Above average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Boswell Transitional Care Of Cascadia during CMS and state inspections, most recent first.
Several residents were found with medications, including topical creams and oral pills, left at their bedside without physician orders or care plan documentation permitting self-administration. Family members brought in some of these medications without notifying staff, and staff interviews confirmed that such practices were not allowed and not in line with facility policy. Medications were not stored in locked compartments as required, and staff were unaware that residents had access to these drugs.
Staff did not follow facility recipes or measure ingredients when preparing pureed meals for a resident, instead using large, unmeasured amounts of apple juice and thickener, resulting in food that was sweet and did not taste like the original items. The cook also failed to wash equipment between foods until prompted and repeatedly dipped a cup into the thickener container, raising concerns about cross-contamination. The Registered Dietitian and Culinary Manager confirmed the food's altered flavor and that recipes were not followed.
Medications Improperly Left at Bedside Without Authorization or Proper Storage
Penalty
Summary
Multiple residents were found with medications at their bedside that were not properly stored or authorized for self-administration. One resident, with a history of chronic systolic congestive heart failure and other conditions, was observed with unopened Estradiol Vaginal Cream and Betamethasone Dipropionate Ointment on her table. These medications were brought in by the resident's family without notifying facility staff, and there were no physician orders or care plan documentation permitting self-administration. Staff interviews confirmed that such medications should not be left at the bedside and that they were unaware the resident had them. Another resident, diagnosed with metabolic encephalopathy and other conditions, was found with CryoDose Topical Anesthetic Spray and Zinc Oxide Cream on his table. These items were brought in by the resident's wife, who claimed one of the medications as her own and removed it from staff when approached. There were no physician orders or care plan documentation for self-administration for this resident either. Staff interviews indicated that these medications should not be accessible at the bedside due to potential risks, and the facility's policy requires immediate removal and physician notification if such medications are found. A third resident, with a history of concussion, diabetes, and other conditions, was observed with a pill (believed to be Tylenol) left on her personal cell phone. The resident stated that pills are often left in a medicine cup at her bedside. Staff confirmed that medications should not be left at the bedside and that this practice was not in accordance with facility policy. In all cases, the care plans did not address self-administration, and there were no physician orders authorizing it, leading to a failure to ensure drugs and biologicals were properly stored and managed.
Failure to Ensure Nutritive Value and Palatability of Pureed Foods
Penalty
Summary
Staff failed to ensure the nutritive value and palatability of pureed food prepared for a resident requiring a regular, puree consistency diet. During meal preparation, the cook blended turkey with a large, unmeasured amount of apple juice and thickener, resulting in a mixture that tasted sweet and no longer resembled turkey, as confirmed by multiple staff members and the surveyor. The same process was used for stuffing and green beans, with apple juice and thickener added in unmeasured amounts, leading to altered flavors and textures. The cook relied on visual observation and personal experience rather than following facility recipes or measuring ingredients, and did not wash the blender between different food items until prompted by another staff member. Staff interviews revealed that the use of apple juice was a standard practice to decrease salt content in pureed meals, but this was not in accordance with the facility's recipes or policies. The Registered Dietitian and Culinary Manager acknowledged that the food's flavor was altered and that the cook did not follow the prescribed recipes. Additionally, the cook dipped a cup into the thickener container multiple times, placing it back on the table surface, raising concerns about potential cross-contamination. The facility's policy requires therapeutic diets and meal plans to be provided as nutrition interventions, with diet orders matching approved diet manuals and menus, which was not followed in this instance.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Sun City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Sunview Respiratory And Rehabilitation | 0.8 mi | ★★★★★ | 6 | 2 |
| Peoria Post Acute And Rehabilitation | 1.7 mi | ★★★★★ | 5 | 0 |
| Freedom Plaza Care Center | 1.8 mi | ★★★★★ | 0 | 0 |
| Immanuel Campus Of Care | 2.4 mi | ★★★★★ | 3 | 0 |
| Az - Rio Vista Post Acute And Rehabilitation | 2.7 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.