
No harm, potential for minimalA—B—C—
CMS’s current file: 12 of the 54 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6582×

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

  • F7552×

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  • F8422×

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  • F5841×

    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.

  • F6091×

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

In the surveyor’s words

From the most serious findings on record at Desert Blossom Health & Rehab Center, in the surveyor’s own words.

  • Actual harm, isolatedF684Jun 2, 2025

    Based on clinical record review, staff interviews, facility documentation, and policy review, the facility failed to follow resident's advanced directives by not providing Cardiopulmonary Resuscitation (CPR) on 1 of 3 sampled residents (#21). The deficient practice could result in death of the resident. Findings include: Resident #21 was admitted on [DATE], with diagnoses of acute and chronic respiratory failure with hypoxia. Review of the Preferred Intensity of Care document signed [DATE] revealed Resident # 21's advanced directive was to receive resuscitation and transfer to an acute Hospital. […]

  • No harm, potential for more than minimal, patternF692Apr 12, 2023

    Based on clinical record review, staff interviews and review of policies and procedures, the facility failed to ensure identify and address the risk factors for the nutritional status for one resident (#1). The deficient practice could result in residents not meeting dietary needs. Findings include: Resident #1 was admitted on [DATE] with diagnoses of transient ischemic attack (TIA), cerebral infarction without residual deficits, gastro-esophageal reflux disease (GERD) without esophagitis and type 2 diabetes mellitus. A care plan initiated on January 14, 2023 revealed the resident had ADL (activities of daily living) self-care performance deficit. Goal was that the resident would maintain current level of function in eating. […]

  • No harm, potential for more than minimal, patternF580May 20, 2022

    Based on clinical record review, staff interviews, and review of policies and procedures, the facility failed to ensure a physician was notified of an accident resulting in serious injury for one resident (#1), and that one resident's representative (#3) was notified of a significant change in condition. The deficient practice could result in residents not receiving treatment for [MEDICAL RECORD OR PHYSICIAN ORDER] . Findings include: -Resident #1 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A Nursing note dated April 12, 2022 at 7:49 pm included that resident had arrived and was unable to answer questions, so the family was called to complete the admission. […]

  • No harm, potential for more than minimal, patternF656May 20, 2022

    Based on clinical record reviews, staff interviews, review of the Resident Assessment Instrument (RAI) manual and policy and procedures, the facility failed to ensure that comprehensive care plans were developed for two residents regarding oxygen therapy (#2 and #3). Findings include: -Resident #2 was admitted on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . An Admission note dated February 3, 2022 at 1:38 pm included that the resident arrived and was placed on 3.5 L (liters) of oxygen as ordered. […]

  • No harm, potential for more than minimal, patternF695May 20, 2022

    Based on clinical record reviews, staff interviews, observations, and review of facility policies and procedures, the facility failed to ensure that two residents (#2 and #3) had an order for [MEDICAL RECORD OR PHYSICIAN ORDER] . Findings include: -Resident #2 was admitted on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . An Admission note dated February 3, 2022 at 1:38 pm included that the resident arrived and was placed on 3.5 L (liters) of oxygen as ordered. A Daily Skilled note dated February 5, 2022 at 6:58 pm included that resident #2 was on Oxygen via Nasal Cannula set at 4 L (liters). […]

Read 21 findings in full →The most serious and the most recent: 21 of 54 on record.

Every survey on record

FindingsAt actual harm or above

  • Dec 16, 2025Standard1 finding
  • Jul 18, 2025Complaint4 findings
  • Jun 2, 2025Complaint1 finding · 1 harm
  • May 9, 2024Standard and complaint4 findings
  • Apr 12, 2023Complaint1 finding
  • Jan 6, 2023Standard and complaint2 findings
  • May 20, 2022Complaint6 findings
  • Dec 2, 2021Standard6 findings
Show the 6 earlier surveys
  • Aug 8, 2019Standard2 findings · 1 harm
  • Jun 14, 2018Standard6 findings
  • Apr 8, 2016Standard4 findings
  • Jan 8, 2015Standard and complaint6 findings
  • Apr 11, 2014Complaint1 finding
  • Aug 3, 2012—10 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.

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