Boswell Transitional Care of Cascadia
10601 West Santa Fe Drive, Sun City, AZ 85351 · Maricopa County · (623) 832-7000
115 certified beds, about 97 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1985
Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 035121 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 9, 2025, inspectors cited 2 health deficiencies (the Arizona average is 6.4, the national average 9.2).
None of its 10 health citations since March 2022 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.76 hours per resident per day, against 3.98 across Arizona and 3.86 nationally. Registered nurses accounted for 0.63 of those hours.
44.0% of nursing staff left within the year CMS measured (Arizona average 45.1%).
CMS links it to Cascadia Healthcare, an affiliated group of 47 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
603/22
203/23
205/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 10 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
2E
0F
Potential for minimal harm
0A
0B
0C
May 9, 2025Standard inspection · 2 citations
- E 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.
Inspectors wrote-Regarding Resident #82: Resident #82 was admitted on [DATE], diagnosis included chronic systolic congestive heart failure, pleural effusion, Hypo-osmolality, Hyponatremia, hypertension, and hyperlipidemia. The Admissions Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 15 indicating that resident is cognitively intact. Resident #82 ' s care plan did not address that resident is able to self-administer medication. Review of the physician ' s orders revealed no orders to self-administer medications. Further review of the Physicians orders revealed no orders for Estradiol 0.01% vaginal cream 42.5gm or Betamethasone Dipropionate Ointment, USP 0.05%. A health status note dated May 6, 2025 at 12:26PM revealed that the resident's family was noted to bring ointments from home prescribed by her gynecologist. [...]
- D Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observations, staff interviews, facility recipes, and policy review, the facility failed to ensure the nutritive value of puree food. The deficient practice could result in residents receiving food with altered nutritive value.
March 23, 2023Standard inspection · 2 citations
- D Protect each resident from the wrongful use of the resident's belongings or money.
Inspectors wroteBased on clinical record review, staff interviews, review of facility documentation, policy and procedure, the State complaint database, the facility failed to ensure personal property for one resident (#198) was not misappropriated.
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on clinical record review, staff interviews, and policy review, the facility failed to ensure a Pre-admission Screening and Resident Review (PASARR) Level 1 was completed for two (2) sampled residents (#22 and #13). The deficient practice could result in residents not receiving appropriate treatment or services.
March 17, 2022Standard inspection · 6 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, staff interviews, and review of the Food and Drug Administration's (FDA) 2017 Food Code, the facility failed to ensure foods were appropriately stored in the refrigerator and freezer, that expired food goods were disposed of, and that serving of meals was conducted in accordance with professional standards for food service safety. The deficient practice could result in foodborne illness.
- D 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.
Inspectors wroteBased on clinical record review, staff interviews, and policy review, the facility failed to ensure an advanced directive was accurately documented for one sampled resident (#482). The deficient practice could result in residents receiving services which are not in accordance with their wishes.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on clinical record review and staff interviews, the facility failed to ensure a copy of the written notice of discharge for one resident (#32) was sent to the Office of the State Long Term Care Ombudsman. The sample size was 2. The deficient practice could result in the ombudsman not being notified of transfers and discharges.
- D Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Inspectors wroteBased on clinical record review, staff interviews, and the Resident Assessment Instrument (RAI) manual, the facility failed to ensure the Minimum Data Set (MDS) assessment for one sampled resident (#1) was transmitted to the Centers for Medicare and Medicaid Services (CMS) system within 14 days of completion. The deficient practice could result in resident specific MDS data for payment and quality measure purposes not being submitted as required.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on clinical record review, staff interviews, and the Resident Assessment Instrument (RAI) manual, the facility failed to ensure a discharge Minimum Data Set (MDS) assessment was accurate for one resident (#32). The sample size was 16. The deficient practice could result in incorrect discharge tracking information and data that is not accurate for quality monitoring.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, clinical record review, staff interviews, and policy review, the facility failed to ensure there was a physician order for oxygen use for one sampled resident (#337). The deficient practice could result in residents receiving oxygen without a physician order.
Fire safety inspections
6 fire safety citations on file: 1 on May 9, 2025, 1 on March 23, 2023, 4 on March 17, 2022.
Every fire safety citation6 citations
- E Install corridor and hallway doors that block smoke.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Install corridor and hallway doors that block smoke.
- D Have properly installed electrical wiring and gas equipment.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Arizona | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.76 | 3.98 | 3.86 |
| Registered nurses | 0.63 | 0.70 | 0.69 |
| All nursing staff on weekends | 3.18 | 3.51 | 3.42 |
| Nurse aides | 2.06 | ||
| Licensed practical nurses | 1.07 | ||
| Nursing staff turnover (share who left in a year) | 44.0% | 45.1% | 45.8% |
| Registered nurse turnover | 42.9% | 43.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.50 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.99 on weekdays and 3.18 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.15 in April to June 2025 to 3.76 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.76 | 0.63 | 3.99 | 3.18 | 3.1% | 0 of 90 | 97 |
| Oct to Dec 2025 | 3.74 | 0.65 | 3.94 | 3.22 | 0.5% | 0 of 92 | 81 |
| Jul to Sep 2025 | 4.26 | 0.72 | 4.47 | 3.73 | 0.8% | 0 of 92 | 81 |
| Apr to Jun 2025 | 4.15 | 0.69 | 4.42 | 3.47 | 0.4% | 0 of 91 | 76 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Arizona, Jan to Mar 2026 | 3.87 | 0.63 | 4.05 | 3.43 | 3.3% | 0.5% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Arizona | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 23.9 | 10.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.8 | 1.2 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.7 | 2.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.7 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 31.6 | 12.8 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.8 | 4.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 5.7 | 10.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 30.7 | 23.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 3.9 | 10.4 | 12.0 |
Owners and operators
Legal business name: SUN CITY OF CASCADIA LLC. CMS links this home to Cascadia Healthcare, a group of 47 nursing homes averaging 3.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Cascadia Arizona Operations, LLC | Direct ownership interest | Organization | 08/01/2022 | |
| Cascadia Hc Group LLC | Indirect ownership interest | Organization | 06/05/2025 | |
| Cascadia Healthcare LLC | Indirect ownership interest | Organization | 08/01/2022 | |
| Cascadia Holdco LLC | Indirect ownership interest | Organization | 06/05/2025 | |
| Hammond, Owen | Indirect ownership interest | Individual | 08/01/2022 | |
| Laforte, Stephen | Indirect ownership interest | Individual | 06/05/2025 | |
| Nelson, Timothy | Indirect ownership interest | Individual | 06/05/2025 | |
| Sun City 10601 Realty, LLC | 5% or greater security interest | Organization | 06/05/2025 | |
| White Oak Healthcare Finance LLC | 5% or greater security interest | Organization | 08/11/2022 | |
| Cascadia Arizona Operations, LLC | Operational/managerial control | Organization | 06/05/2025 | |
| Cascadia Hc Group LLC | Operational/managerial control | Organization | 06/05/2025 | |
| Cascadia Healthcare LLC | Operational/managerial control | Organization | 06/05/2025 | |
| Cascadia Holdco LLC | Operational/managerial control | Organization | 06/05/2025 | |
| Cascadia Services LLC | Operational/managerial control | Organization | 06/14/2022 | |
| Hammond, Owen | Operational/managerial control | Individual | 08/01/2022 | |
| Laforte, Stephen | Operational/managerial control | Individual | 06/05/2025 | |
| Nelson, Timothy | Operational/managerial control | Individual | 06/05/2025 | |
| Santiago, Nigel | Operational/managerial control | Individual | 06/24/2022 | |
| Srivastava, Vinee | Operational/managerial control | Individual | 06/14/2022 | |
| Cascadia Services LLC | Adp of the SNF | Organization | 02/12/2025 | |
| Sun City 10601 Realty, LLC | Adp of the SNF | Organization | 06/05/2025 | |
| Santiago, Nigel | Adp of the SNF | Individual | 06/30/2025 | |
| Srivastava, Vinee | Adp of the SNF | Individual | 06/30/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on March 23, 2023: "PASARR screening for Mental disorders or Intellectual Disabilities"
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on May 9, 2025: "Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on March 17, 2022: "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."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on May 9, 2025: "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."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.18 hours per resident per day, below the Arizona average of 3.51.
Other nursing homes nearby
- Sunview Respiratory and Rehabilitation Youngtown, 0.8 mi · 2 of 5 stars · 18 citations
- Peoria Post Acute and Rehabilitation Peoria, 1.7 mi · 4 of 5 stars · 8 citations
- Freedom Plaza Care Center Peoria, 1.8 mi · 5 of 5 stars · 12 citations
- Immanuel Campus of Care Peoria, 2.4 mi · 3 of 5 stars · 32 citations
- Az - Rio Vista Post Acute and Rehabilitation Peoria, 2.7 mi · 5 of 5 stars · 14 citations
- Sun City Post Acute Sun City, 3.4 mi · 4 of 5 stars · 33 citations
- Lake Pleasant Post Acute Rehabilitation Center Peoria, 4.7 mi · 4 of 5 stars · 20 citations
- Center at Arrowhead, LLC Glendale, 4.8 mi · 5 of 5 stars · 13 citations
Arizona contacts for a concern about a nursing home
These are the official offices in Arizona. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Arizona Department of Health Services, Long Term Care Facilities Licensing, the state agency that inspects nursing homes for CMS and takes complaints about care.
- State inspection reports: AZ Care Check, where Arizona publishes its own records on licensed homes.
Common questions
- What is Boswell Transitional Care of Cascadia's Medicare star rating?
- CMS rates Boswell Transitional Care of Cascadia 5 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Boswell Transitional Care of Cascadia get at its last inspection?
- 2 health deficiencies at the standard inspection on May 9, 2025. The Arizona average is 6.4.
- Has Boswell Transitional Care of Cascadia been fined?
- CMS lists no fines in the last three years.
- Does Boswell Transitional Care of Cascadia accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Boswell Transitional Care of Cascadia?
- CMS lists 23 owners and managers, and links the home to Cascadia Healthcare. Legal business name: SUN CITY OF CASCADIA LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.