SNF

ACACIA HEALTH CENTER

CCN: 035279 · PHOENIX, AZ 85050 · Maricopa County

ℹ CCRC

Overview

Address
4555 EAST MAYO BLVD, PHOENIX, AZ 85050
Phone
4803845600
Certified beds
78
Avg daily residents
70 (90% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare
Medicare/Medicaid since
2011-03-03
Setting
Urban
5 /5
★★★★★
CMS Overall Rating

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.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 5/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 5/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 5/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 5/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 5/5
Short-Stay Quality Measures ★★★★★ 5/5

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
 5.54 3.91 5.47 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 1.51 0.68 1.49 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.96 0.87 0.95 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 3.07 2.36 3.03 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 2.47 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.17 — — —

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

Total nurse (weekend)
5.05
hrs / resident / day
RN (weekend)
1.21
hrs / resident / day
Total nurse (adjusted, weekend)
4.98
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
16.8%
annual
RN turnover
17.4%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.39
higher acuity than avg
Case-Mix Index Ratio
1.01
facility / state ratio

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) 2024-12-06 1 0 1 4 0 4
Cycle 2/3 (prior) 2023-10-13 0 0 0 0 0 0
Total weighted health score
3.0
lower is better

Deficiencies (4)

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).

1 A/B/C No actual harm — minor
3 D/E/F Actual harm — potential for minor
Tag Description Scope/Severity Survey date Corrected
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2025-12-04 2025-12-21
0584 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. D 2022-08-25 2022-10-07
0732 Post nurse staffing information every day. B 2022-08-25 2022-10-07
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2022-08-25 2022-10-07

Financial Health (FY 2023)

Operating performance

Total Margin
-15.4%
Occupancy Rate
85.3%
Cost per Resident Day
$58

Revenue & costs

Net Patient Revenue
$15.2M
Total Costs
$2.8M
Net Income
-$8.6M

Balance sheet

Total Assets
$304.6M
Total Liabilities
$475.9M
Fund Balance
-$171.3M
Current Ratio
1.76

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: LIFE CARE SERVICES

Chain ID
312
Facilities in chain
20
Legal business name
LCS-WESTMINSTER PARTNERSHIP IV LLP
Chain-average star ratings (for peer context)
Overall
4.1
Health
3.8
Staffing
4.3
QM
4.0

Owner / manager organizations (15)

Organization Role Association
LCS DESERT RIDGE II LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 11/20/2024
LCS DESERT RIDGE LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 07/28/2010
LCS HOLDING COMPANY LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 12/28/2021
LCS MANAGEMENT HOLDING COMPANY, LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 11/20/2024
LCS SAGEWOOD HOLDCO LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 11/20/2024
LIFE CARE COMPANIES LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 07/28/2010
LIFE CARE SERVICES COMMUNITIES, LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 07/28/2010
LIFE CARE SERVICES LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 11/20/2024
MCCARTHY GROUP LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 11/20/2024
MPM SENIOR LIVING INVESTORS LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 11/20/2024
OAK INVESTMENT TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 11/20/2024
OAK INVESTMENT TRUST II 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 12/28/2021
RCI LEGACY HOLDINGS LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 12/28/2021
REDWOOD HOLDINGS, LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 12/28/2021
LIFE CARE SERVICES LLC OPERATIONAL/MANAGERIAL CONTROL since 11/20/2024

Owner / manager individuals (9)

Name Role Association
DAVIS, JAMES 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 11/20/2024
PHIPPS, MATTHEW OPERATIONAL/MANAGERIAL CONTROL since 12/16/2024
SMITH, EDMUND OPERATIONAL/MANAGERIAL CONTROL since 07/09/2018
VALENTINO, MISTI OPERATIONAL/MANAGERIAL CONTROL since 12/16/2024
BIRD, JOHN CORPORATE OFFICER since 02/15/2024
LAHEY, DANIEL CORPORATE OFFICER since 02/15/2024
SHAW, GELYNNA CORPORATE OFFICER since 02/15/2024
UHLEMANN, BRIDGETTE CORPORATE OFFICER since 02/15/2024
VICTOR, JASON CORPORATE OFFICER since 01/01/2018

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
Yes
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

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.

Download CSV

Show 111 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $58 metrics.cost_per_resident_day
Cost Report Current Ratio 1.76 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicare Day Share (%) 25.6% metrics.medicare_day_share
Cost Report Net Income ($) $-8,636,184 metrics.net_income
Cost Report Net Patient Revenue ($) $15,162,089 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 85.3% metrics.occupancy_rate
Cost Report Total Assets ($) $304,579,053 metrics.total_assets
Cost Report Total Costs ($) $2,797,407 metrics.total_costs
Cost Report Total Fund Balances ($) $-171,314,438 metrics.fund_balance
Cost Report Total Liabilities ($) $475,893,491 metrics.total_liabilities
Cost Report Total Margin (%) -15.4% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.94965 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 3.02531 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 1.49269 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 5.46765 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 4.98150 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — 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 69.9 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 0.86826 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.35975 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.68438 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.91239 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.44836 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 3.8 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 4.1 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.0 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 4.3 Chain Average Staffing Rating
Provider Information Chain ID 312 Chain ID
Provider Information Chain Name LIFE CARE SERVICES Chain Name
Provider Information City/Town PHOENIX City/Town
Provider Information CMS Certification Number (CCN) 035279 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community Y Continuing Care Retirement Community
Provider Information County/Parish Maricopa County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 2011-03-03 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 5 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 33.6836 Latitude
Provider Information Legal Business Name LCS-WESTMINSTER PARTNERSHIP IV LLP Legal Business Name
Provider Information Location 4555 EAST MAYO BLVD,PHOENIX,AZ,85050 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -112.01 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 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 78 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 20 Number of Facilities in Chain
Provider Information Number of Fines 0 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.38598 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.00605 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 5 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For 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 4555 EAST MAYO BLVD Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name ACACIA HEALTH CENTER Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 060 Provider SSA County Code
Provider Information Provider Type Medicare Provider Type
Provider Information QM Rating 5 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 4 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 1 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 0 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 0 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-12-06 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 4 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 1 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 0 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-10-13 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 0 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 0 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 0 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 0 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 0 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 1.21083 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 17.4 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 2.47489 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.96231 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 3.06564 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.17115 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 1.51258 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 5.54053 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 5 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 5 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State AZ State
Provider Information Telephone Number 4803845600 Telephone Number
Provider Information Total Amount of Fines in Dollars 0.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 5.04790 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 0 Total Number of Penalties
Provider Information Total nursing staff turnover 16.8 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 3.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 85050 ZIP Code