The home failed to ensure residents who could safely take their own medicines were allowed to self-administer them. Cited December 2022 — limited pattern, potential for harm.
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F-Tag 554 — 42 CFR §483.10 — S/S: E
Nursing home report
SURPRISE HEALTH AND REHABILITATION CENTER
SURPRISE, AZ · Medicare-certified · 100 beds
In good standing
For-profitChain member
5 of 5 overall
Surprise Health and Rehabilitation Center has a 5-star overall rating, with 5 stars for health inspections and quality measures, but a 2-star staffing rating. Reported nurse staffing is 5.06 hours per resident per day, above the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
5.0615 hrs/resident/day
Quality measures
Last inspection: March 11, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.0615.
Staffing detail
- Registered nurses
- 0.89
- Licensed practical nurses
- 1.45
- Nurse aides
- 2.71
- Weekend nursing
- 4.32
Hours per resident per day.
Total staff turnover: 49%
Registered nurse turnover: 48%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
2.6%Improving
Residents with a fall causing major injury
0%Steady
Residents with pressure ulcers (bedsores)
8%Worsening
Residents with a urinary tract infection
2.5%Improving
Residents who lost too much weight
0.9%Steady
Residents who were physically restrained
10%Improving
Residents needing more help with daily activities
3.8%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
43.6%Worsening
Short-stay residents newly given an antipsychotic
0.4%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
14.4%Steady
Residents with depressive symptoms
5.7%Improving
Long-stay residents given the seasonal flu vaccine
97.1%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
97%Steady
Short-stay residents given the pneumonia vaccine
99.2%Worsening
What the inspectors found
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited November 2021 — limited pattern, potential for harm.
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F-Tag 641 — 42 CFR §483.20(g) — S/S: E
The nursing home failed to provide services that met professional standards of quality. Cited November 2021 — limited pattern, potential for harm.
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F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: E
The home failed to provide safe, appropriate dialysis care for a resident who needed it. Cited March 2025 — isolated incident, potential for harm.
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F-Tag 698 — 42 CFR §483.25(l) — S/S: D
The home failed to ensure it was properly licensed and following all required laws, rules, and professional standards. Cited March 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 836 — 42 CFR §483.70(a) — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
- Occupancy
- 99.1 residents on an average day (99% of 100 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 6 years
The most recent standard health inspection was more than two years ago.
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.