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Nursing HomeMedicaid Investigative

Phoenix Mountain Post Acute

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

13232 North Tatum Blvd, Phoenix, AZ 85032130 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing

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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (18 vs median 6.0)
  • High staff turnover (59%)
  • High RN turnover (69%)

Bottom 25% in AZ · Below recommended RN staffing · Below chain average · $8,018 in fines

Source: Medicare data

What this means for your family

This facility has areas of concern that warrant careful consideration. Registered Nurse hours are only 72% of the national benchmark, which can affect medication management and response times. The facility has 18 deficiencies, which is above the state average. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.54hrs
72%
Registered nurses for medical care
Total Nursing
3.46hrs
84%
All nurses + aides combined
Staff Turnover
62%
Lower is better (< 30% = good)
RN Turnover
58%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

7

measures

Worse Than Avg

5

measures

Mixed Results

5

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility2.7%
Better than Avg
Here
2.7%
US
15.4%
AZ
11.2%
Maricopa
10.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
AZ
4.0%
Maricopa
4.1%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for the flu

↑ Higher is better
This Facility89.5%
Worse than Avg
Here
89.5%
US
95.5%
AZ
94.6%
Maricopa
94.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.2%
Better than Avg
Here
98.2%
US
93.4%
AZ
97.0%
Maricopa
97.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility12.6%
Mixed vs Avgs
Here
12.6%
US
14.4%
AZ
10.6%
Maricopa
8.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility14.7%
Mixed vs Avgs
Here
14.7%
US
15.3%
AZ
13.5%
Maricopa
11.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility97.4%
Better than Avg
Here
97.4%
US
81.8%
AZ
91.3%
Maricopa
93.6%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility78.5%
Worse than Avg
Here
78.5%
US
79.7%
AZ
87.3%
Maricopa
89.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.6%
Worse than Avg
Here
1.6%
US
1.6%
AZ
1.1%
Maricopa
1.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

18deficiencies
1penalties
Well above state avg (7.6)
5 complaint-triggered
$8,018 in fines

This facility has faced serious concerns, including a recent complaint about abuse protection and multiple families filing reports about resident dignity, nursing competencies, and medical records. The most recurring issues involve resident rights violations, quality of care problems, and nursing staff adequacy. While all deficiencies show correction dates, the pattern of complaints and the serious nature of abuse-related citations warrant careful consideration during your visit.

Jul 11, 2025Complaint
2
0908Potential for harm · PatternCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0557Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Jun 17, 2025Complaint
2
0726Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Jun 11, 2024Complaint
1
0600Actual harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Jul 6, 2023Routine
16
0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0623Potential for harm · PatternCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0625Potential for harm · PatternCorrected

Resident Rights Deficiencies

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

0690Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0770Potential for harm · PatternCorrected

Administration Deficiencies

Provide timely, quality laboratory services/tests to meet the needs of residents.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0732Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0814Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

May 12, 2022Routine
4
0698Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Jan 17, 2020Routine
8
0692Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Federal Penalties

Fine

Jun 11, 2024

$8,018

State Inspection History

State Inspections

Source: AZ State Licensing Agency

25total
34deficiencies
Dec 4, 2025Other
NFPA 101 Federal

Violation cited

NFPA 101 FederalCorrected Jan 30, 2026

Based on observation and staff interviews, the facility failed to ensure that a remote stop or kill switch for the generator was installed. This could affect the entire facility and could result in a loss of power due to a generator malfunction during an emergency power outage. Failure to have an emergency stop on the exterior of the generator could cause a fire or harm the residents and staff.

Sep 24, 2025Complaint
CleanReport

The investigation of complaints 00145712 was conducted on September 24, 2025, There were no deficiencies cited.

Aug 7, 2025Complaint
CleanReport

The onsite complaint survey was conducted on and investigated August 7, 2025 through August 7, 2025 and investigated complaint # 2574816. There were no deficiencies cited.

May 13, 2025Complaint

The Risk Based Complaint Survey was conducted May 13, 2025 through May 14, 2025 for the investigation of the following intake #s: AZ00171204, AZ00180766, AZ00172323, AZ00169260, AZ00182014, AZ00163259, AZ00164082, AZ00164136, AZ00175850, AZ00183459, AZ00177340, AZ00178738, AZ00179567, AZ00181412. The following deficiencies were cited:

An administrator shall ensure that: R9-10-403.C.1. Policies and procedures are established, documented, and implemented to protect the health and safety of a resident that: R9-10-403.C.1.h. Cover R9-10-403.C.1.h.Corrected Jun 20, 2025

Violation cited

An administrator shall ensure that: R9-10-410.B.3. A resident is not subjected to: R9-10-410.B.3.a. Abuse;R9-10-410.B.3.a.Corrected Jun 20, 2025

Violation cited

May 7, 2025Complaint
CleanReport

The complaint survey was conducted on May 7, 2025 for the following complaint #'s AZ00173619, AZ00173618, AZ00167612, AZ00167612, AZ00224366, AZ00224454. There were no deficiencies cited.

Mar 31, 2025Complaint
CleanReport

The investigation of complaints 00123721, 00124081, 00124419, 00124672, 00124830 was conducted on March 31, 2025, there were no deficiencies noted.

Mar 5, 2025Complaint
CleanReport

A complaint survey was conducted on March 5, 2025 for the investigation of intake # 00116257, 00120800. There were no deficiencies cited.

Feb 19, 2025Complaint
CleanReport

A complaint survey was conducted on February 19, 2025 of intake # AZ00223233, 00115450, AZ00223377. There were no deficiencies cited.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Phoenix Mountain Post Acute

Organization Type

for profit

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

338 facilities nationwide

Chain avg rating: 3.2/5 · Rank 222 of 328

Ownership & Management

Owners

Port, Barry

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Burnam, SoonManaging Control - Governing BodyHaerter, CharltonManaging Control - Governing BodyWagner, ClaytonManaging Control - Governing BodyBurnam, SoonOfficer / DirectorKeetch, ChadOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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