Wellsprings of Gilbert Inspection Report, Violations & Safety Grade (GILBERT, Arizona)

3319 SOUTH MERCY ROAD, GILBERT, Arizona 85297

Phone: 4807296500

CMS Overall:5/5

Overview & Bed Count

Certified Beds

Avg Residents/Day

30.9

Ownership

For profit - Corporation

Provider Type

Medicare

County

Maricopa

Sprinkler Systems

Yes

Special Focus

None

Abuse Icon

Overall5/5

Health5/5

Staffing4/5

Quality5/5

Metric	This Facility	Arizona Avg	Difference
RN Hours per Resident per Day	0.97	0.74	+0.23
Total Nurse Hours per Resident per Day	4.22	4.08	+0.14
CMS Staffing Rating	4/5	3/5	-
Nursing Staff Turnover	30.3%	44.8%	-

4 health citations on record

Date	Category	Description	Severity
2023-08-11	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	E – Moderate Harm Potential
2023-08-11	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	E – Moderate Harm Potential
2023-08-11	Infection Control Deficiencies	Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.	E – Moderate Harm Potential
2023-08-11	Resident Rights Deficiencies	Ensure that residents are fully informed and understand their health status, care and treatments.	D – Moderate Harm Potential

7 fire safety citations on record

Date	Category	Description	Severity
2024-10-02	Smoke Deficiencies	Install an approved automatic sprinkler system.	E – Moderate Harm Potential
2024-10-02	Smoke Deficiencies	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	E – Moderate Harm Potential
2023-08-11	Emergency Preparedness Deficiencies	Conduct testing and exercise requirements.	E – Moderate Harm Potential
2023-08-11	Smoke Deficiencies	Provide properly protected cooking facilities.	E – Moderate Harm Potential
2022-06-22	Egress Deficiencies	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	D – Moderate Harm Potential
2022-06-22	Services Deficiencies	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	D – Moderate Harm Potential
2022-06-22	Gas, Vacuum, and Electrical Systems Deficiencies	Have proper medical gas storage and administration areas.	D – Moderate Harm Potential

Total Fine Amount (CMS)

Number of Fines

Total Penalties

No penalty records found.

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Our family advisors can help you find vetted, top-rated facilities in the GILBERT area at no cost.

Advisor service is free for families. We may receive referral compensation.