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

Acacia Health Center

PHOENIX, AZ · 78 certified beds · Last Life Safety survey December 6, 2024

CMS Certification Number 035279 · first certified March 2011

Also on this campus

The same campus holds a state-licensed assisted living facility, with its own state record on the Assisted Living Index: Acacia Health Center (4555 East Mayo Boulevard). Matched by the telephone number the two records share. The records are separate and are never added together.

Ownership

Operated by LIFE CARE SERVICES · For profit - Corporation

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

3
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
1
Inspection & testing records
Of the citations on file

Position within AZ

3 citations — more than 21% 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

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

The latest survey found 2 citations; the earlier surveys in the window averaged 0.5. 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: February 2026 to October 2026. This facility’s last Life Safety survey was December 2024. 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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Which alerts

Emergency preparedness

1 of the 3 citations on file is 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

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.

This facility3AZ median8National median11
Citations on file over three years, compared
MeasureCitations
This facility3
Median facility in AZ8
Median facility nationally11

Survey history

Citations at each Life Safety survey
02022-0812023-1022024-12
Citations at each Life Safety survey
Survey dateCitations
August 25, 20220
October 13, 20231
December 6, 20242

Most-cited tags

Most-cited tags at this facility
K-03411E-00391K-03631
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0341Install a fire alarm system that can be heard throughout the facility.12024-12-06
E-0039Conduct testing and exercise requirements.12023-10-13
K-0363Install corridor and hallway doors that block smoke.12024-12-06

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 2
  • Emergency Preparedness Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies2
Emergency Preparedness Deficiencies1

Every citation on file

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

December 6, 2024 — 2 citations

Citations issued on December 6, 2024
TagWhat the surveyor checksStatus
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (December 31, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (December 31, 2024)

October 13, 2023 — 1 citation

Citations issued on October 13, 2023
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (December 7, 2023)

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