Cedar Creek Post Acute
State inspectors recorded 3 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2024-04-11 — IMMEDIATE JEOPARDY (tag F0580, severity J)
Resident Rights Deficiencies · correction not recorded in CMS data
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2024-04-11 — IMMEDIATE JEOPARDY (tag F0880, severity K)
Infection Control Deficiencies · correction not recorded in CMS data
Provide and implement an infection prevention and control program.
2024-04-11 — IMMEDIATE JEOPARDY (tag F0600, severity K)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2020-03-10 — IMMEDIATE JEOPARDY (tag F0610, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Respond appropriately to all alleged violations.
2020-03-10 — IMMEDIATE JEOPARDY (tag F0609, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2020-03-10 — IMMEDIATE JEOPARDY (tag F0600, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2020-03-10 — IMMEDIATE JEOPARDY (tag F0867, severity J)
Administration Deficiencies · correction not recorded in CMS data
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
2020-03-10 — IMMEDIATE JEOPARDY (tag F0656, severity J)
Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Staffing, from payroll records
Nursing hours / resident / day
4.76
state median 3.29
Weekend staffing gap
+5%
more nursing hours on weekends · state median −8%
RN hours / resident / day
0.27
registered nurses only
Contract (agency) staff
41%
share of all nursing hours
Days with zero RN hours reported
1
with residents present
Nursing staff turnover
67%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
2 enforcement action(s), totaling $211,244 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-04-11 | Fine | $211,244 |
| 2024-04-11 | 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 |
|---|---|---|---|---|
| 2025-07-30 | F0569 | Resident Rights Deficiencies | D | not recorded |
| 2025-07-30 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-07-30 | F0689 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-07-30 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-07-30 | F0921 | Environmental Deficiencies | D | not recorded |
| 2024-04-11 | F0580 | Resident Rights Deficiencies | J | not recorded |
| 2024-04-11 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | K | not recorded |
| 2024-04-11 | F0622 | Resident Rights Deficiencies | D | not recorded |
| 2024-04-11 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-04-11 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-04-11 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-04-11 | F0880 | Infection Control Deficiencies | K | not recorded |
| 2023-07-11 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2021-12-15 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2021-12-15 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2021-12-15 | F0727 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2021-12-15 | F0757 | Pharmacy Service Deficiencies | D | not recorded |
| 2021-12-15 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2021-12-15 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2021-12-15 | F0809 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2021-12-15 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2021-12-15 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2021-12-15 | F0921 | Environmental Deficiencies | D | not recorded |
| 2020-03-10 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2020-03-10 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | J | not recorded |
| 2020-03-10 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | J | not recorded |
| 2020-03-10 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | J | not recorded |
| 2020-03-10 | F0656 | Resident Assessment and Care Planning Deficiencies | J | not recorded |
| 2020-03-10 | F0678 | Quality of Life and Care Deficiencies | J | not recorded |
| 2020-03-10 | F0693 | Quality of Life and Care Deficiencies | J | not recorded |
| 2020-03-10 | F0694 | Quality of Life and Care Deficiencies | E | not recorded |
| 2020-03-10 | F0835 | Administration Deficiencies | J | not recorded |
| 2020-03-10 | F0867 | Administration Deficiencies | J | not recorded |