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

Prescott Valley Nursing & Rehabilitation

PRESCOTT VALLEY, AZ · 58 certified beds · Last Life Safety survey November 10, 2023

CMS Certification Number 035244 · first certified October 1997

Ownership

Operated by OPCO SKILLED MANAGEMENT · Non profit - Corporation

  • New ownershipOwnership changed November 20, 2024 (change of ownership)from THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
12
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
6
Inspection & testing records
Of the citations on file

Position within AZ

12 citations — more than 71% 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

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 4 citations; the earlier surveys in the window averaged 4. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (January 2025 to September 2025), and past the point by which nine in ten AZ facilities have been surveyed. This facility’s last Life Safety survey was November 2023. 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

2 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.

Physical environment (health survey)

4 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 12 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.

This facility12AZ median8National median11
Citations on file over three years, compared
MeasureCitations
This facility12
Median facility in AZ8
Median facility nationally11

Survey history

Citations at each Life Safety survey
52021-0432022-0942023-11
Citations at each Life Safety survey
Survey dateCitations
April 2, 20215
September 9, 20223
November 10, 20234

Most-cited tags

Most-cited tags at this facility
K-03632K-09182K-09212K-05211K-07611K-02221K-02111K-03251
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0363Install corridor and hallway doors that block smoke.22023-11-10
K-0918Have generator or other power source capable of supplying service within 10 seconds.22023-11-10
K-0921Ensure that testing and maintenance of electrical equipment is performed.22022-09-09
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12021-04-02
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12022-09-09
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.12023-11-10
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12023-11-10
K-0325Have properly installed hallway dispensers for alcohol-based hand rub.12021-04-02

What the citations cover

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

Every citation on file

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

November 10, 2023 — 4 citations

Citations issued on November 10, 2023
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (January 4, 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 (January 4, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (January 4, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (January 4, 2024)

September 9, 2022 — 3 citations

Citations issued on September 9, 2022
TagWhat the surveyor checksStatus
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (November 14, 2022)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (November 14, 2022)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (November 14, 2022)

April 2, 2021 — 5 citations

Citations issued on April 2, 2021
TagWhat the surveyor checksStatus
K-0325Have properly installed hallway dispensers for alcohol-based hand rub.Deficient, Provider has date of correction (May 3, 2021)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (May 3, 2021)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (May 3, 2021)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (May 3, 2021)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (May 3, 2021)

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