DR GUY GORMAN SR CARE HOME
CCN: 035242 · CHINLE, AZ 86503 · Apache County
Overview
- Address
- HIGHWAY 191 & HOSPITAL ROAD, CHINLE, AZ 86503
- Phone
- 9286745216
- Certified beds
- 80
- Avg daily residents
- 52 (65% of beds filled)
- Ownership
- Non-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1997-07-10
- Setting
- Rural
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 4.38 | 3.04 | 5.56 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.54 | 0.53 | 0.68 | ≥ 0.55 | Below floor |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.51 | 0.67 | 0.65 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 3.33 | 1.83 | 4.23 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.05 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.01 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Resident acuity
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-07-25 | 17 | 17 | 6 | 100 | 2 | 150 |
| Cycle 2/3 (prior) | 2024-09-27 | 37 | 26 | 23 | 401 | 1 | 401 |
Deficiencies (68)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | 2025-07-25 | 2025-11-20 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2025-07-25 | 2025-11-20 |
| 0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | D | 2025-07-25 | 2025-11-20 |
| 0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2025-07-25 | 2025-11-20 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-07-25 | 2025-11-20 |
| 0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | 2025-07-25 | 2025-11-20 |
| 0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | 2025-07-25 | 2025-11-20 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2025-07-25 | 2025-11-20 |
| 0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2025-07-25 | 2026-01-23 |
| 0946 | Provide training in compliance and ethics. | D | 2025-07-25 | 2025-11-20 |
| 0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | 2025-07-25 | 2026-01-23 |
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2025-07-25 | 2025-11-20 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-07-25 | 2025-11-20 |
| 0610 | Respond appropriately to all alleged violations. | D | 2025-07-25 | 2025-11-20 |
| 0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | 2025-07-25 | 2025-11-20 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2025-07-25 | 2025-11-20 |
| 0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | F | 2025-07-25 | 2026-01-23 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-09-27 | 2024-10-28 |
| 0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | 2024-09-27 | 2024-10-28 |
| 0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | 2024-09-27 | 2024-10-28 |
| 0641 | Ensure each resident receives an accurate assessment. | E | 2024-09-27 | 2024-10-28 |
| 0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2024-09-27 | 2024-10-28 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2024-09-27 | 2024-10-28 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2024-09-27 | 2024-10-10 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-09-27 | 2024-10-28 |
| 0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2024-09-27 | 2024-10-28 |
| 0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-09-27 | 2024-10-28 |
| 0791 | Provide or obtain dental services for each resident. | E | 2024-09-27 | 2025-02-28 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-09-27 | 2024-10-28 |
| 0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | D | 2024-09-27 | 2024-10-28 |
| 0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | 2024-09-27 | 2024-10-28 |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2024-09-27 | 2024-10-28 |
| 0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | D | 2024-09-27 | 2024-10-28 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-09-27 | 2024-10-28 |
| 0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | 2024-09-27 | 2024-10-28 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-09-27 | 2024-10-28 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | H | 2024-09-27 | 2024-10-28 |
| 0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | 2024-09-27 | 2024-10-28 |
| 0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2024-09-27 | 2024-10-28 |
| 0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | 2024-09-27 | 2024-10-28 |
| 0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2024-09-27 | 2024-10-28 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2024-09-27 | 2024-10-28 |
| 0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | 2024-09-27 | 2024-10-28 |
| 0880 | Provide and implement an infection prevention and control program. | F | 2024-01-11 | 2024-02-01 |
| 0583 | Keep residents' personal and medical records private and confidential. | D | 2023-09-15 | 2023-11-17 |
| 0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | 2023-09-15 | 2023-11-17 |
| 0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | 2023-09-15 | 2023-11-17 |
| 0637 | Assess the resident when there is a significant change in condition | D | 2023-09-15 | 2023-11-17 |
| 0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | 2023-09-15 | 2023-11-17 |
| 0641 | Ensure each resident receives an accurate assessment. | E | 2023-09-15 | 2023-11-17 |
Showing 50 most recent of 68. See the All Data CSV for the full list.
Penalties (4)
| Date | Type | Fine amount |
|---|---|---|
| 2023-09-15 | Fine | $60,560 |
| 2024-09-27 | Fine | $67,074 |
| 2025-07-25 | Payment Denial | — |
| 2023-09-15 | Payment Denial | — |
Source: CMS Nursing Home Penalties.
Ownership & Corporate Structure
Owner / manager individuals (1)
| Name | Role | Association |
|---|---|---|
| — | Ownership Data Not Available | — |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Special focus status
- SFF Candidate
- Abuse citation flag
- No
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 99 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.64751 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 4.22568 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.68488 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 5.55808 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 4.44722 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | 26 | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 52.2 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.67491 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 1.83426 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.53198 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.04115 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 2.68045 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | — | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | — | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | — | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | — | Chain Average Staffing Rating |
| Provider Information | Chain ID | — | Chain ID |
| Provider Information | Chain Name | — | Chain Name |
| Provider Information | City/Town | CHINLE | City/Town |
| Provider Information | CMS Certification Number (CCN) | 035242 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Apache | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1997-07-10 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | 22 | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 1 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 36.1595 | Latitude |
| Provider Information | Legal Business Name | Legal Business Name Not Available | Legal Business Name |
| Provider Information | Location | HIGHWAY 191 & HOSPITAL ROAD,CHINLE,AZ,86503 | Location |
| Provider Information | Long-Stay QM Rating | 3 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -109.58 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | — | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 80 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | — | Number of Facilities in Chain |
| Provider Information | Number of Fines | 2 | Number of Fines |
| Provider Information | Number of Payment Denials | 2 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.07734 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.78202 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 1 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | Non profit - Corporation | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | HIGHWAY 191 & HOSPITAL ROAD | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | DR GUY GORMAN SR CARE HOME | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 000 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 3 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 100 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 50 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 6 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 2 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 17 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-07-25 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 150 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 17 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 26 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-09-27 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 401 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 23 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 401 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 37 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.45295 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | — | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | 26 | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.04949 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.51003 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 3.32846 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.01286 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.53946 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 4.37795 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | — | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | 2 | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | SFF Candidate | Special Focus Status |
| Provider Information | Staffing Rating | 3 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | AZ | State |
| Provider Information | Telephone Number | 9286745216 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 127634.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.50295 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 4 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | — | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | 26 | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 212.750 | Total Weighted Health Survey Score |
| Provider Information | Urban | N | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 86503 | ZIP Code |