Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 West Choice Healthcare & Rehab during CMS and state inspections, most recent first.
Multiple residents with cognitive and behavioral impairments were involved in physical altercations, including biting, hitting, and striking, resulting in injuries such as a hand bite, head injury, and lip laceration. Staff and facility documentation confirmed that these incidents were witnessed, reported, and investigated, but the facility did not prevent the abuse despite existing policies and staff awareness.
A resident with a full code status was found unresponsive and cyanotic, yet the facility staff failed to initiate CPR, relying instead on CPAP and waiting for EMS. The resident had a history of hypertension, dementia, and sleep apnea. Staff interviews revealed a misunderstanding of CPR policies, leading to a delay in life-saving measures.
A resident with severe cognitive impairment and multiple health conditions experienced a delay in treatment due to the facility's failure to promptly communicate abnormal lab results indicating a significant bacterial infection. Despite the lab results being available, the physician was not notified until the resident's family raised concerns about a change in mental status. Interviews revealed communication and documentation issues within the facility.
A resident with dementia and hypertension experienced low blood pressure readings that were not properly addressed by the facility. Despite low readings, antihypertensive medications were administered without notifying the physician. Staff interviews revealed inconsistencies in recognizing and reporting abnormal blood pressure, leading to the resident's transfer to the hospital.
Failure to Prevent Resident-to-Resident Abuse
Penalty
Summary
The facility failed to protect multiple residents from abuse by other residents, as evidenced by several documented incidents of physical altercations. In one case, a resident with severe cognitive impairment and a history of wandering and aggression was bitten on the hand by another resident known to be territorial and prone to agitation when her personal space was invaded. Staff witnessed the incident and intervened to separate the residents, but not before an injury occurred. Both residents had documented behavioral issues and cognitive impairments, and the incident was reported and investigated by the facility. Another incident involved a resident with severe cognitive impairment and a history of physical aggression who was punched in the head by another resident with moderate cognitive impairment and behavioral symptoms. Staff observed the aftermath, noting a visible injury, and interviews revealed ongoing tension between the two residents, with one being protective of his belongings and the other prone to wandering into others' rooms. Staff confirmed witnessing the altercation and described the residents' history of conflict. Additional altercations were documented, including one where a resident was struck in the face during a wheelchair entanglement, resulting in a lip laceration, and another where two residents became verbally and physically aggressive in the dining room, leading to mutual physical contact. Staff interviews confirmed that such incidents were considered abuse and should be reported, and facility policy affirmed residents' rights to be free from abuse. Despite these policies and staff awareness, the facility did not prevent these resident-to-resident altercations, resulting in physical and emotional harm.
Failure to Initiate CPR for Resident with Full Code Status
Penalty
Summary
The facility failed to provide basic life support, including CPR, according to the physician's order and the resident's advance directives for one resident prior to the arrival of emergency medical personnel. The resident, who had a full code status, was found unresponsive with signs of cyanosis, yet CPR was not initiated by the staff. The staff believed that CPR should not be started if a resident still had vital signs, which led to a delay in providing necessary life-saving measures. The resident involved had a history of hypertension, benign prostatic hyperplasia, non-Alzheimer's dementia, depression, and obstructive sleep apnea. The resident was admitted for skilled physical and occupational therapy following a fall that resulted in a right femur fracture. Despite having a full code status, the facility staff did not initiate CPR when the resident was found unresponsive with a low blood pressure and cyanotic fingertips, relying instead on the CPAP machine and waiting for EMS to arrive. Interviews with staff revealed a lack of understanding and adherence to the facility's policies regarding CPR and advance directives. The LPN on duty did not initiate CPR, despite the resident's critical condition, and instead focused on monitoring vital signs and contacting the physician. The facility's policies on CPR and change of condition reporting were not followed, resulting in a failure to provide immediate and appropriate life-saving interventions.
Failure to Communicate Abnormal Lab Results Promptly
Penalty
Summary
The facility failed to promptly communicate abnormal lab results for a resident with severe cognitive impairment and multiple health conditions, including dementia, dysphagia, type 2 diabetes mellitus, and a psychotic disorder. The resident was admitted with a care plan that included monitoring for signs and symptoms of a urinary tract infection (UTI). A nurse practitioner noted the resident's symptoms of nausea and vomiting and ordered a urine culture due to leukocytosis. However, the urine culture results, which indicated a significant bacterial infection, were not communicated to the physician in a timely manner. The urine culture collected on August 19, 2024, showed abnormal results, including a high concentration of Klebsiella pneumoniae, but there was no evidence that the physician was notified of these results from August 22 to August 27, 2024. The physician only became aware of the situation on August 28, 2024, when the resident's family expressed concerns about a change in the resident's mental status. The physician then ordered antibiotics, but there is no evidence that the medication was administered to the resident. Interviews with facility staff revealed that there was a breakdown in communication and documentation regarding the lab results. The Director of Nursing (DON) and the Infection Preventionist (IP) indicated that there might have been issues with the electronic health record system reflecting the lab results correctly. Despite the laboratory confirming that the results were sent to the facility on August 22, 2024, the facility staff did not act on the results until August 28, 2024, leading to a delay in treatment for the resident.
Failure to Administer Medications According to Physician Orders
Penalty
Summary
The facility failed to ensure proper administration of medications for a resident with a history of dementia, hypertension, atrial fibrillation, and depression. The resident's care plan included administering antihypertensive medications as ordered and monitoring for side effects and effectiveness. However, there were multiple instances where the resident's low blood pressure readings were not addressed appropriately, and the physician was not notified as required by the facility's policy. On June 11, 2024, the resident was administered Midodrine for hypotension at 2:52 p.m., but there was no documentation of its administration at 5:30 p.m. despite a low blood pressure reading. On June 13, 2024, the resident's blood pressure was critically low at several points in the morning, yet there was no evidence that Midodrine was administered or that the physician was notified. Despite these low readings, Lisinopril and Carvedilol were administered at 8:00 a.m., shortly after a low blood pressure reading of 80/62 mmHg. Interviews with staff revealed inconsistencies in the recognition and reporting of abnormal blood pressure readings. Certified Nursing Assistants (CNAs) reported different thresholds for what they considered abnormal blood pressure and their procedures for notifying nurses. The Director of Nursing confirmed that the resident was transferred to the hospital due to low blood pressure, as requested by the family, but acknowledged that staff were expected to notify the provider of low blood pressure readings and follow physician orders. The facility's policy required medications to be administered as prescribed by the physician, which was not adhered to in this case.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 139 citations issued within 25 miles in the last 12 months — including the 2 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
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 | 1.2 mi | ★★★★★ | 3 | 0 |
| Sun Health Grandview Care Center | 1.2 mi | ★★★★★ | 0 | 0 |
| Surprise Health And Rehabilitation Center | 1.3 mi | ★★★★★ | 4 | 0 |
| Sun City Post Acute | 4.6 mi | ★★★★★ | 1 | 0 |
| Lake Pleasant Post Acute Rehabilitation Center | 4.7 mi | ★★★★★ | 7 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Sun West Choice Healthcare & Rehab.
100% money-back within 48 hours.
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.