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

BEATITUDES CAMPUS

PHOENIX, AZ · 72 certified beds · Last Life Safety survey September 5, 2025

CMS Certification Number 035176 · first certified October 1988

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

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

10
Citations on file
CMS's current file
3
Life Safety surveys
CMS's current file
0
Tags cited more than once
Across separate surveys
3
Inspection & testing records
Of the citations on file

Position within AZ

10 citations — more than 63% 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 CMS's current file.

The latest survey found 0 citations; the earlier surveys on file averaged 5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens November 2026. This facility’s last Life Safety survey was September 2025. Facilities in AZ are typically surveyed 14–23 months after the last one (median 18), measured over 157 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 about three years in Virginia. How the window is measured

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Which alerts

Emergency preparedness

2 of the 10 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)

2 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 10 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

How that compares

Citations in CMS's current file

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

This facility10AZ median7National median11
Citations in CMS's current file, compared
MeasureCitations
This facility10
Median facility in AZ7
Median facility nationally11

Survey history

Citations at each Life Safety survey
22023-0182024-0802025-09
Citations at each Life Safety survey
Survey dateCitations
January 20, 20232
August 30, 20248
September 5, 20250

Most-cited tags

Most-cited tags at this facility
K-07611K-03531E-00041K-03421K-03511K-03721E-00301K-09001
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12024-08-30
K-0353Inspect, test, and maintain automatic sprinkler systems.12024-08-30
E-0004Develop and maintain an Emergency Preparedness Program (EP).12024-08-30
K-0342Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.12023-01-20
K-0351Install an approved automatic sprinkler system.12024-08-30
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12024-08-30
E-0030List the names and contact information of those in the facility.12024-08-30
K-0900Meet Health Care Facilities Code mechanical requirements.12024-08-30

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 4
  • Emergency Preparedness Deficiencies 2
  • Miscellaneous Deficiencies 2
  • Egress Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies4
Emergency Preparedness Deficiencies2
Miscellaneous Deficiencies2
Egress Deficiencies1
Gas, Vacuum, and Electrical Systems Deficiencies1

Every citation on file

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

August 30, 2024 — 8 citations

Citations issued on August 30, 2024
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (September 13, 2024)
E-0030List the names and contact information of those in the facility.Deficient, Provider has date of correction (September 13, 2024)
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (September 30, 2024)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (September 5, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (November 1, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (September 5, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (September 30, 2024)
K-0900Meet Health Care Facilities Code mechanical requirements.Deficient, Provider has date of correction (September 19, 2024)

January 20, 2023 — 2 citations

Citations issued on January 20, 2023
TagWhat the surveyor checksStatus
K-0342Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.Deficient, Provider has date of correction (March 21, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (March 21, 2023)

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