Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Desert Highlands Care Center

KINGMAN, AZ · 120 certified beds · Last Life Safety survey March 14, 2025

CMS Certification Number 035169 · first certified May 1988

Ownership

Operated by CIRCLE B ENTERPRISES · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within AZ

45 citations — more than 100% of the 140 certified nursing homes in AZ. Compared within AZ rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 12 citations; the earlier surveys in the window averaged 16.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: May 2026 to January 2027. This facility’s last Life Safety survey was March 2025. Facilities in AZ are typically surveyed 14–22 months after the last one (median 18), measured over 143 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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5 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

14 of the 45 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 45 Life Safety citations above. The Physical Environment Index

F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in AZ, and nationally. Surveyors differ markedly between states, so the AZ figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	45
Median facility in AZ	8
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
July 14, 2022	14
September 8, 2023	19
March 14, 2025	12

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	3	2025-03-14
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	3	2025-03-14
K-0351	Install an approved automatic sprinkler system.	3	2025-03-14
E-0026	Establish roles under a Waiver declared by secretary.	3	2025-03-14
K-0363	Install corridor and hallway doors that block smoke.	2	2025-03-14
K-0923	Have proper medical gas storage and administration areas.	2	2023-09-08
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	2	2025-03-14
K-0712	Have simulated fire drills held at unexpected times.	2	2023-09-08

What the citations cover

Citations by CMS category

Emergency Preparedness Deficiencies 14
Smoke Deficiencies 14
Gas, Vacuum, and Electrical Systems Deficiencies 8
Egress Deficiencies 4
Other 5

Citations by CMS category
Category	Citations
Emergency Preparedness Deficiencies	14
Smoke Deficiencies	14
Gas, Vacuum, and Electrical Systems Deficiencies	8
Egress Deficiencies	4
Miscellaneous Deficiencies	3
Services Deficiencies	2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

March 14, 2025 — 12 citations

Citations issued on March 14, 2025
Tag	What the surveyor checks	Status
E-0026	Establish roles under a Waiver declared by secretary.	Deficient, Provider has date of correction (April 25, 2025)
E-0029	Develop a communication plan.	Deficient, Provider has date of correction (April 25, 2025)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (April 19, 2025)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (April 19, 2025)
K-0341	Install a fire alarm system that can be heard throughout the facility.	Deficient, Provider has date of correction (April 19, 2025)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (April 19, 2025)
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (April 19, 2025)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (April 19, 2025)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (April 25, 2025)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (April 25, 2025)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (April 25, 2025)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (April 25, 2025)

September 8, 2023 — 19 citations

Citations issued on September 8, 2023
Tag	What the surveyor checks	Status
E-0006	Conduct risk assessment and an All-Hazards approach.	Deficient, Provider has date of correction (October 30, 2023)
E-0013	Develop Emergency Preparedness policies and procedures.	Deficient, Provider has date of correction (October 30, 2023)
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (October 30, 2023)
E-0020	Establish policies and procedures including evacuation.	Deficient, Provider has date of correction (October 30, 2023)
E-0026	Establish roles under a Waiver declared by secretary.	Deficient, Provider has date of correction (October 30, 2023)
E-0031	Provide emergency officials' contact information.	Deficient, Provider has date of correction (October 30, 2023)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (October 30, 2023)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (October 30, 2023)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (October 30, 2023)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (October 30, 2023)
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (October 30, 2023)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (October 30, 2023)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has date of correction (October 30, 2023)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (October 30, 2023)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (October 30, 2023)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (October 30, 2023)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (October 30, 2023)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (October 30, 2023)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (October 30, 2023)

July 14, 2022 — 14 citations

Citations issued on July 14, 2022
Tag	What the surveyor checks	Status
E-0006	Conduct risk assessment and an All-Hazards approach.	Deficient, Provider has date of correction (August 15, 2022)
E-0020	Establish policies and procedures including evacuation.	Deficient, Provider has date of correction (August 15, 2022)
E-0023	Establish policies and procedures for medical documentation.	Deficient, Provider has date of correction (August 15, 2022)
E-0024	Establish policies and procedures for volunteers.	Deficient, Provider has date of correction (August 15, 2022)
E-0026	Establish roles under a Waiver declared by secretary.	Deficient, Provider has date of correction (August 15, 2022)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (August 15, 2022)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (August 15, 2022)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (August 15, 2022)
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (August 15, 2022)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (August 15, 2022)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (August 15, 2022)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (August 15, 2022)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (August 15, 2022)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (August 15, 2022)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.