Lake Pleasant Post Acute Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 20625 North Lake Pleasant Road, Peoria, AZ 85382
- CCN
- 035111
- Ownership type
- For-profit, limited liability company
- Certified beds
- 128
- Chain
- The Ensign Group
- Residents per day
- 102
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Lake Pleasant Post Acute Rehabilitation Center an overall rating of 4 of 5 stars. The last standard survey was on 26 Feb 2026. The latest survey cycle has 5 health citations. The median for nursing homes in Arizona is 5. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Maricopa County median | Arizona median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 4 | 4.0 | 3.0 | 3.0 |
| Health inspection rating | 3 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 5 | 5.0 | 5.0 | 3.6 |
A median is the middle value of the homes in the group: 77 homes in the county, 140 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Arizona median |
|---|---|---|---|
| Cycle 1 (latest) | 26 Feb 2026 | 5 | 5 |
| Cycle 2 | 10 May 2024 | 5 | 6 |
| Cycle 3 | No date | 10 | 6 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 5 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 26 Feb 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Complaint investigation | 15 Apr 2026 |
| 26 Feb 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 15 Apr 2026 |
| 26 Feb 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 15 Apr 2026 |
| 26 Feb 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 15 Apr 2026 |
| 26 Feb 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 15 Apr 2026 |
Survey cycle 2: 5 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 10 May 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 24 Jun 2024 |
| 10 May 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 24 Jun 2024 |
| 10 May 2024 | F0696 | Provide appropriate care/assistance for a resident with a prosthesis. | D | Standard survey | 24 Jun 2024 |
| 10 May 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 24 Jun 2024 |
| 10 May 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 24 Jun 2024 |
Survey cycle 3: 10 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 17 Jan 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Complaint investigation | 1 Mar 2024 |
| 13 Dec 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 19 Jan 2024 |
| 13 Dec 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 19 Jan 2024 |
| 26 Jan 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 5 Mar 2023 |
| 26 Jan 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 5 Mar 2023 |
| 26 Jan 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 5 Mar 2023 |
| 26 Jan 2023 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 5 Mar 2023 |
| 26 Jan 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 5 Mar 2023 |
| 26 Jan 2023 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 5 Mar 2023 |
| 26 Jan 2023 | F0758 | 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. | E | Standard survey | 5 Mar 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Arizona median | Arizona average (CMS) |
|---|---|---|---|
| All nurse staff | 3.32 | 3.80 | 3.97 |
| Registered nurses (RN) | 0.59 | 0.60 | 0.70 |
| Licensed practical nurses (LPN) | 0.95 | 1.04 | |
| Nurse aides | 1.78 | 2.23 | |
| All nurse staff, weekends | 2.92 | 3.30 | 3.50 |
- Nurse staff turnover in a year
- 50.0%
- Nurse staff turnover, Arizona median
- 46.3%
- RN turnover in a year
- 61.1%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Arizona median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 4.5% | 8.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.4% | 1.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.6% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.8% | 11.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.6% | 3.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 0.0% | 7.9% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Lake Pleasant Healthcare Inc.
- Chain
- The Ensign Group (342 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Ensign Services Inc | Adp of the snf | 1 Jul 2015 | |
| Sun Grove Village Care Center, LLC | Adp of the snf | 23 Oct 1995 |
The site shows organisations only. It does not show the names of persons.
Other homes in Maricopa County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Sun City Post Acute | Sun City | 4 of 5 | 4 | $0 | 22 Mar 2024 | |
| Center at Arrowhead, LLC | Glendale | 5 of 5 | 5 | $0 | 2 May 2025 | |
| Freedom Plaza Care Center | Peoria | 5 of 5 | 0 | $0 | 25 Apr 2024 | |
| Boswell Transitional Care of Cascadia | Sun City | 5 of 5 | 2 | $0 | 9 May 2025 | |
| Sun West Choice Healthcare & Rehab | Sun City West | 5 of 5 | 3 | $4,838 | 3 Sep 2024 | |
| Peoria Post Acute and Rehabilitation | Peoria | 4 of 5 | 5 | $0 | 20 Mar 2026 | |
| Advanced Health Care of Glendale | Glendale | 5 of 5 | 5 | $0 | 5 Feb 2026 | |
| Sunview Respiratory and RehabilitationSpecial Focus candidate | Youngtown | 2 of 5 | 8 | $62,621 | 8 May 2026 | |
| Sun Health Grandview Care Center | Sun City West | 5 of 5 | 0 | $0 | 24 Jul 2026 | |
| Sante of Surprise | Surprise | 4 of 5 | 2 | $0 | 28 May 2026 | |
| Surprise Health and Rehabilitation Center | Surprise | 5 of 5 | 3 | $0 | 27 Mar 2026 | |
| Immanuel Campus of Care | Peoria | 3 of 5 | 6 | $18,529 | 22 May 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Lake Pleasant Post Acute Rehabilitation Center (CCN 035111). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/lake-pleasant-post-acute-rehabilitation-center-peoria-az-035111/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Lake Pleasant Post Acute Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 26 Feb 2026. It was a standard survey and a complaint investigation. It gave 5 citations. The standard survey before the last one was on 10 May 2024.
- Who operates Lake Pleasant Post Acute Rehabilitation Center?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain The Ensign Group. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Lake Pleasant Post Acute Rehabilitation Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Arizona as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.