Oasis Pavilion Nursing & Rehabilitation Center
Casa Grande, Arizona · CCN 035276
23 surveys since 2010, 10 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 185
- Surveys
- 23
- Harm or worse
- 10
- Immediate jeopardy
- 1
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 134
- Ownership
- For profit - Limited Liability company
- Chain
- Independent
- County
- Pinal
- Medicare-certified since
- 2010
CMS ratings
- Overall
- 2
- Health inspection
- 2
- Staffing
- 3
- Quality measures
- 4
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 42 for-profit facilities with 128 or more beds in Arizona.
Last survey on record
Jul 21, 2026
111 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.30 | 3.68 |
| Registered-nurse hours per resident day | 0.51 | — |
| Annual nurse turnover | 41.6% | 44.1% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Abuse icon
- Flagged by CMS on Care Compare
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D3394.3% | E12.9% | F— |
| No harm, potential for minimal | A— | B12.9% | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6003×
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F8423×
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- F6072×
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- F6092×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F6102×
Respond appropriately to all alleged violations.
In the surveyor’s words
From the most serious findings on record at Oasis Pavilion Nursing & Rehabilitation Center, in the surveyor’s own words.
- Actual harm, isolatedF686May 27, 2021
Based on clinical record review, staff interviews, and review of policy and procedures, the facility failed to ensure one resident (#46) received care and treatments consistent with professional standards of practice to promote healing of shearing, and to prevent the reoccurring of shearing and the development of multiple avoidable stage II pressure ulcers. The deficient practice could result in the development and worsening of pressure ulcers. Findings include: Resident #46 was readmitted on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]
- No harm, potential for more than minimal, patternF725Nov 17, 2022
Based on clinical record review, facility documents, resident and staff interviews, and policy reviews, the facility failed to ensure there was sufficient nursing staff to meet the needs of residents, which included resident #235. Failure to provide sufficient staffing could result in resident care oversights. Findings include: Observations were done for call light response time in hall E, D and C and revealed the following: Hall E: Call light observed on 11/15/22 at 11:30 AM, answered at 11:49 AM Call light observed on 11/15/22 at 1:23 PM, answered at 1:54 PM Hall C: Call light observed on 11/16/22 at 10:01 AM, answered at 10:10 AM Hall D: Call light observed on 11/16/22 at 12:56 PM, answered at 1:16 PM An interview was conducted with a Certified Nursing Assistant (CNA/staff #43) on… […]
- No harm, potential for more than minimal, patternF657May 27, 2021
Based on clinical record reviews, resident and staff interviews, and review of policies and procedures, the facility failed to ensure that care plans for three resident (#s 46, 42, and 55) were revised. The sample size was 21. The deficient practice could result in care plans not being revised. Findings include: -Resident #46 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A care plan initiated on July 25, 2014 and revised on April 17, 2021 revealed the resident had or was at risk for skin breakdown related to impaired mobility related to morbid obesity, incontinence of bowel and bladder and abnormal labs. The goal was that the resident's skin would be managed through staff monitoring and interventions. […]
- No harm, potential for more than minimal, isolatedF600Jul 21, 2026
Based on staff interviews, review of clinical record and policy review, the facility failed to protect the rights of 2 of 4 residents sampled (#1, #2) to be free from verbal abuse between residents. The deficient practice could result in resident injury, psychological, or behavioral harm as well as continued resident to resident abuse.Findings include:Resident # 1, the alleged victim, was re-admitted to the facility on [DATE], with a diagnosis of noninfective gastroenteritis and colitis, unspecified protein deficiency, alcohol use, and dependence on renal dialysis.A comprehensive care plan initiated on April 30, 2025 revealed that Resident #1 had behavioral problems related to attention seeking. […]
- No harm, potential for more than minimal, isolatedF607Apr 7, 2026
Based on clinical record, staff interviews, review of facility documentation, policy and procedures and the State Agency (SA) database the facility failed to implement their policy regarding reporting allegations of abuse to appropriate agencies and conducting a thorough investigation of an abuse/neglect allegation for one resident (#1). The deficient practice could result in abuse/neglect continuing and not being prevented.Findings include:Resident #1 was admitted to the facility on [DATE] with diagnoses that included cerebral infarction unspecified, anemia unspecified, and malignant neoplasm of unspecified part of bronchus or lungs.Review of the Modification of Medicare 5-day Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 14… […]
Read 30 findings in full →The most serious and the most recent: 30 of 185 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 21, 2026Complaint1 finding
- Apr 7, 2026Complaint3 findings
- May 12, 2025Complaint1 finding
- Jan 27, 2025Complaint3 findings
- May 7, 2024Complaint1 finding
- Apr 25, 2024Complaint1 finding
- Mar 7, 2024Standard and complaint7 findings
- Mar 2, 2023Complaint3 findings
Show the 15 earlier surveys
- Nov 17, 2022Standard and complaint18 findings
- May 27, 2021Standard9 findings · 1 harm
- Aug 6, 2019Complaint2 findings · 1 harm
- Feb 12, 2019Standard and complaint9 findings
- Nov 2, 2017Standard5 findings
- Oct 27, 2016Standard and complaint12 findings · 1 harm
- Jul 9, 2015Standard10 findings
- Apr 17, 2014Standard and complaint18 findings · 3 harm
- Mar 25, 2014Complaint2 findings
- Feb 28, 2013—24 findings · 1 harm
- Feb 29, 2012—9 findings · 1 harm
- Nov 22, 2011—13 findings
- Jul 20, 2011—13 findings · 1 harm
- Feb 17, 2011—10 findings · 1 harm
- Dec 9, 2010—11 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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