Oasis Pavilion Nursing & Rehabilitation Center
161 West Rodeo Road Suite 1, Casa Grande, AZ 85122 · Pinal County · (520) 836-1772
134 certified beds, about 107 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2010
CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 035276 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 10, 2025, inspectors cited 0 health deficiencies (the Arizona average is 6.4, the national average 9.2).
None of its 35 health citations since November 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 3.30 hours per resident per day, against 3.98 across Arizona and 3.86 nationally. Registered nurses accounted for 0.51 of those hours.
41.6% of nursing staff left within the year CMS measured (Arizona average 45.1%).
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.
1811/22
703/24
104/24
105/24
301/25
105/25
012/25
304/26
107/26
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 35 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
33D
1E
0F
Potential for minimal harm
0A
1B
0C
July 21, 2026Complaint inspection · 1 citation
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on staff interviews, review of clinical record and policy review, the facility failed to protect the rights of 2 of 4 residents sampled (#1, #2) to be free from verbal abuse between residents. The deficient practice could result in resident injury, psychological, or behavioral harm as well as continued resident to resident abuse.
April 7, 2026Complaint inspection · 3 citations
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on clinical record, staff interviews, review of facility documentation, policy and procedures and the State Agency (SA) database the facility failed to implement their policy regarding reporting allegations of abuse to appropriate agencies and conducting a thorough investigation of an abuse/neglect allegation for one resident (#1). The deficient practice could result in abuse/neglect continuing and not being prevented.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on clinical record review, facility documentation, staff interviews, and policy review, the facility failed to ensure an allegation of resident (#1) abuse was reported to all applicable state agencies. The deficient practice could result in further allegations of abuse not being reported and investigated by the appropriate state agencies.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on clinical records, review of facility documentation, review of the State Agency (SA) database, staff interviews and review of policy and procedure facility failed to ensure an allegation of abuse (Resident #1) was fully investigated. The deficient practice could result in allegations of abuse not being thoroughly investigated and abuse occurring in the facility.
December 10, 2025Standard inspection · 0 citations
May 12, 2025Complaint inspection · 1 citation
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on clinical record review, staff interviews and policy, the facility failed to ensure that medical records were accurately documented and/or completed for one of six sampled residents (#5) regarding urinary output. The deficient practice could result in resident ' s clinical records not being an accurate representation of their care/condition.
January 27, 2025Complaint inspection · 3 citations
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on the clinical record, staff interviews, and the facility policy and procedures, the facility failed to ensure that one resident (#55) was assessed, monitored, and provided emergency response. The deficient practice could result in residents not receiving emergency treatment and could lead to physical and psychosocial harm.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, clinical review, interviews, and the facility policy and procedures, the facility failed to ensure that one resident (#22) was provided wound care and services in accordance with professional standards of practice.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteReview of the clinical record, staff interviews, and the facility policy and procedures, revealed that the facility failed to document one resident's (#55) change of condition, that the physician was notified, the physician's instructions, and the type or time of the hospital transfer in the clinical record.
May 7, 2024Complaint inspection · 1 citation
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on clinical record review, staff interviews, review of facility documentation, and policy, the facility failed to ensure that the electronic health record for resident #1 was complete and accurately documented. The deficient practice could result in incomplete and/or inaccurate clinical records and potentially impact resident care.
April 25, 2024Complaint inspection · 1 citation
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on record review, interviews, and observation of current practice, the facility failed to ensure the right of one resident (#2) to be free from abuse from another resident (#1). The deficient practice could result in resident abusing and experiencing emotional and mental trauma from the abuse.
March 7, 2024Standard inspection, Complaint inspection · 7 citations
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observations, clinical record review, resident and staff interviews and review of facility policy and procedure, the facility failed to ensure the right to personal privacy was respected and valued for two sampled residents (#6 and #79). The deficient practice could result in resident rights to privacy not honored.
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observations, staff interviews, and facility policy and procedure reviews, the facility failed to meet professional standards of quality care by failing to ensure resident information and a list of resident names to unauthorized personnel were not exposed when the electronic record screen was unlocked and unattended. This failure to meet these professional standards can result in the potential for resident personal information available to be seen by unauthorized individuals.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on clinical record review, staff interviews, facility documentation, policies and procedures, the facility failed to protect the residents' (#1 and #63) rights to be free from abuse of another resident (#149 and #15). The deficient practice could result in further abuse of residents and appropriate action not take.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on clinical record review, staff interviews and policy review, the facility failed to ensure that care plan was updated and revised as needed for one resident (#15). The deficient practice could result in resident not receiving appropriate treatment/services to meet their needs.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, resident and staff interviews, clinical record review and facility policy and procedures, the facility failed to ensure care and services related to an indwelling urinary catheter was provided to one resident (#47). The census was 96. The deficient practice could result in residents being at risk for urinary catheter complications and urinary tract infections.
- 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.
Inspectors wroteBased on observations, staff interviews and review of the facility policies/procedures, the facility failed failed to keep two of the four medication carts locked and under the direct supervision of authorized staff; and, failed to ensure that medications were not left unattended on the medication cart. The facility also failed to keep two of the four medication carts locked and under the direct supervision of authorized staff in an area where residents could access them.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interviews, and review of facility policy and procedure, the facility failed to implement infection control practices for resident care when preparing insulin for medication administration; and, failed to clean single-resident insulin pens prior to administration. The deficient practice could result in resident to developing infection and complication.
November 17, 2022Standard inspection · 18 citations
- E Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on clinical record review, facility documents, resident and staff interviews, and policy reviews, the facility failed to ensure there was sufficient nursing staff to meet the needs of residents, which included resident #235. Failure to provide sufficient staffing could result in resident care oversights.
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observation, clinical record review, staff interviews, and review of facility policy, the facility failed to ensure medications were not left in the room of one resident (#239). The deficient practice could negatively impact residents' care, and result in residents not receiving medications as ordered by the physician. The sample was 18 residents.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on clinical record reviews, staff interviews, and facility policies, the facility failed to ensure the resident's responsible party was notified when two residents (#134 and #45) had a change of condition. The sample size was 3. The deficient practice could result in other residents' responsible parties not being notified.
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on closed clinical record review, staff interviews, and policy review, the facility failed to implement their policy regarding an allegation of abuse involving one resident (#284). The sample size was 2. The deficient practice could result in further incidents of alleged abuse not being reported and investigated.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on closed clinical record review, staff interviews, and policy review, the facility failed to report an allegation of abuse involving one resident (#284). The sample size was 2. The deficient practice could result in further incidents of alleged abuse not being reported.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on closed clinical record review, staff interviews, and policy review, the facility failed to implement their policy regarding an allegation of abuse involving one resident (#284). The sample size was 2. The deficient practice could result in further incidents of alleged abuse not being investigated.
- 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, staff interviews, and policies and procedures, the facility failed to notify one resident (#80) and/or the resident's representatives in writing of a transfer/discharge and failed to send a copy of the notice to the Ombudsman. The sample was 2. The deficient practice could result in receiving residents/representatives and the Ombudsman not receiving written notices of transfers/discharges.
- D Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on clinical record review, staff interviews, and policies and procedures, the facility failed to ensure one resident (#80) and/or the resident's representatives was provided written information regarding the facility's bed hold policy before transfer to the hospital. The sample was 2. The deficient practice could result in the resident not being informed of the facility's bed hold policy.
- D Assess the resident when there is a significant change in condition
Inspectors wroteBased on clinical record review, staff interviews, the RAI (Resident Assessment Instrument) Manual and policy review, the facility failed to ensure a significant change MDS (Minimum Data Set) assessment was completed for one resident (#53) within the required timeframe. The sample size was 18. The deficient practice could result in the resident not having continuity of care.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record reviews, staff interviews, and review of policies, the facility failed to ensure one resident (#81) received treatment and care that was in accordance with professional standards of practice. The sample size was 18. The deficient practice may result in residents not receiving needed care and services.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on clinical record reviews, staff interviews, and review of policy, the facility failed to ensure that 2 residents (#53 and #233) received pressure ulcer treatment and care in accordance with professional standards of practice. The sample size was 8. The deficient practice increases the risk for pain, infection and rehospitalization.
- D Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Inspectors wroteBased on clinical record review, resident and staff interviews, and policy review, the facility failed to ensure that RNA (Restorative Nurse Assistant) services were consistently provided for two sampled residents (#27 and #32) with limited mobility. The deficient practice could result in residents experiencing decrease in mobility.
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on clinical record review, staff interviews, and policy reviews, the facility failed to ensure one resident (#235) was provided pain management in accordance with professional standards of practice. The sample size was 2. The deficient practice could result in unrelieved pain and additional complications.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on clinical record review, staff interview, and policy review, the facility failed to ensure target behavior monitoring was conducted for one resident (#17) who was receiving psychotropic medications. The sample size was 5. The deficient practice could result in residents receiving medications that may not be necessary.
- D Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on observations, resident and staff interviews, and review of policy and procedures, the facility failed to ensure menus were consistently followed. The deficient practice could place residents at risk of nutritional problems and dissatisfaction with their meals.
- D Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on concerns identified during the survey, the Facility Assessment, staff interviews, and policy review, the Quality Assurance and Performance Improvement (QAPI) committee failed to ensure a plan of action was developed and implemented that corrected identified quality care concerns related to skin breakdown not being corrected. The deficient practice could result in other quality concerns not being corrected.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, staff interviews, and policies and procedures, the facility failed to ensure that infection control standards were followed by failing to perform hand hygiene during wound care for one resident (#53). The deficient practice could result in the spread of infection.
- B Post nurse staffing information every day.
Inspectors wroteBased on observation, staff interviews, and policy review, the facility failed to ensure that the Daily Staff Postings for nursing staff were accurate for actual hours worked by licensed and unlicensed direct care nursing staff. The deficient practice could result in residents and visitors not being informed of accurate and current staffing information.
Fire safety inspections
1 fire safety citation on file: 1 on November 17, 2022.
Every fire safety citation1 citation
- D Ensure proper usage of power strips and extension cords.
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) | 3.30 | 3.98 | 3.86 |
| Registered nurses | 0.51 | 0.70 | 0.69 |
| All nursing staff on weekends | 2.97 | 3.51 | 3.42 |
| Nurse aides | 1.96 | ||
| Licensed practical nurses | 0.83 | ||
| Nursing staff turnover (share who left in a year) | 41.6% | 45.1% | 45.8% |
| Registered nurse turnover | 11.1% | 43.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.46 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 3.43 on weekdays and 2.97 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.08 in April to June 2025 to 3.30 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 | 3.30 | 0.51 | 3.43 | 2.97 | 0.0% | 0 of 90 | 107 |
| Oct to Dec 2025 | 3.23 | 0.55 | 3.37 | 2.90 | 0.0% | 0 of 92 | 105 |
| Jul to Sep 2025 | 3.22 | 0.52 | 3.38 | 2.79 | 0.0% | 0 of 92 | 105 |
| Apr to Jun 2025 | 3.08 | 0.48 | 3.23 | 2.71 | 0.0% | 0 of 91 | 111 |
| 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 | 4.5 | 10.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.0 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.5 | 1.2 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.4 | 2.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.4 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 2.8 | 12.8 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.1 | 4.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.2 | 10.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 19.6 | 23.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 17.4 | 10.4 | 12.0 |
Owners and operators
Legal business name: OASIS PAVILION NURSING AND REHABILITATION CENTER, LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Compassion Care Management Services Inc | 5% or greater direct ownership interest | Organization | 02/01/2010 | |
| Compassionate Patient Care | 5% or greater direct ownership interest | Organization | 08/10/2010 | |
| Diamond Care Casa Grande Operations | 5% or greater direct ownership interest | Organization | 08/10/2010 | |
| Healthcare Management Services LLC | 5% or greater direct ownership interest | Organization | 02/01/2010 | |
| Martin, Joseph | 5% or greater direct ownership interest | Individual | 06/26/2008 | |
| Martin, Mary | 5% or greater direct ownership interest | Individual | 06/26/2008 | |
| Meyer, Matthew | 5% or greater direct ownership interest | Individual | 06/26/2008 | |
| Oladokun, Florence | 5% or greater direct ownership interest | Individual | 06/26/2008 | |
| Oladokun, Joseph | 5% or greater direct ownership interest | Individual | 06/26/2008 | |
| Opara, Kenneth | 5% or greater direct ownership interest | Individual | 06/26/2008 | |
| Opara, Rosemary | 5% or greater direct ownership interest | Individual | 06/26/2008 | |
| Clark, Kim | W-2 managing employee | Individual | 05/01/2015 |
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 are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 9 problems in this area, most recently on July 21, 2026: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on May 12, 2025: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on January 27, 2025: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 6 problems in this area, most recently on March 7, 2024: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.97 hours per resident per day, below the Arizona average of 3.51.
Other nursing homes nearby
- Caring House Sacaton, 12.5 mi · 2 of 5 stars · 16 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 Oasis Pavilion Nursing & Rehabilitation Center's Medicare star rating?
- CMS rates Oasis Pavilion Nursing & Rehabilitation Center 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Oasis Pavilion Nursing & Rehabilitation Center get at its last inspection?
- 0 health deficiencies at the standard inspection on December 10, 2025. The Arizona average is 6.4.
- Has Oasis Pavilion Nursing & Rehabilitation Center been fined?
- CMS lists no fines in the last three years.
- Does Oasis Pavilion Nursing & 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 Oasis Pavilion Nursing & Rehabilitation Center?
- CMS lists 12 owners and managers. Legal business name: OASIS PAVILION NURSING AND REHABILITATION CENTER, 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.