LAKE PLEASANT POST ACUTE REHABILITATION CENTER
20625 NORTH LAKE PLEASANT ROAD, PEORIA, AZ 85382 · CCN 035111
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★★ 5
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 128
- Avg residents/day
- 108.1
- Phone
- 6235660642
Inspection history vs Arizona & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Arizona avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-05-10 | 6 | 7.7 | 9.5 | -1.7 better |
| 2 | 2023-01-26 | 7 | 7.2 | 9.8 | -0.2 better |
| 3 | 2021-12-08 | 7 | 8.6 | 9.3 | -1.6 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Resident rights | 2 |
| Nutrition and dietary | 1 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.50 | 46.6% |
| RN staffing (reported) | 0.56 | 60.0% |
| Total nurse staffing (adjusted) | 3.54 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- THE ENSIGN GROUP
- Facilities in chain
- 329
- Chain avg overall
- 3.20 / 5
Inspection citations (20)
- DF0880Provide and implement an infection prevention and control program.2025-12-05 · Health · corrected 2026-01-16
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-05-10 · Health · corrected 2024-06-24
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-05-10 · Health · corrected 2024-06-24
Potential for more than minimal harm
- DF0696Provide appropriate care/assistance for a resident with a prosthesis.2024-05-10 · Health · corrected 2024-06-24
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-05-10 · Health · corrected 2024-06-24
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-05-10 · Health · corrected 2024-06-24
Potential for more than minimal harm
- EF0692Provide enough food/fluids to maintain a resident's health.2024-01-17 · Health · corrected 2024-03-01
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-12-13 · Health · corrected 2024-01-19
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-12-13 · Health · corrected 2024-01-19
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-01-26 · Health · corrected 2023-03-05
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-01-26 · Health · corrected 2023-03-05
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-01-26 · Health · corrected 2023-03-05
Potential for more than minimal harm
- DF0685Assist a resident in gaining access to vision and hearing services.2023-01-26 · Health · corrected 2023-03-05
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-01-26 · Health · corrected 2023-03-05
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-01-26 · Health · corrected 2023-03-05
Potential for more than minimal harm
- EF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2023-01-26 · Health · corrected 2023-03-05
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2021-12-08 · Health · corrected 2022-01-25
Potential for more than minimal harm
- EF0584Honor 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.2021-12-08 · Health · corrected 2022-01-25
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2021-12-08 · Health · corrected 2022-01-25
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2021-12-08 · Health · corrected 2022-01-25
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| BANDERA HEALTHCARE LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2015-03-25 |
| THE ENSIGN GROUP INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2006-09-25 |
| HILL, SEAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2015-07-01 |
| NAGLE, CRAIG | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-15 |
| PETERSON, FORREST | Individual | CORPORATE DIRECTOR | — | 2019-01-01 |
| BURNAM, SOON | Individual | CORPORATE OFFICER | — | 2015-07-01 |
| FISCHBECK, COURTNEY | Individual | CORPORATE OFFICER | — | 2025-01-01 |
| KEETCH, CHAD | Individual | CORPORATE OFFICER | — | 2011-03-01 |
| SATO, AMI | Individual | CORPORATE OFFICER | — | 2024-09-09 |
Other facilities in PEORIA
| Name | Overall | Beds |
|---|---|---|
| PEORIA POST ACUTE AND REHABILITATION | ★★★★★ | 179 |
| AZ - RIO VISTA POST ACUTE AND REHABILITATION | ★★★★★ | 150 |
| FREEDOM PLAZA CARE CENTER | ★★★★★ | 111 |
| IMMANUEL CAMPUS OF CARE | ★★☆☆☆ | 228 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.