Nursing homeActive

Peoria Post Acute and Rehabilitation

13215 North 94th Drive, Peoria, AZ 853816239337722179 certified beds · 171 residentsFor profit - PartnershipMedicare and Medicaid
Surveys on file
5
since 2022
Deficiencies
8
080
Penalties · 3 yrs
none on file
Last survey
2026-03-20
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 1
Quality 5
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Arizona Department of Health Services · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-03-20Standard040CMS-2567 (Care Compare)
2025-09-11Complaint010CMS-2567 (Care Compare)
2025-06-24Complaint010CMS-2567 (Care Compare)
2024-04-05Standard010CMS-2567 (Care Compare)
2022-12-15Standard010CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Arizona Department of Health Services publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-03-20Standard survey · 4 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-04Record 035144-20260320-F550
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-04Record 035144-20260320-F658
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-04Record 035144-20260320-F761
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-04Record 035144-20260320-F880
2025-09-11Complaint survey · 1 deficiencyOfficial report
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-07Record 035144-20250911-F761
2025-06-24Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-22Record 035144-20250624-F689
2024-04-05Standard survey · 1 deficiencyOfficial report
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-13Record 035144-20240405-F880
2022-12-15Standard survey · 1 deficiencyOfficial report
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-02-04Record 035144-20221215-F658

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.72
Facility
Arizona
National
Arizona 0.70 · National 0.69
Total nurse hours per resident day4.13
Facility
Arizona
National
Arizona 3.97 · National 3.86
Weekend total nurse hours3.71
Facility
Arizona
National
Arizona 3.50 · National 3.42

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityArizonaNational
Percentage of long-stay residents with pressure ulcers
lower is better
8.5%4.4%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
2.6%2.1%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
12.3%10.6%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.0%1.2%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.2%0.3%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
9.9%10.7%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
12.1%5.3%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
48.5%21.0%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Llewellyn, Matthew
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Sciara, Patrick
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Bandera Healthcare LLC
Organization
DIRECT OWNERSHIP INTERESTNOT APPLICABLE
Burnam, Soon
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Burnam, Soon
Individual
CORPORATE OFFICERNOT APPLICABLE
Grand Avenue Health Holdings LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Jones, Christine
Individual
CORPORATE OFFICERNOT APPLICABLE
Keetch, Chad
Individual
CORPORATE OFFICERNOT APPLICABLE
Llewellyn, Matthew
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Llewellyn, Matthew
Individual
ADP OF THE SNFNOT APPLICABLE
Port, Barry
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Sciara, Patrick
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Sciara, Patrick
Individual
ADP OF THE SNFNOT APPLICABLE
Standard Bearer Healthcare Op LP
Organization
ADP OF THE SNFNOT APPLICABLE
The Ensign Group Inc
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
The Ensign Group Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Part of a chain
The Ensign Group342 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Arizona.

No county cost figures on file for Maricopa.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Freedom Plaza Care Center
Peoria
0.3 mi2024-04-25000
Boswell Transitional Care Of Cascadia
Sun City
1.7 mi2025-05-09020
Immanuel Campus Of Care
Peoria
2.3 mi2026-05-220302
Sunview Respiratory and Rehabilitation
Youngtown
2.4 mi2026-05-080152
Az - Rio Vista Post Acute And Rehabilitation
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2.9 mi2025-05-07050
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01