C70

Prescott Village Nursing & Rehabilitation

Grade C 70/100 composite score

Non profit - Corporation

CMS Star Ratings

Overall
2/5
Health Insp.
1/5
Quality
5/5
Staffing
1/5
RN Staffing
Not rated

Certified Beds

58

Ownership

Non profit - Corporation

Total Fines

$8,278

Last Survey

N/A

1030 SCOTT DRIVE, PRESCOTT, AZ 86301
9287782450

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.49h
LPN
0.77h
CNA
1.48h
Total
2.73h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

SANFORD

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jan 2019

100%

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jan 2019

CAIN, JAMES

IndividualCORPORATE DIRECTORSince May 2024

DYKHOUSE, DANA

IndividualCORPORATE DIRECTORSince May 2024

ENGBRECHT, WESLEY

IndividualCORPORATE DIRECTORSince May 2024

GASSEN, WILLIAM

IndividualCORPORATE DIRECTORSince May 2024

GULSVIG, NEIL

IndividualCORPORATE DIRECTORSince May 2024

HERSETH SANDLIN, STEPHANIE

IndividualCORPORATE DIRECTORSince May 2024

LUNDEEN, MARK

IndividualCORPORATE DIRECTORSince May 2024

MOLBERT, LAURIS

IndividualCORPORATE DIRECTORSince May 2024

NORTH, ANDREW

IndividualCORPORATE DIRECTORSince May 2024

SHULKIN, DAVID

IndividualCORPORATE DIRECTORSince May 2024

TEIKEN, BRENT

IndividualCORPORATE DIRECTORSince May 2024

VENTLING-HERRMANN, MARNIE

IndividualCORPORATE DIRECTORSince May 2024

FLUIT, JOEL

IndividualCORPORATE OFFICERSince Oct 2022

GASSEN, WILLIAM

IndividualCORPORATE OFFICERSince May 2024

MIDDLETON, AIMEE

IndividualCORPORATE OFFICERSince Jan 2022

OLSON, NICHOLAS

IndividualCORPORATE OFFICERSince Apr 2024

ROGERS, MICHAEL

IndividualCORPORATE OFFICERSince Jun 2022

SCHEMA, NATHAN

IndividualCORPORATE OFFICERSince Jun 2019

DAHN, STEPHEN

IndividualCONTRACTED MANAGING EMPLOYEESince Jan 2013

GASSER, ANGELA

IndividualCONTRACTED MANAGING EMPLOYEESince May 2021

MORRISON, TONY

IndividualW-2 MANAGING EMPLOYEESince Feb 1991

Penalties & Fines (1)

$8,278total fines
DateTypeDescriptionAmount
Mar 25, 2025Fine$8,278

Health Inspection Deficiencies (32)

August 27, 2025Health1 deficiency
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Sep 12, 2025
May 6, 2025Health1 deficiency
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected May 15, 2025
March 25, 2025Health3 deficiencies1 severe
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Apr 30, 2025
0689GActual harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Apr 3, 2025
0842DMinimal harm, Isolated

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 30, 2025
January 25, 2024Health7 deficiencies
0622DMinimal harm, Isolated

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Resident Rights Deficiencies

Corrected Mar 31, 2024
0623EMinimal harm, Pattern

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Resident Rights Deficiencies

Corrected Mar 31, 2024
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 31, 2024
0658EMinimal harm, Pattern

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 31, 2024
0756EMinimal harm, Pattern

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Pharmacy Service Deficiencies

Corrected Mar 31, 2024
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Mar 31, 2024
0600EMinimal harm, Pattern

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Mar 31, 2024
October 6, 2022Health9 deficiencies
0578DMinimal harm, Isolated

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Resident Rights Deficiencies

Corrected Nov 21, 2022
0636DMinimal harm, Isolated

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Resident Assessment and Care Planning Deficiencies

Corrected Nov 21, 2022
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Nov 21, 2022
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Nov 21, 2022
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Nov 21, 2022
0757DMinimal harm, Isolated

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies

Corrected Nov 21, 2022
0758EMinimal harm, Pattern

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

Corrected Nov 21, 2022
0812DMinimal harm, Isolated

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Nov 21, 2022
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Nov 21, 2022
June 10, 2021Health11 deficiencies
0552DMinimal harm, Isolated

Ensure that residents are fully informed and understand their health status, care and treatments.

Resident Rights Deficiencies

Corrected Jul 26, 2021
0584DMinimal harm, Isolated

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Resident Rights Deficiencies

Corrected Jul 26, 2021
0623EMinimal harm, Pattern

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Resident Rights Deficiencies

Corrected Jul 26, 2021
0655DMinimal harm, Isolated

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Resident Assessment and Care Planning Deficiencies

Corrected Jul 26, 2021
0658EMinimal harm, Pattern

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Jul 26, 2021
0676EMinimal harm, Pattern

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Quality of Life and Care Deficiencies

Corrected Jul 26, 2021
0690EMinimal harm, Pattern

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies

Corrected Jul 26, 2021
0732EMinimal harm, Pattern

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies

Corrected Jul 26, 2021
0758DMinimal harm, Isolated

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

Corrected Jul 26, 2021
0761DMinimal harm, Isolated

Ensure 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.

Pharmacy Service Deficiencies

Corrected Jul 26, 2021
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jul 26, 2021

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Frequently Asked Questions

What is the CareGrader rating for Prescott Village Nursing & Rehabilitation?

Prescott Village Nursing & Rehabilitation in PRESCOTT, Arizona has a CareGrader grade of C (Average), with a composite score of 70.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for Prescott Village Nursing & Rehabilitation?

Prescott Village Nursing & Rehabilitation has an overall CMS star rating of 2 out of 5, a health inspection rating of 1/5, and a staffing rating of 1/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Prescott Village Nursing & Rehabilitation have?

Prescott Village Nursing & Rehabilitation has 32 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has Prescott Village Nursing & Rehabilitation been fined?

Yes. Prescott Village Nursing & Rehabilitation has $8,278 in total fines from CMS enforcement actions across 1 penalty.

How many beds does Prescott Village Nursing & Rehabilitation have?

Prescott Village Nursing & Rehabilitation has 58 certified beds with approximately 57 current residents (98% occupancy). The facility is located at 1030 SCOTT DRIVE, PRESCOTT, Arizona 86301. It is a non profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.