PRIMROSE POST-ACUTE
State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2024-05-10 — IMMEDIATE JEOPARDY (tag F0678, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Staffing, from payroll records
Nursing hours / resident / day
4.06
state median 3.94
Weekend staffing gap
−8%
fewer nursing hours on weekends · state median −5%
RN hours / resident / day
0.21
registered nurses only
Contract (agency) staff
11%
share of all nursing hours
Days with zero RN hours reported
2
with residents present
Nursing staff turnover
36%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
2 enforcement action(s), totaling $16,801 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-05-10 | Fine | $16,801 |
| 2024-05-10 | Payment Denial | payment denial |
Ownership
Ownership type: For profit - Limited Liability company. Part of the PACS GROUP chain.
Other facilities under the same ownership, with their CMS overall ratings:
- CENTENNIAL POST ACUTE (ANCHORAGE, AK) —
- APACHE JUNCTION HEALTH CENTER (APACHE JUNCTION, AZ) —
- RIDGECREST POST ACUTE (PHOENIX, AZ) —
- SANDRIDGE POST ACUTE (MESA, AZ) —
- Sun City Post Acute (SUN CITY, AZ) —
- MARYLAND GARDENS POST ACUTE (PHOENIX, AZ) —
- Palm Valley Post Acute (GOODYEAR, AZ) —
- Ahwatukee Post Acute (PHOENIX, AZ) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-05-06 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-02-11 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2026-02-11 | F0553 | Resident Rights Deficiencies | D | not recorded |
| 2026-02-11 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-02-11 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-02-11 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-09-03 | F0583 | Resident Rights Deficiencies | E | not recorded |
| 2025-05-23 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2025-05-23 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-05-23 | F0641 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-05-23 | F0644 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-05-23 | F0645 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-05-23 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-05-23 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-05-23 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-05-23 | F0745 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-05-23 | F0804 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2025-05-23 | F0806 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2025-05-23 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2025-05-23 | F0865 | Administration Deficiencies | E | not recorded |
| 2025-05-23 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-05-23 | F0881 | Infection Control Deficiencies | D | not recorded |
| 2025-05-23 | F0912 | Environmental Deficiencies | B | not recorded |
| 2024-12-11 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-11-04 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-10-31 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-10-08 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-05-10 | F0558 | Resident Rights Deficiencies | E | not recorded |
| 2024-05-10 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2024-05-10 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-05-10 | F0656 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-05-10 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-05-10 | F0678 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-05-10 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-05-10 | F0698 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-05-10 | F0726 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2024-05-10 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-05-10 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-05-10 | F0773 | Administration Deficiencies | D | not recorded |
| 2024-05-10 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-05-10 | F0814 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-05-10 | F0838 | Administration Deficiencies | F | not recorded |
| 2024-05-10 | F0912 | Environmental Deficiencies | B | not recorded |
| 2024-03-20 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-01-11 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2024-01-11 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-01-11 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2023-10-26 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2023-09-06 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2022-02-11 | F0550 | Resident Rights Deficiencies | E | not recorded |
| 2022-02-11 | F0559 | Resident Rights Deficiencies | D | not recorded |
| 2022-02-11 | F0578 | Resident Rights Deficiencies | E | not recorded |
| 2022-02-11 | F0582 | Resident Rights Deficiencies | D | not recorded |
| 2022-02-11 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2022-02-11 | F0585 | Resident Rights Deficiencies | E | not recorded |
| 2022-02-11 | F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2022-02-11 | F0641 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2022-02-11 | F0655 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2022-02-11 | F0658 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2022-02-11 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-02-11 | F0745 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-02-11 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2022-02-11 | F0759 | Pharmacy Service Deficiencies | E | not recorded |
| 2022-02-11 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2022-02-11 | F0802 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2022-02-11 | F0803 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2022-02-11 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2022-02-11 | F0842 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2022-02-11 | F0883 | Infection Control Deficiencies | D | not recorded |
| 2022-02-11 | F0912 | Environmental Deficiencies | B | not recorded |
| 2022-02-11 | F0919 | Environmental Deficiencies | E | not recorded |