The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited June 2025 — isolated incident, actual harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
DESERT BLOSSOM HEALTH & REHAB CENTER
MESA, AZ · Medicare-certified · 106 beds
Needs attention
For-profitChain member
4 of 5 overall
4 out of 5 stars overall. Desert Blossom Health & Rehab Center has 3-star health inspection and staffing ratings, 5-star quality measures, nurse staffing below the federal benchmark (3.48 vs. 4.1 hours/resident/day), $8,278 in fines over the last 24 months, and a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.4842 hrs/resident/day
Quality measures
Last inspection: December 16, 2025Penalties, last 24 months: $8,278recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4842.
Staffing detail
- Registered nurses
- 0.76
- Licensed practical nurses
- 0.81
- Nurse aides
- 1.92
- Weekend nursing
- 3.05
Hours per resident per day.
Total staff turnover: 51%
Registered nurse turnover: 53%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
2.7%Improving
Residents with a fall causing major injury
1.5%Worsening
Residents with pressure ulcers (bedsores)
4%Steady
Residents with a urinary tract infection
2%Improving
Residents who lost too much weight
9%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
0.6%Steady
Residents whose ability to walk got worse
4.5%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
33.5%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
18.3%Improving
Residents with depressive symptoms
6.3%Worsening
Long-stay residents given the seasonal flu vaccine
94.4%Steady
Long-stay residents given the pneumonia vaccine
73.4%Improving
Short-stay residents given the seasonal flu vaccine
91.7%Steady
Short-stay residents given the pneumonia vaccine
97.3%Improving
What the inspectors found
The home failed to properly label and securely store medications and biologicals. Cited December 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: D
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited July 2025 — isolated incident, potential for harm.
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F-Tag 609 — 42 CFR §483.12 — S/S: D
The nursing home failed to provide services that met professional standards of quality. Cited July 2025 — isolated incident, potential for harm.
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F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: D
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited July 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
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- PENALTY
A federal fine of $8,278 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $8,278 in total fines.
- $8,278
Federal fine
Jun 2, 2025
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
- Occupancy
- 91.6 residents on an average day (86% of 106 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 37 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.