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

Rehab At Scottsdale Village Square

SCOTTSDALE, AZ · 141 certified beds · Last Life Safety survey August 7, 2025

CMS Certification Number 035217 · first certified June 1993

Ownership

Independently operated (no chain recorded by CMS) · For profit - Limited Liability company

Ownership changed September 1, 2023 (change of ownership)to SCOTTSDALE AZ OPCO LLC from PACIFICA SL SCOTTSDALE LLC

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

21 citations — more than 91% 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 0 citations; the earlier surveys in the window averaged 10.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens October 2026. This facility’s last Life Safety survey was August 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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Emergency preparedness

14 of the 21 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)

6 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 21 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	21
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
April 28, 2022	15
May 18, 2023	6
August 7, 2025	0

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
E-0024	Establish policies and procedures for volunteers.	2	2023-05-18
E-0033	Establish methods for sharing information.	2	2023-05-18
E-0026	Establish roles under a Waiver declared by secretary.	2	2023-05-18
E-0006	Conduct risk assessment and an All-Hazards approach.	1	2022-04-28
E-0020	Establish policies and procedures including evacuation.	1	2022-04-28
E-0039	Conduct testing and exercise requirements.	1	2022-04-28
K-0923	Have proper medical gas storage and administration areas.	1	2022-04-28
K-0511	Have properly installed electrical wiring and gas equipment.	1	2023-05-18

What the citations cover

Citations by CMS category

Emergency Preparedness Deficiencies 14
Gas, Vacuum, and Electrical Systems Deficiencies 3
Smoke Deficiencies 2
Services Deficiencies 1
Other 1

Citations by CMS category
Category	Citations
Emergency Preparedness Deficiencies	14
Gas, Vacuum, and Electrical Systems Deficiencies	3
Smoke Deficiencies	2
Services Deficiencies	1
Egress Deficiencies	1

Every citation on file

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

May 18, 2023 — 6 citations

Citations issued on May 18, 2023
Tag	What the surveyor checks	Status
E-0024	Establish policies and procedures for volunteers.	Deficient, Provider has date of correction (July 20, 2023)
E-0026	Establish roles under a Waiver declared by secretary.	Deficient, Provider has date of correction (July 20, 2023)
E-0033	Establish methods for sharing information.	Deficient, Provider has date of correction (July 20, 2023)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (July 20, 2023)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (July 20, 2023)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (July 20, 2023)

April 28, 2022 — 15 citations

Citations issued on April 28, 2022
Tag	What the surveyor checks	Status
E-0006	Conduct risk assessment and an All-Hazards approach.	Deficient, Provider has date of correction (June 9, 2022)
E-0009	Include a process for Emergency Preparedness collaboration.	Deficient, Provider has date of correction (June 9, 2022)
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (June 9, 2022)
E-0018	Establish procedures for tracking staff and patients during an emergency.	Deficient, Provider has date of correction (June 9, 2022)
E-0020	Establish policies and procedures including evacuation.	Deficient, Provider has date of correction (June 9, 2022)
E-0023	Establish policies and procedures for medical documentation.	Deficient, Provider has date of correction (June 9, 2022)
E-0024	Establish policies and procedures for volunteers.	Deficient, Provider has date of correction (June 9, 2022)
E-0026	Establish roles under a Waiver declared by secretary.	Deficient, Provider has date of correction (June 9, 2022)
E-0033	Establish methods for sharing information.	Deficient, Provider has date of correction (June 9, 2022)
E-0035	Provide family notifications of emergency plan.	Deficient, Provider has date of correction (June 9, 2022)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (June 9, 2022)
K-0222	Add 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 (June 9, 2022)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (June 9, 2022)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (June 9, 2022)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (June 9, 2022)

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