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

ARCHIE HENDRICKS SENIOR SKILLED NURSING FACILITY

SELLS, AZ · 60 certified beds · Last Life Safety survey July 25, 2025

CMS Certification Number 035263 · first certified September 2004

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.

17
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
4
Tags cited more than once
Across separate surveys
8
Inspection & testing records
Of the citations on file

Position within AZ

17 citations — more than 84% 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 3 citations; the earlier surveys in the window averaged 7. 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: September 2026 to May 2027. This facility’s last Life Safety survey was July 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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Which alerts

1 inspection-and-testing tag has 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)

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 17 Life Safety citations above. The Physical Environment Index

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

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 facility17AZ median8National median11
Citations on file over three years, compared
MeasureCitations
This facility17
Median facility in AZ8
Median facility nationally11

Survey history

Citations at each Life Safety survey
62023-0982024-0932025-07
Citations at each Life Safety survey
Survey dateCitations
September 14, 20236
September 27, 20248
July 25, 20253

Most-cited tags

Most-cited tags at this facility
K-03743K-02932K-07122K-03212K-02111K-09181K-03721K-02911
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.32025-07-25
K-0293Have properly located and lighted "Exit" signs.22024-09-27
K-0712Have simulated fire drills held at unexpected times.22024-09-27
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.22025-07-25
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12024-09-27
K-0918Have generator or other power source capable of supplying service within 10 seconds.12024-09-27
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12025-07-25
K-0291Install emergency lighting that can last at least 1 1/2 hours.12023-09-14

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 9
  • Egress Deficiencies 4
  • Miscellaneous Deficiencies 2
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies9
Egress Deficiencies4
Miscellaneous Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies1
Services Deficiencies1

Every citation on file

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

July 25, 2025 — 3 citations

Citations issued on July 25, 2025
TagWhat the surveyor checksStatus
K-0321Ensure 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 1, 2025)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (October 1, 2025)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (October 1, 2025)

September 27, 2024 — 8 citations

Citations issued on September 27, 2024
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (December 6, 2024)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (December 6, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (December 6, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (December 6, 2024)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (December 6, 2024)
K-0500Meet other general requirements that are deficient.Deficient, Provider has date of correction (December 6, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (December 6, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (December 6, 2024)

September 14, 2023 — 6 citations

Citations issued on September 14, 2023
TagWhat the surveyor checksStatus
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (October 16, 2023)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (October 16, 2023)
K-0321Ensure 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 16, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (October 16, 2023)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (October 16, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (October 16, 2023)

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