nursing home in Peoria, AZ
Lake Pleasant Post Acute Rehabilitation Center
20625 North Lake Pleasant Road, Peoria, AZ 85382 · (623) 566-0642
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★2
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Lake Pleasant Post Acute Rehabilitation Center at a glance
Lake Pleasant Post Acute Rehabilitation Center is a 128-bed for-profit nursing home in Peoria, Arizona (Maricopa County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Arizona average of 3.3.
Residents receive about 3.3 hours of nursing care per day (0.6 of them from registered nurses), worse than the state average of 4 hours.
Its most recent standard health inspection (February 26, 2026) found 5 health citations. The Arizona average is 6.3.
It has not received a federal fine in the past three years.
Nursing staff turnover is 50% per year (state average 45.2%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 128
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- The Ensign Group
- Medicare-certified since
- July 29, 1985
- Resident/family council
- Resident
- County
- Maricopa County
- CMS Certification Number
- 035111
Ratings
| Measure | This facility | Arizona avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 3.3 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 2.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 4.5 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4.4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 4.5 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Arizona avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.32 hrs | 3.98 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.59 hrs | 0.70 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.78 hrs | 2.24 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.92 hrs | 3.51 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 50% | 45.2% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 61.1% | 43.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Arizona avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 5 | 6 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 32 | 41 | 80.6 | Better |
Penalties
| Measure | This facility | Arizona avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 0 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $8,928 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 0 | 1 | Better |
Size
| Measure | This facility | Arizona avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 128 | 114 | 107 | |
| Average residents per day | 102 | 88 | 86 | |
| Occupancy | 79.3% | 79.6% | 80.9% |
Long-stay residents
| Measure | This facility | Arizona avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.4% | 2.1% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 2.6% | 4.4% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 0% | 10.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 1.2% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.8% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 4.5% | 10.7% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 12.8% | 12.8% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 4.8% | 5.3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0.4% | 3.9% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.3% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 47.4% | 21% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 29.8% | 20.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 94.6% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.7% | 96.9% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Arizona avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 97.2% | 87.3% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 99.7% | 91.8% | 82% | Better |
Inspection citations
State inspectors cited this home for 20 health deficiencies and 6 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| February 26, 2026 Complaint | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | E Potential harm, pattern | Corrected April 15, 2026 |
| February 26, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected April 15, 2026 |
| February 26, 2026 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected April 15, 2026 |
| February 26, 2026 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected April 15, 2026 |
| February 26, 2026 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected April 15, 2026 |
| May 10, 2024 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | D Potential harm, isolated | Corrected June 24, 2024 |
| May 10, 2024 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected June 24, 2024 |
| May 10, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected June 24, 2024 |
| May 10, 2024 Standard | Provide appropriate care/assistance for a resident with a prosthesis. Quality of Life and Care Deficiencies · Tag F0696 | D Potential harm, isolated | Corrected June 24, 2024 |
| May 10, 2024 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected June 24, 2024 |
| May 10, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected June 24, 2024 |
| January 17, 2024 Complaint | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | E Potential harm, pattern | Corrected March 1, 2024 |
| December 13, 2023 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected January 19, 2024 |
| December 13, 2023 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected January 19, 2024 |
| January 26, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected March 5, 2023 |
| January 26, 2023 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected March 5, 2023 |
| January 26, 2023 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected March 5, 2023 |
| January 26, 2023 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | E Potential harm, pattern | Corrected March 5, 2023 |
| January 26, 2023 Standard | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | E Potential harm, pattern | Corrected March 5, 2023 |
| January 26, 2023 Standard | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | E Potential harm, pattern | Corrected March 5, 2023 |
| January 26, 2023 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected March 5, 2023 |
| January 26, 2023 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected March 5, 2023 |
| January 26, 2023 Standard | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Tag F0685 | D Potential harm, isolated | Corrected March 5, 2023 |
| January 26, 2023 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected March 5, 2023 |
| December 8, 2021 Fire safety | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Tag K0325 | D Potential harm, isolated | Corrected January 10, 2022 |
| December 8, 2021 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected January 10, 2022 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ENSIGN SERVICES INC Organization | adp of the snf | NOT APPLICABLE | 07/01/2015 |
| HILL, SEAN Individual | adp of the snf | NOT APPLICABLE | 07/01/2015 |
| NAGLE, CRAIG Individual | adp of the snf | NOT APPLICABLE | 05/15/2025 |
| SUN GROVE VILLAGE CARE CENTER, LLC Organization | adp of the snf | NOT APPLICABLE | 10/23/1995 |
| PETERSON, FORREST Individual | corporate director | NOT APPLICABLE | 01/01/2019 |
| BURNAM, SOON Individual | corporate officer | NOT APPLICABLE | 07/01/2015 |
| FISCHBECK, COURTNEY Individual | corporate officer | NOT APPLICABLE | 01/01/2025 |
| KEETCH, CHAD Individual | corporate officer | NOT APPLICABLE | 03/01/2011 |
| SATO, AMI Individual | corporate officer | NOT APPLICABLE | 09/09/2024 |
| PORT, BARRY Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 08/06/2025 |
| HILL, SEAN Individual | managing control - governing body | NOT APPLICABLE | 07/01/2015 |
| NAGLE, CRAIG Individual | managing control - governing body | NOT APPLICABLE | 05/15/2025 |
| HILL, SEAN Individual | operational/managerial control | NOT APPLICABLE | 07/01/2015 |
| NAGLE, CRAIG Individual | operational/managerial control | NOT APPLICABLE | 05/15/2025 |
Other nursing homes near Lake Pleasant Post Acute Rehabilitation Center
Sun City Post Acute
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For-profit · 118 beds · Part of Pacs Group
★★★★★4Above averageCenter at Arrowhead, LLC
7201 W Camino San Xavier Ave, Glendale, AZ 85308 · 4 mi
For-profit · 96 beds · Part of Veritas Management Group
★★★★★5Much above averageFreedom Plaza Care Center
13714 North Plaza del Rio Blvd, Peoria, AZ 85381 · 4.5 mi
For-profit · 111 beds
★★★★★5Much above averageBoswell Transitional Care of Cascadia
10601 West Santa Fe Drive, Sun City, AZ 85351 · 4.7 mi
For-profit · 115 beds · Part of Cascadia Healthcare
★★★★★5Much above averageSun West Choice Healthcare & Rehab
14002 West Meeker Blvd, Sun City West, AZ 85375 · 4.7 mi
For-profit · 140 beds · Part of The Ensign Group
★★★★★5Much above averagePeoria Post Acute and Rehabilitation
13215 North 94th Drive, Peoria, AZ 85381 · 4.7 mi
For-profit · 179 beds · Part of The Ensign Group
★★★★★4Above average
Frequently asked questions
What is Lake Pleasant Post Acute Rehabilitation Center's rating?
Lake Pleasant Post Acute Rehabilitation Center has 4 out of 5 stars on the CMS overall star rating. The average for Arizona nursing homes is 3.3 stars.
How many inspection citations did Lake Pleasant Post Acute Rehabilitation Center receive?
Its most recent standard health inspection found 5 citations, compared with a Arizona average of 6.3. Every citation is listed on this page with its severity.
Does Lake Pleasant Post Acute Rehabilitation Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Lake Pleasant Post Acute Rehabilitation Center?
It is for profit - limited liability company and part of The Ensign Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Lake Pleasant Post Acute Rehabilitation Center and how do I contact it?
Lake Pleasant Post Acute Rehabilitation Center is at 20625 North Lake Pleasant Road, Peoria, AZ 85382. Phone: (623) 566-0642.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.