The nursing home failed to protect residents from abuse and neglect by others. Cited December 2025 — isolated incident, actual harm.
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F-Tag 600 — 42 CFR §483.12 — S/S: G
Nursing home report
Desert Terrace Healthcare Center
PHOENIX, AZ · Medicare-certified · 108 beds
Needs attention
For-profitChain member
4 of 5 overall
Desert Terrace Healthcare Center has a 4 out of 5 overall rating, with 4-star health inspection and quality ratings and a 3-star staffing rating. It reports 3.42 nursing hours per resident per day versus the 4.1 federal benchmark, has $1,300 in fines in the last 24 months, and is flagged for a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.4176 hrs/resident/day
Quality measures
Last inspection: January 22, 2026Penalties, last 24 months: $1,300recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4176.
Staffing detail
- Registered nurses
- 0.51
- Licensed practical nurses
- 0.96
- Nurse aides
- 1.95
- Weekend nursing
- 3.02
Hours per resident per day.
Total staff turnover: 50%
Registered nurse turnover: 33%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
7.4%8%Worsening
Residents with a fall causing major injury
1.9%3.8%Worsening
Residents with pressure ulcers (bedsores)
5.9%1.8%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
6.4%2%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
8.5%2.2%Improving
Residents whose ability to walk got worse
—13.6%—
Long-stay residents on antianxiety or sleep medication
10.6%20.4%Worsening
Short-stay residents newly given an antipsychotic
0%0.7%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
28.2%24.8%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—92.4%—
Long-stay residents given the pneumonia vaccine
75.9%86.8%Improving
Short-stay residents given the seasonal flu vaccine
—76.7%—
Short-stay residents given the pneumonia vaccine
79.3%86.7%Improving
What the inspectors found
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited January 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
The home failed to ensure residents’ medications were free from unnecessary drugs. Cited September 2022 — limited pattern, potential for harm.
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F-Tag 757 — 42 CFR §483.45(d) — S/S: E
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited September 2022 — limited pattern, potential for harm.
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F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
The home failed to ensure residents kept their ability to do everyday activities unless there was a medical reason. Cited September 2022 — limited pattern, potential for harm.
View the original federal record
F-Tag 676 — 42 CFR §483.24 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $1,300 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $1,300 in total fines.
- $1,300
Federal fine
Nov 21, 2025
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
- Occupancy
- 86.8 residents on an average day (80% of 108 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 53 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.