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 Phoenix Center For Rehabilitation And Pediatrics during CMS and state inspections, most recent first.
The facility did not ensure that the daily nurse staffing report was accurately posted and up to date, as required. On two occasions, the posted report displayed outdated information, and staff covering for the Receptionist were unsure of their responsibility to update the report. The DON confirmed that the report should be updated daily by whoever is covering the Receptionist’s duties, in accordance with facility policy.
The facility failed to consistently complete post-dialysis assessments for two residents requiring dialysis services. One resident, with severely impaired cognition, had missing documentation of post-dialysis assessments on several dates, despite a physician's order for monitoring. Another resident, with moderately impaired cognition, also had inconsistent post-dialysis documentation. The facility's policy required post-dialysis observations, but this was not consistently followed.
A resident's room lacked personal belongings and homelike features, with bare walls, cardboard covering the air conditioning unit, discolored tiles, and a hole in the wall. The resident, who is blind and has aggressive behaviors, was under one-to-one supervision. Staff cited safety concerns for the absence of personal items, but the facility's policy on a homelike environment was not followed.
A resident with multiple medical conditions, including right-sided hemiplegia, was found with their call bell out of reach, despite facility policy requiring it to be accessible. The resident's care plan did not address this need, and staff confirmed the oversight.
A facility failed to develop a comprehensive care plan for a resident prescribed Apixaban for a pulmonary embolism. Despite the physician's order for the anticoagulant, no care plan was created, as confirmed by the DON. Facility policy required such a plan within seven days of assessment completion.
The facility failed to follow a physician's order for oxygen therapy for two residents. A resident with a tracheostomy was observed receiving oxygen at 1.5 lpm instead of the prescribed 3 lpm. The LPN did not verify the oxygen settings, and the facility's policy to adjust the rate of flow according to the doctor's orders was not followed. The DOR confirmed the need for order clarification and adherence.
A facility failed to provide timely assistance with breakfast and morning care for a resident who was totally dependent on staff for ADLs. The resident, with a spinal cord injury and bladder dysfunction, was not fed or cleaned by 11:00 AM due to a miscommunication and staffing shortage. The CNA assigned to the resident was not informed of the additional responsibility, leading to delayed care. The DON acknowledged the staffing challenges and the overwhelming situation faced by the staff.
Two residents in the facility had urinary drainage bags improperly stored, leading to potential contamination and infection control issues. One resident had bags lying on their bed instead of in privacy bags, while another had a bag affixed to the bedframe but not within the privacy bag. Staff confirmed the need for proper storage according to facility policy.
A resident's clothing was unsanitarily stored on a shower curtain rod in their bathroom due to their aggressive behaviors and blindness, which required the removal of furniture from their room. The staff acknowledged the issue and considered more hygienic storage solutions. The deficiency was identified through observation and interviews.
The facility failed to report the results of their findings for an injury of unknown origin to the State Survey Agency. A resident with multiple diagnoses, including Cerebral Palsy and Aphasia, was found with discolorations on the forehead. The incident was not witnessed, and the resident was nonverbal. The facility concluded there was no abuse or neglect but did not report the findings as required by policy.
Failure to Timely Post Accurate Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that the 24-hour Nursing Home Resident Care Staffing Report (NHRCSR) was accurately posted and up to date for residents and visitors to view. On two separate observations, the posted NHRCSR was found to be outdated, displaying information from the previous day’s day shift rather than the current date. The surveyor observed this deficiency both in the morning and afternoon, confirming that the required staffing information was not current. Interviews with facility staff revealed that the Unit Clerk/Certified Nursing Aide, who was covering for the Receptionist, was unsure if she was authorized to update the NHRCSR, as this was typically the Receptionist’s responsibility. The Director of Nursing later confirmed that the NHRCSR should be updated by whoever is covering the Receptionist’s duties. A review of the facility’s policy indicated that nurse staffing data must be posted daily, including details on licensed and unlicensed staff and resident census, but this procedure was not followed as required.
Inconsistent Post-Dialysis Assessments for Residents
Penalty
Summary
The facility failed to complete post-dialysis assessments for two residents who required dialysis services. Resident #127, who had a severely impaired cognitive status with a BIMS score of 6 out of 15, was observed to have inconsistent documentation of post-dialysis assessments in their medical records. Despite having a physician's order for blood pressure monitoring pre and post-hemodialysis, the facility did not consistently document post-dialysis assessments, including vital signs, on several specified dates. The Registered Nurse on the 4th-floor unit confirmed that the dialysis communication binder was used to document pre-dialysis assessments, but the post-dialysis assessments were not consistently recorded in the progress notes. Similarly, Resident #179, who had a moderately impaired cognitive status with a BIMS score of 11 out of 15, also experienced inconsistent documentation of post-dialysis assessments. The resident could not recall being assessed upon returning from the dialysis center. The facility's records showed that post-dialysis assessments were missing for several dates. The Director of Nursing and the Administrator acknowledged the issue, and the facility's policy on the care of residents with end-stage renal disease indicated that post-dialysis observations should be documented, but this was not consistently followed.
Failure to Maintain a Dignified Living Environment
Penalty
Summary
The facility failed to maintain a dignified living environment for a resident who was observed in a room lacking personal belongings and homelike features. The resident's room had bare walls, brown cardboard and tape covering the air conditioning unit, discolored and mismatched floor tiles, and an approximately 8-inch hole in the wall. The resident, who is blind and has aggressive behaviors, was under one-to-one supervision due to a history of destructive actions, including pulling things off the wall and knocking furniture over. The staff, including an aide and an LPN, stated that the resident could not have personal belongings in the room due to these behaviors. The Director of Nursing and the Administrator acknowledged the lack of homelike features in the resident's room, citing safety concerns as the reason for the absence of personal items. The Maintenance Director was aware of the hole in the wall and the mismatched tiles but did not know how long the issues had persisted. The facility's policy on maintaining a safe and homelike environment was not adhered to, as the room's condition emphasized an institutional character rather than a homelike setting.
Failure to Maintain Call Bell Accessibility for Resident
Penalty
Summary
The facility failed to maintain the call bell within reach of a resident, identified as Resident #39, who was observed in bed on a specialty mattress with a tracheostomy and an oxygen concentrator. The call bell, which is used to summon staff for assistance, was affixed to the left siderail and not within the resident's reach. Resident #39 had several medical conditions, including tracheostomy, gastrostomy, aphasia, respiratory failure, paraplegia, urinary tract infection, and right-sided hemiplegia, which affected their ability to communicate and move. The resident's care plan did not include an intervention to ensure the call bell was within reach on their left side, despite their right-sided hemiplegia. The surveyor confirmed with the Charge Nurse, CNA, and LPN that the call bell should have been placed within the resident's reach. The facility's Call Bell Response policy, revised in October 2024, indicated that the CNA should place the call bell within easy access for the resident. The Licensed Nursing Home Administrator and Director of Nursing acknowledged that call bells should be placed within residents' reach, confirming the deficiency in accommodating the resident's needs and preferences.
Failure to Develop Comprehensive Care Plan for Anticoagulant Medication
Penalty
Summary
The facility failed to accurately develop and implement a person-centered comprehensive care plan for a resident's care and service needs. This deficiency was identified for one resident who was admitted with a diagnosis that included a pulmonary embolism. The resident's electronic medical records showed a physician's order for Apixaban, an anticoagulant medication, to be taken twice daily. However, there was no comprehensive care plan developed regarding this medication. The Director of Nursing confirmed that a care plan should have been created for the anticoagulant medication but was unable to locate it. The facility's policy required that a comprehensive care plan be developed within seven days after the completion of the comprehensive assessment.
Failure to Follow Physician's Orders for Oxygen Therapy
Penalty
Summary
The facility failed to maintain professional standards of nursing practice by not following a physician's order for two residents. Resident #39, who had a tracheostomy and required oxygen therapy, was observed with an oxygen concentrator set at 1.5 liters per minute (lpm) instead of the prescribed 3 lpm. The Licensed Practical Nurse (LPN) assigned to the resident's care confirmed that she had not checked the oxygen settings that morning to ensure the resident received the proper lpm. The facility's policy required adjusting the rate of flow according to the doctor's orders, which was not adhered to in this case. The Director of Respiratory Therapy (DOR) stated that the resident received the appropriate fraction of inspired oxygen (FiO2) at 28% and that respiratory therapists sometimes changed the oxygen settings. However, the DOR acknowledged that the physician's order should have been clarified and followed accordingly. The Licensed Nursing Home Administrator (LNHA) and Director of Nursing (DON) confirmed that the LPN should have been knowledgeable about the oxygen order and administration, and the order should have been verified with the physician.
Failure to Provide Timely ADL Assistance Due to Staffing Issues
Penalty
Summary
The facility failed to provide timely assistance with breakfast and morning care for a resident who was totally dependent on staff for activities of daily living (ADL). The resident, who had a diagnosis of unspecified injury of the cervical spinal cord and neuromuscular dysfunction of the bladder, was observed in their room during a video conference call. The resident's medical records indicated they were cognitively intact and required one-to-one feeding assistance and frequent checks for continence care. However, on the day of the incident, the resident was not fed or cleaned by 11:00 AM, as the Certified Nursing Assistant (CNA) assigned to them was not informed of the additional responsibility due to a miscommunication. The incident occurred on a day when the facility was short-staffed, and the CNA had a total of 19 residents to care for. The Assistant Director of Nursing (ADON) confirmed that the resident was offered breakfast but refused it since it was almost lunchtime. The Director of Nursing (DON) acknowledged the staffing challenges and the overwhelming situation faced by the staff, which contributed to the delayed care for the resident. The facility's policy on Activities of Daily Living emphasized maintaining as much independence as possible for residents, but the staffing issues led to a failure in meeting the resident's needs in a timely manner.
Improper Storage of Urinary Drainage Bags
Penalty
Summary
The facility failed to ensure proper storage and security of urinary drainage bags, leading to potential contamination and infection control issues. This deficiency was observed in two residents. Resident #70 was found with two urinary drainage bags lying on top of their bed, despite having privacy bags affixed to the side rails for proper storage. The Licensed Practical Nurse (LPN) assigned to the resident's care stated that the resident's mother preferred the bags in the bed, while the Certified Nursing Assistant (CNA) and Charge Nurse confirmed that the bags should be stored in the privacy bags below bladder level for proper drainage and infection prevention. Resident #39 was observed with a urinary drainage bag affixed to the lower aspect of the bedframe, not contained within the privacy bag that was hanging next to it. The Charge Nurse and CNA confirmed that the bag should have been stored within the privacy bag for privacy and infection control. The LPN assigned to Resident #39 acknowledged the oversight and confirmed the need for proper storage. The facility's Catheterization policy, revised in October 2024, specifies that drainage bags should be positioned below the bladder level for optimal gravity drainage and stored in privacy bags. The Director of Nursing (DON) confirmed the requirement for all urinary drainage bags to be kept below bladder level and stored in privacy bags, aligning with the facility's policy.
Inadequate Storage of Resident's Clothing Leads to Infection Control Deficiency
Penalty
Summary
The facility failed to store a resident's personal clothing in a sanitary manner, leading to a deficiency in infection prevention and control. During an observation, it was noted that a resident's clothing was hanging on the shower curtain rod in the bathroom, approximately five feet from the toilet. This arrangement was due to the resident's behaviors, which included aggression and knocking over furniture, necessitating the removal of furniture and belongings from the room. The resident, who is blind in both eyes, receives one-to-one supervision 24 hours a day and occasionally uses the toilet in the bathroom, although they are also incontinent and receive showers in a communal shower room. The staff, including an aide and the LPN Charge Nurse, acknowledged the unsanitary storage of clothing and suggested that a more hygienic method, such as using a container, could be implemented. The Director of Nursing and the Administrator were informed of the situation and recognized the need to explore alternative storage solutions to address the infection control concerns. The deficiency was identified through observation, interview, and record review, highlighting the need for improved storage practices for the resident's clothing.
Failure to Report Investigation Results for Injury of Unknown Origin
Penalty
Summary
The facility failed to report the results of their findings for an injury of unknown origin to the State Survey Agency, which ruled out abuse and neglect for one resident. Resident #2, who has diagnoses including Cerebral Palsy, Disorders of Psychological Development, Hypothyroidism, and Aphasia, was found with multiple discolorations on the forehead during morning care. The incident report documented by an LPN and reviewed by the Unit Manager RN indicated that the resident had a history of rocking behavior, which could have caused the injury. However, the incident was not witnessed, and the resident was unable to explain what happened due to being nonverbal. The facility's investigation concluded that there was no substantiated evidence of abuse or neglect, but the results were not reported to the State Survey Agency as required by the facility's policy and state regulations. During interviews with surveyors, the Unit Manager RN, LNHA, DON, and ADON confirmed their awareness of the incident and the resident's behavior. They asserted that the injury was likely self-inflicted due to the resident's rocking behavior. Despite this, the facility did not provide a further explanation for the failure to report the investigation results to the State Survey Agency. The facility's policy mandates immediate reporting of all allegations of abuse to the Director of Nursing or Administrator and to the State Survey Agency within specified timeframes, which was not adhered to in this case.
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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 Haskell
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Health Center At Bloomingdale | 0.9 mi | ★★★★★ | 16 | 0 |
| Lakeland Nursing & Rehab | 0.9 mi | ★★★★★ | 0 | 0 |
| Arbor Ridge Rehabilitation And Healthcare Center | 1.8 mi | ★★★★★ | 0 | 0 |
| Complete Care At Wayne Hills Rehab & Resp Center | 2 mi | ★★★★★ | 18 | 0 |
| Cedar Crest/mountainview Gardens | 2.8 mi | ★★★★★ | 10 | 1 |
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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.