Above average — CMS composite of the measures below.
A standard survey is most likely before around November 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 Sun Health Grandview Care Center during CMS and state inspections, most recent first.
Two residents were found with eye drop medications at their bedside without provider orders or documented assessments for self-administration. In both cases, staff observed the medications and confirmed that required assessments and orders were not in place, contrary to facility policy. The medications were brought in by the residents or their families and remained at the bedside without proper authorization or documentation.
Two residents' privacy was not respected when a CNA entered their rooms without knocking or seeking permission, including during a private interview, despite having received training on residents' rights and facility policies requiring staff to knock and wait for a response before entering.
A resident with an indwelling catheter was repeatedly observed with the catheter bag touching the floor while seated in a wheelchair. Staff interviews confirmed that the bag was not properly secured, and facility policy requires contaminated bags to be replaced or disinfected and kept elevated. Despite staff awareness of the correct procedure, infection control protocols were not consistently followed.
The facility failed to maintain proper food storage temperatures, with multiple instances of refrigerators and a freezer being outside designated safety parameters. There was no documented corrective action or managerial review, and staff interviews revealed a lack of communication and documentation regarding these temperature deviations. The facility's policy requires prompt corrective actions and documentation, which were not followed.
A facility failed to complete a Discharge MDS assessment for a resident with multiple health conditions, including heart disease and respiratory failure. The MDS Coordinator did not create or complete the assessment within the required timeframe, despite receiving discharge reports. The Director of Nursing initiated an audit after discovering the oversight, which did not align with the facility's expectations or policies.
A resident with a Foley catheter did not have a physician order documented in their records, nor was there evidence of catheter care or input/output tracking. Interviews with staff confirmed the absence of necessary orders, despite facility policy requiring appropriate catheter care. This oversight could lead to inappropriate catheter use and infection risk.
Failure to Ensure Proper Medication Storage and Self-Administration Assessment
Penalty
Summary
The facility failed to ensure that medications and biologicals were properly labeled and stored, as required by professional standards and facility policy. During observations, two residents were found to have eye drop medications at their bedside without provider orders or documented assessments for self-administration. In one case, a resident with a history of right femur fracture, anemia, and hypotension was observed with a container of Refresh lubricant eye drops on her bedside table. The resident reported bringing the eye drops from home and using them twice daily, but there was no evidence of a provider order or an assessment for self-administration at the time of observation. A subsequent physician order and documentation for self-administration were only obtained after the medication was discovered at the bedside. In another instance, a resident with dementia, muscle weakness, and a history of head injury was found with two types of eye drops on her bedside table. The resident stated that her mother had brought the eye drops about a month prior, but she had not used them. There was no evidence in the clinical record of a provider order, a self-administration assessment, or an interdisciplinary team meeting regarding medication self-administration for this resident. Staff interviews confirmed that the medications were present at the bedside and that the resident had not been assessed for self-administration, as required by facility policy. Facility policy requires that all medications be administered as ordered and that residents are assessed for the ability to self-administer medications, with proper documentation and provider orders. The policy also specifies that bedside medication storage is only permitted under certain conditions and that unauthorized medications found at the bedside must be reported and removed. In both cases, these procedures were not followed, resulting in medications being left at the bedside without appropriate authorization or assessment.
Failure to Respect Resident Privacy During Room Entry
Penalty
Summary
The facility failed to respect the privacy of two residents during the survey process. One resident with severe cognitive impairment and another who was cognitively intact experienced staff entering their rooms without knocking or seeking permission. Specifically, a certified nursing assistant (CNA) entered the room of the cognitively intact resident twice without knocking or asking for permission, interrupting a private interview and performing tasks such as emptying and refilling a water cup. The CNA also entered another resident's room across the hall in the same manner, without knocking or announcing her presence. Interviews with the CNA revealed that she had received training on residents' rights, including the importance of knocking and waiting for a response before entering a resident's room, but admitted to not consistently following this protocol, especially during routine tasks like delivering ice water. The Director of Nursing confirmed that staff are trained to respect residents' privacy by knocking and waiting for a response, and facility policies and the resident handbook both emphasize the right to privacy and confidentiality for all residents.
Failure to Maintain Proper Catheter Bag Placement and Infection Control
Penalty
Summary
The facility failed to maintain proper infection control practices regarding the placement of a catheter bag for a resident with an indwelling catheter. The resident, who had diagnoses including acute kidney failure, urinary retention, type 2 diabetes mellitus with a foot ulcer, and depression, was observed multiple times sitting in a wheelchair with the catheter bag placed under the wheelchair and touching the floor. These observations occurred on several occasions, and staff interviews confirmed that the catheter bag was not properly secured and was in contact with the floor. The facility's policy states that if a catheter bag or tubing touches the floor, it is considered contaminated and should be replaced or disinfected, and the bag should be elevated off the floor. Staff interviews revealed that temporary staff often did not hang the catheter bag properly, and both a CNA and an RN acknowledged that the bag should not be touching the floor due to contamination risks. The DON also confirmed that the catheter bag should be placed in a covered bag and elevated above the floor. Despite these policies and staff awareness, the deficiency occurred due to failure to consistently follow infection control protocols for catheter bag placement.
Failure to Maintain Proper Food Storage Temperatures
Penalty
Summary
The facility failed to ensure that food was stored in accordance with appropriate temperature guidelines for facility refrigerators and the kitchen freezer. Observations revealed that on multiple occasions, the temperatures of the refrigerators and freezer were outside the designated safety parameters. Specifically, the refrigerator at the Canyon location recorded a temperature of 44 degrees Fahrenheit, and the Red Rock location recorded temperatures of 45 and 50 degrees Fahrenheit on different dates. Additionally, the kitchen freezer was noted to have a temperature of 2 degrees Fahrenheit on several occasions. There was no documented evidence of corrective actions taken or managerial review of these temperature logs. Interviews with staff members, including the Nutrition Manager and Maintenance Technician, indicated a lack of communication and documentation regarding the temperature deviations. The Nutrition Manager recalled the temperature issue on July 22 but stated that there was no log of food temperature checks when the refrigerator or freezer temperatures were outside the safety zones. The Maintenance Technician was unaware of any refrigerator temperature concerns until July 29, and there were no work orders prior to that date. The Facilities Director also confirmed that he was not made aware of any issues until July 29. The facility's cold temperature storage policy requires that frozen storage temperatures be maintained at 0 degrees Fahrenheit or below and refrigerated storage at 41 degrees or below. The policy also mandates prompt corrective actions and documentation of any deviant readings. However, the report indicates that these procedures were not followed, as there was no evidence of rechecking temperatures or documenting actions taken regarding the food items in question. The administrator confirmed that the expectation was for refrigerators and freezers to be at the correct temperatures at all times and for staff to notify their supervisors when temperatures were out of range, which did not occur.
Failure to Complete Discharge MDS Assessment
Penalty
Summary
The facility failed to complete a Discharge Minimum Data Set (MDS) assessment within the required timeframe for a resident, identified as Resident #11. This resident was admitted with diagnoses including atherosclerotic heart disease, acute respiratory failure with hypoxia, and unspecified chronic kidney disease. Although an Admissions MDS Assessment was completed and accepted, the discharge MDS was not completed when the resident was discharged. This oversight was confirmed by the MDS Coordinator, who acknowledged that the discharge MDS assessment was not created or completed, despite receiving reports of all discharges. The MDS Coordinator expressed confusion over the missing discharge MDS, as it is their responsibility to complete these assessments within 14 days of the event. The Director of Nursing, upon learning of the missing discharge MDS, initiated an audit and acknowledged that the incomplete assessment did not meet the facility's expectations. The facility's policy requires comprehensive assessments using the Resident Assessment Instrument (RAI) specified by CMS, which includes various aspects of the resident's needs and conditions. The failure to complete the discharge MDS assessment could result in the absence of quality measures and functional ability reviews for the resident.
Lack of Physician Order for Foley Catheter
Penalty
Summary
The facility failed to ensure that a physician order for the use of a Foley catheter was in place for a resident who was admitted with diagnoses including sepsis, urinary tract infection, and other conditions. Upon review of the resident's clinical records, it was found that there was no physician order for the catheter or catheter care documented in the electronic health records. Additionally, the treatment administration record did not show any orders for catheter care or tracking of input and output for the resident. The care plan addressed urinary tract infections and sepsis but did not mention the presence of a catheter or the need for catheter care. Interviews with staff revealed that there was an expectation for orders to be in place for catheter care, which includes washing, cleaning, and monitoring fluid intake and output. However, both the LPN and the DON confirmed that no such orders were present in the resident's records. The facility's policy on catheter care, revised in March 2024, mandates appropriate care for residents with indwelling catheters, but this was not adhered to in this case. The lack of documented orders and care could result in inappropriate use of the catheter and potential risk of infection.
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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 West
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Sante Of Surprise | 0.2 mi | ★★★★★ | 3 | 0 |
| Surprise Health And Rehabilitation Center | 1 mi | ★★★★★ | 4 | 0 |
| Sun West Choice Healthcare & Rehab | 1.2 mi | ★★★★★ | 1 | 0 |
| Lake Pleasant Post Acute Rehabilitation Center | 5.8 mi | ★★★★★ | 7 | 0 |
| Sun City Post Acute | 5.8 mi | ★★★★★ | 1 | 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 August 2026) and official state health department websites.