Springdale Village Post Acute
Mesa, Arizona · CCN 035207
19 surveys since 2011, 6 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
- 128
- Surveys
- 19
- Harm or worse
- 6
- Immediate jeopardy
- 0
Findings where a surveyor recorded actual harm to a resident.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 122
- Ownership
- For profit - Corporation
- Chain
- THE ENSIGN GROUP
- County
- Maricopa
- Medicare-certified since
- 1991
CMS ratings
- Overall
- 3
- Health inspection
- 2
- Staffing
- 3
- 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 39 for-profit facilities of 100–127 beds in Arizona.
Last survey on record
May 19, 2026
174 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 | 3.78 | 3.45 |
| Registered-nurse hours per resident day | 0.67 | — |
| Annual nurse turnover | 50.0% | 45.6% |
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
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1957.6% | E1236.4% | F26.1% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6843×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F6452×
PASARR screening for Mental disorders or Intellectual Disabilities
- F6572×
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F7322×
Post nurse staffing information every day.
- F8802×
Provide and implement an infection prevention and control program.
In the surveyor’s words
From the most serious findings on record at Springdale Village Post Acute, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF725May 19, 2026
Based on resident and staff interviews, facility documentation and policy review, the facility failed to ensure there was sufficient staff to meet the needs of the residents. The deficient practice could result in residents not receiving appropriate care and treatment that they need.Findings include: The PBJ (Payroll-Based Journal) Staffing Data Report revealed the facility triggered for excessively low weekend staffing for FY (fiscal year) Quarter 2 2025 (January 1 - March 31), and Quarter 4 2025 (July 1 - September 30). Per the report, submitted weekend staffing data was excessively low. The PBJ revealed the facility triggered for failure to have licensed nursing coverage 24 hours/day for FY Quarter 1 2025 (October 1- December 31), FY Quarter 2 2025 (January 1 - March 31). […]
- No harm, potential for more than minimal, widespreadF727May 19, 2026
Based on review of facility documentation, staff interviews and facility policy, the facility failed to use the services of a registered nurse (RN) for at least 8 consecutive hours a day, 7 days a week. The deficient practice has the potential to affect resident care.Findings include:Review of the PBJ (payroll-based journal) Fiscal Year (FY) Quarter 2, 2025 (January 1 - March 31) revealed No RN hours on the following dates:January 1, 2025January 2, 2025January 3, 2025January 4, 2025January 5, 2025January 6, 2025January 7, 2025January 8, 2025January 9, 2025January 10, 2025January 11, 2025January 12, 2025January 13, 2025January 14, 2025January 15, 2025January 16, 2025January 17, 2025January 18, 2025January 19, 2025January 20, 2025January 21, 2025January 22, 2025January 23, 2025January 24,… […]
- No harm, potential for more than minimal, patternF732May 19, 2026
Based on observation, staff interviews and policy review, the facility failed to ensure current nurse staffing information was posted on a daily basis. The deficient practice could result in staffing information not being readily available to residents and visitors.Findings include:Upon entry, an observation was conducted on May 17, 2026 at 7:34 a.m. in the facility lobby. The date listed on the daily staffing posting posted in the facility lobby was observed to be May 14, 2026. The daily posting revealed 1 RN scheduled from 6 a.m. to 6 p.m., 3 LPN's from 6 a.m. to 6 p.m., 5.66 CNA's from 6 a.m. to 6 p.m., 0 RN hours posted from 6 p.m. to 6 a.m., 3 LPN's from 6 p.m. to 6 a.m., and 4 CNA's from 6 p.m. […]
- No harm, potential for more than minimal, patternF636Apr 4, 2024
Based on clinical record review, staff interviews, and the Resident Assessment Instrument (RAI) 3.0 User's manual, the facility failed to ensure the completion of comprehensive Minimum Data Set (MDS) assessments for three residents (#8, #10, #12) within the regulatory time frames. The deficient practice could result in inadequate assessment of resident needs. Findings include: Regarding Resident #8 Resident #8 was admitted to the facility on [DATE]. Review of the MDS revealed both an annual assessment dated [DATE] and a quarterly assessment dated [DATE] were still In Progress. The annual and quarterly assessments were not completed in the required timeframe for resident #8. […]
- No harm, potential for more than minimal, patternF656Apr 4, 2024
Based on observations, interviews, review of records, documents and policy, the facility failed to develop and implement a care plan for one resident (#4). The deficient practice could result in the resident's care needs not being met. Findings included: Resident #4 was admitted to the facility on [DATE] with diagnoses of type 2 diabetes mellitus, atrial fibrillation, depression, anxiety disorder, and seizures. The admission Minimum Data Set (MDS) assessment dated [DATE] revealed resident #4 had a Brief Interview for Mental Status (BIMS) score of 15 indicating cognitively intact; and, resident received antipsychotic and antidepressant medications. […]
Read 26 findings in full →The most serious and the most recent: 26 of 128 on record.
Every survey on record
FindingsAt actual harm or above
- May 19, 2026Standard4 findings
- Mar 30, 2026Complaint1 finding
- Apr 10, 2025Complaint6 findings
- Jan 2, 2025Complaint1 finding
- Oct 3, 2024Complaint1 finding
- Apr 4, 2024Standard6 findings
- Dec 15, 2022Standard and complaint11 findings
- Sep 30, 2021Standard3 findings
Show the 11 earlier surveys
- Jan 26, 2021Infection control1 finding
- Aug 19, 2020Infection control1 finding
- Jun 28, 2019Standard and complaint21 findings · 2 harm
- Apr 6, 2018Standard7 findings
- Feb 3, 2017Standard10 findings
- Jan 28, 2016Standard4 findings · 1 harm
- Nov 14, 2014Standard and complaint6 findings
- Aug 7, 2013—5 findings
- May 7, 2012—16 findings · 1 harm
- Nov 22, 2011—1 finding
- Feb 9, 2011—23 findings · 2 harm
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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