Misty Willow Healthcare and Rehabilitation Center
State inspectors recorded 8 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
CMS currently lists this facility as: SFF Candidate (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).
CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.
Serious inspection findings
2026-03-09 — IMMEDIATE JEOPARDY (tag F0684, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2025-09-24 — IMMEDIATE JEOPARDY (tag F0656, severity K)
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.
2025-09-24 — 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.
2025-09-24 — IMMEDIATE JEOPARDY (tag F0607, severity K)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
2025-09-24 — IMMEDIATE JEOPARDY (tag F0610, severity K)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Respond appropriately to all alleged violations.
2025-03-29 — IMMEDIATE JEOPARDY (tag F0689, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-03-29 — IMMEDIATE JEOPARDY (tag F0755, severity J)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
2025-03-29 — IMMEDIATE JEOPARDY (tag F0684, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Staffing, from payroll records
Nursing hours / resident / day
2.62
state median 2.67
Weekend staffing gap
−6%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.26
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Keep an eye on this facility
Penalties and enforcement
3 enforcement action(s), totaling $79,412 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-03-09 | Fine | $43,770 |
| 2025-09-24 | Fine | $20,495 |
| 2025-03-29 | Fine | $15,147 |
Ownership
Ownership type: For profit - Limited Liability company. Part of the THE ENSIGN GROUP chain.
Other facilities under the same ownership, with their CMS overall ratings:
- THE HEALTHCARE CENTER OF EASTVIEW (BIRMINGHAM, AL) —
- Polaris Extended Care (ANCHORAGE, AK) —
- THE HEALTH CENTER AT RESEARCH PARK (HUNTSVILLE, AL) —
- POLARIS TRANSITIONAL CARE (ANCHORAGE, AK) —
- Desert Terrace Healthcare Center (PHOENIX, AZ) —
- PUEBLO SPRINGS REHABILITATION CENTER (TUCSON, AZ) —
- CASAS ADOBES POST ACUTE REHAB CENTER (TUCSON, AZ) —
- MISSION PALMS POST ACUTE (MESA, AZ) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-03-09 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2026-03-09 | F0684 | Quality of Life and Care Deficiencies | J | not recorded |
| 2025-12-04 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-12-04 | F0694 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-12-04 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-12-04 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-12-04 | F0805 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-12-04 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2025-12-04 | F0813 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-09-24 | F0564 | Resident Rights Deficiencies | D | not recorded |
| 2025-09-24 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | K | not recorded |
| 2025-09-24 | F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | K | not recorded |
| 2025-09-24 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | K | not recorded |
| 2025-09-24 | F0656 | Resident Assessment and Care Planning Deficiencies | K | not recorded |
| 2025-03-29 | F0684 | Quality of Life and Care Deficiencies | K | not recorded |
| 2025-03-29 | F0689 | Quality of Life and Care Deficiencies | K | not recorded |
| 2025-03-29 | F0755 | Pharmacy Service Deficiencies | J | not recorded |
| 2024-08-30 | F0583 | Resident Rights Deficiencies | D | not recorded |
| 2024-08-30 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-08-30 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-08-30 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-08-30 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-08-30 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2023-06-16 | F0583 | Resident Rights Deficiencies | D | not recorded |
| 2023-06-16 | F0655 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-06-16 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-06-16 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-06-16 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-06-16 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-06-16 | F0803 | Nutrition and Dietary Deficiencies | E | not recorded |