Above average — CMS composite of the measures below.
A standard survey is most likely before around September 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 The Terraces Of Phoenix during CMS and state inspections, most recent first.
A resident with multiple medical conditions and a need for assistance with bathing did not receive scheduled showers over a nine-day period, with no documentation of refusals or completed care. Facility records and staff interviews confirmed a lapse in both the provision and documentation of ADL hygiene care, contrary to facility policy.
A facility failed to protect two residents from sexual abuse by another resident with dementia. Despite multiple reports and documentation of inappropriate touching, staff did not take adequate measures to prevent recurrence or separate the involved residents. The facility's response was insufficient, and staff failed to report incidents as required by policy.
A facility failed to report allegations of sexual abuse involving two residents by another resident with dementia. Despite documentation of inappropriate touching incidents, the facility did not report them to the necessary authorities until much later. The involved residents included one with intact cognition and another with severe cognitive impairment. Staff members, including an RN, did not report the incidents, contributing to Immediate Jeopardy and Substandard Quality of Care conditions.
A facility failed to implement enhanced barrier precautions (EBP) for a resident with an indwelling catheter and wounds, lacking necessary signage and PPE. Staff interviews revealed insufficient training and awareness of EBP, with the Infection Preventionist acknowledging the absence of these precautions. Observations confirmed the lack of EBP measures for residents with indwelling devices and wounds, contrary to facility policy and CDC guidelines.
The facility failed to designate a qualified Infection Preventionist (IP), as the LPN assigned to the role had not completed the necessary infection prevention program certificate. The LPN was handed the IP position after the previous IP/Director of Nursing left, and the Interim Director of Nursing confirmed this designation. The facility acknowledged the deficiency and indicated plans to address the qualification requirements.
The facility failed to document required orientation and in-service education for a registered nurse and an activity coordinator, leading to potential inadequate care. The RN lacked infection control and abuse training since 2022, while the activity coordinator missed several trainings since 2016. Interviews revealed a lack of clarity in training policies, with reliance on reminders from a training platform.
A resident's advance directive indicating DNR status was not accurately reflected in the physician's orders, which listed a Full Code status. The resident confirmed her preference for DNR, and staff interviews revealed the discrepancy, highlighting the risk of administering unwanted life-saving measures. The facility's policy requires accurate documentation of advance directives.
Failure to Provide Scheduled Showers and Document ADL Care
Penalty
Summary
A resident with diagnoses including occlusion and stenosis of the right posterior cerebral artery, local skin infection, and dementia with behavioral disturbance was admitted and required partial to moderate assistance with bathing, as documented in the care plan and Minimum Data Set (MDS) assessment. The care plan included interventions for documenting refusals of care and cleaning the peri-area with each incontinence episode. During the review period, there was no documentation of the resident refusing showers or baths, and the resident was assessed as having intact cognition and not exhibiting rejection of care behaviors. Facility records, including the ADL Verification Worksheet and Bathing task log, showed that the resident received only one shower between July 23 and July 28, and then another on August 6, with a documented refusal on August 9. There was a nine-day lapse with no documentation of showers or refusals between July 28 and August 6, and several scheduled bathing dates were either marked as not assigned or had no documentation at all. Interviews with staff confirmed that showers are scheduled twice weekly and refusals are to be documented, but in this case, there was no evidence of refusals or completed showers for the identified period. The facility policy requires provision of ADL care, including hygiene, for residents unable to perform these tasks independently.
Failure to Protect Residents from Sexual Abuse
Penalty
Summary
The facility failed to protect the rights of two residents to be free from sexual abuse by another resident. Resident #23, who was admitted with diagnoses of dementia and depression, was non-verbal and had severe cognitive impairment. An incident occurred where a male resident, #45, was witnessed touching resident #23's arm and back. The social service director was aware of the incident but was not part of the investigation. The facility did not implement effective interventions to prevent further occurrences of inappropriate touching by resident #45. Resident #12, who had intact cognition and a history of personal trauma, reported unwanted touching by resident #45. The resident stated that resident #45 would rub her knee and thigh, and despite reporting this to several nurses and CNAs, the staff did not take the reports seriously and laughed off the incidents. The resident felt unsafe and had to retreat to her room to avoid further unwanted contact. The facility's response to these reports was inadequate, as staff failed to separate the residents or take immediate protective measures. Resident #45, diagnosed with dementia and severe cognitive impairment, had a documented history of inappropriate touching of female residents. Despite multiple incidents being documented, including groping and sexually explicit behavior, the facility did not implement sufficient interventions to prevent recurrence. The RN responsible for documenting these incidents did not report them to a supervisor, citing uncertainty about whether the behavior constituted abuse. The facility's policy on elder abuse prevention was not effectively followed, as staff failed to report and address the incidents promptly.
Failure to Report Allegations of Sexual Abuse
Penalty
Summary
The facility failed to report allegations of sexual abuse involving two residents by another resident to the appropriate authorities, including the administrator, State Agency, Adult Protective Services, and law enforcement. This deficiency was identified during a review of clinical records, resident and staff interviews, and facility documentation. The incidents involved a resident with a history of inappropriate touching due to dementia, who allegedly touched two female residents without consent. Despite documentation of these incidents, there was no evidence that they were reported to the necessary authorities until much later. One of the residents involved had a history of hemiplegia, major depressive disorder, and anxiety, with intact cognition as per her MDS assessment. She reported unwanted touching by the male resident to several staff members, who reportedly laughed and did not take appropriate action. Another resident, who had severe cognitive impairment, was also reportedly touched inappropriately by the same male resident. The facility's documentation did not show any immediate interventions to prevent further occurrences or any reporting of these incidents to the authorities. The male resident involved in these incidents had a diagnosis of dementia and a documented history of inappropriate behavior. Despite this, the facility did not implement adequate measures to monitor or prevent further inappropriate behavior. Staff members, including a registered nurse, failed to report the incidents, citing uncertainty about whether the behavior constituted abuse. This lack of action and failure to report the incidents contributed to the identification of Immediate Jeopardy and Substandard Quality of Care conditions at the facility.
Failure to Implement Enhanced Barrier Precautions
Penalty
Summary
The facility failed to implement proper infection prevention and control measures, specifically enhanced barrier precautions (EBP), for residents with indwelling medical devices and wounds. Resident #352, who was admitted with multiple diagnoses including sepsis, E. coli infection, urinary tract infection, and an unstageable pressure ulcer, was observed without appropriate EBP signage or personal protective equipment (PPE) outside their room. Despite having an indwelling catheter, there was no indication of EBP being in place, which is necessary to prevent the transmission of infections. Interviews with staff revealed a lack of awareness and training regarding EBP and transmission-based precautions. The Infection Preventionist, who was newly assigned to the role, acknowledged the absence of EBP signage and PPE, stating that EBP was only implemented for residents with catheters and wounds on May 20, 2024. However, staff members, including a CNA, reported not receiving adequate training on these precautions and were unaware of the differences between transmission-based and enhanced barrier precautions. Further observations and interviews confirmed that the facility did not have EBP signage or PPE available for residents with indwelling devices, wounds, or multi-drug-resistant organisms. The facility's policy, which aligns with CDC guidelines, mandates the use of EBP for residents with such conditions to prevent the spread of infections. The lack of signage and PPE was acknowledged by the Interim Director of Nursing and the Infection Preventionist, who confirmed that these measures had not been practiced since the departure of the previous Infection Preventionist.
Failure to Designate a Qualified Infection Preventionist
Penalty
Summary
The facility failed to designate a qualified individual as the Infection Preventionist (IP), which could lead to improper infection prevention practices. During an interview, a Licensed Practical Nurse (LPN) who was designated as the IP admitted to not having completed the necessary infection prevention program certificate. Although the LPN had coursework in infection prevention, she had not taken the final cumulative assessment required to receive her certificate of completion. The LPN was handed the IP position around March 15, 2024, after the previous qualified IP/Director of Nursing left the facility. The Interim Director of Nursing confirmed that the LPN was the designated IP at the time of the interview. The facility's policy and the State Operations Manual require that the IP must have completed specialized training in infection prevention and control, evidenced by a certificate of completion or equivalent documentation. The facility acknowledged the deficiency and indicated plans to remove the LPN from her floor service duties to ensure she meets the necessary requirements.
Deficiency in Staff Training Documentation
Penalty
Summary
The facility failed to ensure that personnel records for two staff members, a registered nurse and an activity coordinator, included documentation of required orientation and in-service education. The registered nurse, hired in April 2021, had no evidence of infection control and abuse/neglect/exploitation training since January and July 2022, respectively. The activity coordinator, hired in January 2014, lacked documentation of abuse/neglect/exploitation training since May 2016, resident rights training since June 2017, and infection control and prevention training since December 2018. Interviews with the Human Resource Director and the Interim Director of Nursing revealed a lack of clarity and oversight regarding the facility's orientation and in-service education policies. The Human Resource Director was unsure about the policies and relied on reminders from Relias, a training platform, to notify staff and supervisors of overdue training. The Interim Director of Nursing, who had been in the position for two months, acknowledged the risk of staff not receiving training, which could lead to problems for residents. The facility's policy on elder abuse prevention emphasized the necessity of onboarding and annual education for all team members to understand their roles in abuse prevention, management, and reporting.
Inaccurate Advance Directives for Resident
Penalty
Summary
The facility failed to ensure that advance directives were accurate for a resident, leading to a discrepancy between the resident's documented wishes and the physician's orders. The resident, who was admitted with a diagnosis of a displaced intertrochanteric fracture of the right femur and osteoporosis with a pathological fracture, had signed a prehospital medical care directive indicating a Do Not Resuscitate (DNR) status. However, the physician orders dated six days later indicated a Full Code status, which contradicted the resident's expressed wishes. Interviews with the resident and staff revealed the inconsistency in the resident's code status. The resident confirmed her preference for DNR, stating she did not want any heroic measures. A Registered Nurse acknowledged the discrepancy and the potential risk of the resident receiving life-saving measures against her wishes. The Interim Director of Nursing also recognized the error and noted that the resident's chart had been updated to reflect the correct DNR status. The facility's policy on advance directives emphasizes the importance of honoring residents' wishes in accordance with state law and facility policy.
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Illustrative
What surveyors actually found near you
We read the 330 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.
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A prioritized, do-first checklist
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Phoenix
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Maryland Gardens Post Acute | 1.6 mi | ★★★★★ | 0 | 0 |
| North Mountain Medical And Rehabilitation Center | 2 mi | ★★★★★ | 2 | 0 |
| Camelback Post Acute Care And Rehabilitation | 2.9 mi | ★★★★★ | 1 | 0 |
| Beatitudes Campus | 2.9 mi | ★★★★★ | 5 | 0 |
| The Rehabilitation Center At The Palazzo | 3.1 mi | ★★★★★ | 1 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.