A middle-range Medicare rating. Review each component and visit in person before deciding.
based on 110 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
3 findings in latest survey
Sedona Trace Health and Wellness Center has a middle-range Medicare overall rating. Strengths include excellent rehabilitation and physical therapy teams. Some reviewers note concerns about neglect and development of pressure sores (mentioned by 3 reviewers). Review the health-inspection, staffing, and quality-measure components separately, then visit in person.
Families seeking rehabilitation services may find the therapy and physical therapy teams to be a significant strength, with several reviewers praising their effectiveness in post-surgery recovery. However, there are serious and recurring allegations regarding neglect, specifically concerning the development of pressure sores and slow response times to call lights. While many praise the beautiful, clean facility and certain nursing staff, others report significant issues with communication and responsiveness from the administration and night shifts.
Quality Themes
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Concerns
Rating Trends
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Distribution · 117 analyzed
The owner provides personalized greetings for many reviews and uses empathetic language for negative feedback. While they attempt to move disputes offline, some responses rely on repetitive templates.
Personalized based on this facility's data
Key Review Excerpts
“My family member stayed there for 21 days and we had to move hin to another facility. When he lift, he had stage 3 pressure sores all over his body and legs , which was very serious.”
“They take forever to answer call lights My mother has to wait 45+ minutes to get assistance for anything. This is sad. CNAs need to do there job.”
“Ana Rodriguez is by far the best wound care nurse our family has came across!”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
4
measures
4
measures
Residents whose walking got worse
Residents needing more daily help over time
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
This facility shows a concerning pattern with 23 deficiencies across 5 surveys, including families filing two complaints about resident assessment issues and readmission rights. The main problem areas involve fire safety systems (appearing repeatedly), resident rights violations, and care assessments. While all deficiencies show correction dates, the recurring fire safety issues and complaint-triggered violations about basic resident protections warrant careful consideration during any visit.
Resident Rights Deficiencies
Give the resident's representative the ability to exercise the resident's rights.
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Rights Deficiencies
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use and maintenance of medical gas equipment.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Provide properly protected cooking facilities.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Federal Penalties
Fine
Jun 14, 2024
$11,168
Guadalupe County Hospital Board
for profit
MUSTANG RIDGE HEALTHCARE, INC
RACHAEL HURLEY
The Ensign Group
342 facilities nationwide
Chain avg rating: 2.9/5 · Rank 23 of 84
Owners
Guadalupe County Hospital Board
Owner · Organization
Key personnel
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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. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. 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.
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