B+
81/100

Estrella Health And Rehabilitation Center Inspection Report, Violations & Safety Grade (AVONDALE, Arizona)

350 EAST LA CANADA, AVONDALE, Arizona 85323

Phone: 6239322282

CMS Overall:4/5

Overview & Bed Count

Certified Beds
161
Avg Residents/Day
147.4
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Maricopa
Sprinkler Systems
Yes
Special Focus
None
Abuse Citation
No

CMS Star Ratings

Overall4/5
Health3/5
Staffing3/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityArizona AvgDifference
RN Hours per Resident per Day0.410.74-0.33
Total Nurse Hours per Resident per Day3.494.08-0.59
CMS Staffing Rating3/53/5-
Nursing Staff Turnover40.6%44.8%-

Health Citation History

13 health citations on record

DateCategoryDescriptionSeverity
2026-04-10Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.E – Moderate Harm Potential
2026-04-10Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.E – Moderate Harm Potential
2026-04-10Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.D – Moderate Harm Potential
2026-04-10Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential
2026-04-10Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D – Moderate Harm Potential
2026-04-10Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2026-04-10Environmental DeficienciesHave policies on smoking.D – Moderate Harm Potential
2024-03-29Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D – Moderate Harm Potential
2022-12-09Resident Rights DeficienciesHonor 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.D – Moderate Harm Potential
2022-12-09Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.D – Moderate Harm Potential
2022-12-09Resident Rights DeficienciesNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.D – Moderate Harm Potential
2022-12-09Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD – Moderate Harm Potential
2022-12-09Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential

Fire Safety Citation History

6 fire safety citations on record

DateCategoryDescriptionSeverity
2026-04-10Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2024-03-29Construction DeficienciesInstall a two-hour-resistant firewall separation.E – Moderate Harm Potential
2024-03-29Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2024-03-29Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2022-12-09Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2022-12-09Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.D – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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