What is Estrella Health and Rehabilitation Center's Medicare star rating?

CMS rates Estrella Health and Rehabilitation Center 4 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Estrella Health and Rehabilitation Center get at its last inspection?

6 health deficiencies at the standard inspection on April 10, 2026. The Arizona average is 6.4.

Has Estrella Health and Rehabilitation Center been fined?

CMS lists no fines in the last three years.

Does Estrella Health and Rehabilitation Center 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 Estrella Health and Rehabilitation Center?

CMS lists 15 owners and managers, and links the home to The Ensign Group. Legal business name: COLDWATER SPRINGS HEALTHCARE, INC..

Estrella Health and Rehabilitation Center: Inspections

The record in brief

At its most recent standard inspection, on April 10, 2026, inspectors cited 6 health deficiencies (the Arizona average is 6.4, the national average 9.2).

None of its 13 health citations since December 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 3.50 hours per resident per day, against 3.98 across Arizona and 3.86 nationally. Registered nurses accounted for 0.39 of those hours.

36.4% of nursing staff left within the year CMS measured (Arizona average 45.1%).

CMS links it to The Ensign Group, an affiliated group of 344 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.

512/22

103/24

704/26

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 13 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

11D

Potential for minimal harm

April 10, 2026Standard inspection, Complaint inspection · 7 citations

E

Provide activities to meet all resident's needs.

F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 4, 2026

Inspectors wroteBased on clinical record review, observations, staff interviews and facility policy, the facility failed to ensure that an individualized on-going program of activities that met the interests and supported the well-being were consistently provided for 2 out of 2 sampled residents (#59 and #134). The universe was 148. The deficient practice could result in resident's interests, the physical, mental and psychosocial well-being, decreased socialization and stimulation not being met. Findings Include: -Regarding Resident #134: Resident #134 was admitted on [DATE] with diagnoses that included Cerebrovascular Disease, Spinal Stenosis, Dysphagia, Cerebral Infarction, Muscle Weakness, and Fusion of the Spine. [...]
E

Ensure each resident’s drug regimen must be free from unnecessary drugs.

F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 4, 2026

Inspectors wroteBased on review of clinical records, policy, and staff interviews the facility failed to ensure medications were administered per physician ordered parameters for two out of six sampled residents (Resident #167 and #3) regarding pain medication and medication for hypotension (low blood pressure). The Universe was 66. The deficient practice could result in undesirable medication-induced harm and uncontrolled pain. Finding Includes: -Regarding Resident #167: Resident #167 was admitted into the facility on November 13, 2022, and discharged on December 6, 2022, with diagnoses that included atherosclerotic heart diseases, pain in right shoulder, type II diabetes, depression, muscle weakness, and complete rotator cuff tear or rapture of left shoulder. Review of the physician orders revealed the following orders: [...]
D

Keep residents' personal and medical records private and confidential.

F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 4, 2026

Inspectors wroteBased on observation, staff interviews, and review of facility policies, the facility failed to ensure that confidential resident information was secured for 16 out of 148 residents. The deficient practice could lead to protected resident information being stolen or compromised.
D

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.

F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 4, 2026

Inspectors wroteBased on observation, interviews, and review of facility policy and procedure, the facility failed to ensure medications were stored according to regulation and facility policy. The deficient practice could lead to overdose or unauthorized residents gaining access to medications. An observation conducted on April 9, 2026 at 3:41p.m. of the facility hallway by the resident room revealed that a medication cart was not locked. A clear medication cup on top of the medication cart had 2 white pills in it. There were no staff observed at the medication cart. During the 6 minute observation, there were 2 staff members and one resident that walked by the unlocked medication cart with the medication cup on top. The medication cart remained in observation until the Registered Nurse (RN/ staff# 51) returned to the cart at 3:47 p.m. [...]
D

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 4, 2026

Inspectors wroteBased on observation, staff interviews, and policy review, the facility failed to store, prepare, distribute, and serve food in a manner that prevents foodborne illness to residents. The deficient practice could result in foodborne illness.
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 4, 2026

Inspectors wroteBased on observation, interviews, record reviews and review of facility policy and procedures, the facility failed to ensure facility personnel handled and transported clean and soiled linens according to policy and followed appropriate room cleaning protocol to prevent the spread of infection. The deficient practice could result in the transmission of infection in the facility.
D

Have policies on smoking.

F926 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 4, 2026

Inspectors wroteBased on observations, staff and resident interviews, facility documentation, and policy review, the facility failed to ensure the smoking policy was implemented and followed for one resident (Resident #19) out of two sampled residents. The universe was 18. The deficient practice could increase the risk of smoking-related accidents.

March 29, 2024Standard inspection · 1 citation

D

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 8, 2024

Inspectors wroteBased on observations, staff interviews and facility policy and procedure, the facility failed to there were no expired food items readily accessible for resident use; failed to follow proper food handling practices while preparing food; and, failed to ensure open food items were stored, labeled and dated in accordance with professional standards for food service safety. The deficient practice could result in food-borne related illness.

December 9, 2022Standard inspection · 5 citations

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.

F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 20, 2023

Inspectors wroteBased on clinical record review, staff interviews, and policy and procedure, the facility failed to ensure advance directive was accurate for one resident (#270). The sample size was 3. The deficient practice could result in residents' wishes not being honored.
D

Keep residents' personal and medical records private and confidential.

F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 20, 2023

Inspectors wroteBased on clinical record review and staff interview the facility failed to ensure that one resident's privacy (#322) was protected. The deficient practice could result in resident's right to privacy not respected and honored.
D

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

F622 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 20, 2023

Inspectors wroteBased on the closed clinical record review, staff interviews, and review of facility policy and procedures, the facility failed to ensure resident's representative was informed of discharge for one resident (#273). The deficient practice could result in discharge/transfer requirements not being met.
D

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 20, 2023

Inspectors wroteBased on resident and staff interviews, review of the clinical record, facility documentation and policy, the facility failed to ensure that one resident (#89) was provided a copy of their baseline care plan. The deficient practice could result in resident not receiving the needed care and services.
D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 20, 2023

Inspectors wroteBased on clinical record review and staff interviews the facility failed to ensure adequate supervision was provided for one resident (#183) to prevent her from wandering into another resident's room. The deficient practice resulted in resident invading another resident's privacy.

Fire safety inspections

6 fire safety citations on file: 1 on April 10, 2026, 3 on March 29, 2024, 2 on December 9, 2022.

Every fire safety citation6 citations

E
Install corridor and hallway doors that block smoke.

K 363 · April 10, 2026 · Corrected (the home has a date of correction)
E
Install a two-hour-resistant firewall separation.

K 133 · March 29, 2024 · Corrected (the home has a date of correction)
E
Install corridor and hallway doors that block smoke.

K 363 · March 29, 2024 · Corrected (the home has a date of correction)
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · March 29, 2024 · Corrected (the home has a date of correction)
D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · December 9, 2022 · Corrected (the home has a date of correction)
D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

K 521 · December 9, 2022 · Corrected (the home has a date of correction)

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)	3.50	3.98	3.86
Registered nurses	0.39	0.70	0.69
All nursing staff on weekends	3.07	3.51	3.42
Nurse aides	2.13
Licensed practical nurses	0.98
Nursing staff turnover (share who left in a year)	36.4%	45.1%	45.8%
Registered nurse turnover	36.8%	43.6%	42.9%
Administrators who left	0

CMS expects 3.55 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 3.68 on weekdays and 3.07 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.47 in April to June 2025 to 3.50 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	3.50	0.39	3.68	3.07	0.2%	0 of 90	149
Oct to Dec 2025	3.40	0.35	3.54	3.05	0.1%	0 of 92	149
Jul to Sep 2025	3.42	0.41	3.51	3.18	0.0%	0 of 92	143
Apr to Jun 2025	3.47	0.51	3.59	3.16	0.0%	0 of 91	141
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	5.7	10.7	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.4	0.8	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	0.5	1.2	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	1.6	2.1	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	0.6	1.2	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	5.8	12.8	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	4.0	4.4	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	2.9	10.7	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	25.2	23.7	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	7.3	10.4	12.0

Owners and operators

Legal business name: COLDWATER SPRINGS HEALTHCARE, INC.. CMS links this home to The Ensign Group, a group of 344 nursing homes averaging 3.2 stars overall.

Name	Role	Type	Since
Moser, Matthew	Managing control - governing body	Individual	02/01/2026
Nassour, William	Managing control - governing body	Individual	01/01/2022
Burnam, Soon	Corporate officer	Individual	11/05/2021
Keetch, Chad	Corporate officer	Individual	03/01/2011
Monks, Chandler	Corporate officer	Individual	03/01/2024
Peterson, Forrest	Corporate officer	Individual	11/05/2021
Sato, Ami	Corporate officer	Individual	09/09/2024
Moser, Matthew	Operational/managerial control	Individual	02/01/2026
Nassour, William	Operational/managerial control	Individual	01/01/2022
Port, Barry	Individual is an owner, partner or trustee of any ADP of the SNF	Individual	06/23/2025
Ensign Services Inc	Adp of the SNF	Organization	11/05/2021
National Health Investors, Inc.	Adp of the SNF	Organization	12/30/2021
Texas Nhi Investors, LLC	Adp of the SNF	Organization	12/30/2021
Moser, Matthew	Adp of the SNF	Individual	02/01/2026
Nassour, William	Adp of the SNF	Individual	06/23/2025

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.

How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on April 10, 2026: "Keep residents' personal and medical records private and confidential."
How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on April 10, 2026: "Provide activities to meet all resident's needs."
How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on April 10, 2026: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
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 April 10, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.07 hours per resident per day, below the Arizona average of 3.51.

Other nursing homes nearby

Palm Valley Post Acute
Goodyear, 1.3 mi · 2 of 5 stars · 48 citations
Sun Health La Loma Care Center
Litchfield Park, 4.5 mi · 3 of 5 stars · 11 citations
Northpark Health and Rehabilitation of Cascadia
Phoenix, 5.4 mi · 3 of 5 stars · 10 citations
Diamondback Healthcare Center
Phoenix, 5.7 mi · 3 of 5 stars · 10 citations
Az - Rio Vista Post Acute and Rehabilitation
Peoria, 9.2 mi · 5 of 5 stars · 14 citations
Immanuel Campus of Care
Peoria, 9.9 mi · 3 of 5 stars · 32 citations
Sunview Respiratory and Rehabilitation
Youngtown, 10.7 mi · 2 of 5 stars · 18 citations
Bella Vita Health and Rehabilitation Center
Glendale, 10.8 mi · 3 of 5 stars · 23 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 Estrella Health and Rehabilitation Center's Medicare star rating?: CMS rates Estrella Health and Rehabilitation Center 4 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Estrella Health and Rehabilitation Center get at its last inspection?: 6 health deficiencies at the standard inspection on April 10, 2026. The Arizona average is 6.4.
Has Estrella Health and Rehabilitation Center been fined?: CMS lists no fines in the last three years.
Does Estrella Health and Rehabilitation Center 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 Estrella Health and Rehabilitation Center?: CMS lists 15 owners and managers, and links the home to The Ensign Group. Legal business name: COLDWATER SPRINGS HEALTHCARE, INC..

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.