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Sante of Surprise

14775 West Yorkshire Drive, Surprise, AZ 85374 · Maricopa County · (623) 594-5050

70 certified beds, about 68 residents a day · Non profit - Corporation · Medicare since 2011

Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 035282 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 28, 2026, inspectors cited 2 health deficiencies (the Arizona average is 6.4, the national average 9.2).

None of its 11 health citations since February 2023 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 4.56 hours per resident per day, against 3.98 across Arizona and 3.86 nationally. Registered nurses accounted for 1.12 of those hours.

41.8% of nursing staff left within the year CMS measured (Arizona average 45.1%).

CMS links it to Sante, an affiliated group of 5 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.

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 11 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
10D
1E
0F
Potential for minimal harm
0A
0B
0C
July 27, 2026Complaint inspection · 1 citation
  1. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 10, 2026
    Inspectors wroteBased on clinical record review, interviews, and the facility's policies and procedures, the facility failed to ensure that one resident's (#7) representative was notified of a change in condition. The sample size was three. The deficient practice could lead to the responsible party not being informed and not being able to participate in the resident's care.
May 28, 2026Standard inspection, Complaint inspection · 2 citations
  1. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 6, 2026
    Inspectors wroteBased on clinical record review, interviews and facility policy review, the facility failed to ensure medications were administered according to physician instructions for two residents sampled out of five (#24 and #58). The deficient practice could result in medication errors that could harm residents. The universe was 62.
  2. 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 · found on a complaint visit · Corrected (the home has a date of correction) June 6, 2026
    Inspectors wroteBased on observation, interviews, and review of facility policy and procedure, the facility failed to ensure medications were locked in 1 medication cart while left unattended. The deficient practice could lead to unauthorized persons gaining access to medications. An observation conducted on May 26, 2026 at 8:38 A.M. of the facility hallway revealed that a medication cart labeled P2 was not locked. There was no staff observed at the medication cart. The Licensed Practical Nurse (LPN/Staff#29) returned to the cart a few minutes later and tried to push in the lock, but it did not push in. She then used her key and put it in the lock of the medication cart and the key moved but it did not lock the medication cart. Next, she pulled on the drawers of the medication cart (P2) and they opened. An interview was conducted with LPN (Staff #29), on May 26, 2026 at 8:41A.M. [...]
July 3, 2024Standard inspection, Complaint inspection · 7 citations
  1. D
    Assure that each resident’s assessment is updated at least once every 3 months.
    F638 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 9, 2024
    Inspectors wroteBased on clinical record review, the CMS (Centers for Medicare and Medicaid Services) system for MDS (Minimum Data Set) data, staff interviews, the Resident Assessment Instrument (RAI) 3.0 User's manual, and facility policy, the facility failed to ensure completion of a quarterly MDS assessments for one resident (#43) within the regulatory time frames. The deficient practice could lead to insufficient resident assessment and impact resident care. Findings Include: Resident #43 was admitted to the facility on [DATE] with the diagnosis that included unspecified fracture of shaft of right tibia, subsequent encounter for closed fracture with routine healing. The admission MDS (Minimum Data Set) for resident #43 revealed that it was completed on February 23, 2024. [...]
  2. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 9, 2024
    Inspectors wroteBased on resident and staff interviews, clinical record review, and facility policy, the facility failed to ensure one resident (#15) received necessary services to maintain personal hygiene. The deficient practice may cause a decline or decrease in a resident's quality of life. Finding Includes: Resident #15 was admitted to the facility on [DATE] with diagnoses that included cellulitis of right lower limb, osteoporosis, chronic pain, dementia, and anxiety. Review of resident minimum data set (MDS) from June 16, 2024, the Brief Interview for Mental Status (BIMS) score was 15 which indicated resident cognition is intact. For performance of activities of daily living (ADL), the MDS documented that she needed substantial/maximum assistance with personal hygiene. [...]
  3. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 9, 2024
    Inspectors wroteBased on clinical record review, staff interviews, and review of policy, the facility failed to ensure one resident (#123) received treatment and services in accordance with professional standards of practice regarding positioning. The deficient practice could result in residents not receiving the treatment and care based on their assessed needs.
  4. 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) August 9, 2024
    Inspectors wroteBased on observation, staff interviews, and policy review, the facility failed to ensure that medications were stored in a secure manner that prevents accident hazards. The deficient practice could result in medication being taken by someone other than the intended recipient.
  5. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 9, 2024
    Inspectors wroteBased on observations, clinical record review, staff interviews, and policy review, the facility failed to ensure one resident (#123) had an order for oxygen use. The deficient practice could result in residents receiving oxygen without a physician's order.
  6. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 9, 2024
    Inspectors wroteBased on review of clinical records, facility policy and staff interviews, the facility failed to ensure an order for pain medication was followed as prescribed for one resident (#15). The deficient practice may result in undesirable medication-induced harm. Findings Include: Resident #15 was admitted into the facility on June 12, 2024 with diagnoses that included cellulitis of right lower limb, osteoporosis, chronic pain, dementia, and anxiety. Review of the physician orders revealed the following: - Percocet Oral Tablet 10 -325 milligram (Oxycodone with Acetaminophen/ Narcotic), give 1 tablet by mouth every 6 hours as needed for pain 4-6 and give 2 tablets by mouth every 6 hours as needed for pain 7-10 with start date of June 10, 2024. [...]
  7. 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) August 9, 2024
    Inspectors wroteBased on observation, staff interviews, and policy review, the facility failed to ensure that EBP (Enhanced Barrier Protection) was implemented when providing care for one resident (#324).
February 24, 2023Standard inspection · 1 citation
  1. 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) April 27, 2023
    Inspectors wroteBased on observation, staff interviews, and facility policy, the facility failed to ensure that one medication in the medication storage refrigerator was not expired and one medication in a cart was not expired.

Fire safety inspections

1 fire safety citation on file: 1 on May 28, 2026.

Every fire safety citation1 citation
  1. D
    Install corridor and hallway doors that block smoke.
    K 363 · May 28, 2026 · 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.

MeasureThis homeArizonaUnited States
All nursing staff (RN, LPN and aides)4.563.983.86
Registered nurses1.120.700.69
All nursing staff on weekends3.803.513.42
Nurse aides2.21
Licensed practical nurses1.23
Nursing staff turnover (share who left in a year)41.8%45.1%45.8%
Registered nurse turnover45.0%43.6%42.9%
Administrators who left0

CMS expects 4.21 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 4.87 on weekdays and 3.80 on weekends, 22% 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 4.69 in April to June 2025 to 4.56 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.561.124.873.80 0.0%0 of 9068
Oct to Dec 20254.631.134.933.88 0.0%0 of 9267
Jul to Sep 20254.651.174.933.93 0.0%0 of 9267
Apr to Jun 20254.691.204.983.97 0.0%0 of 9167
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Arizona, Jan to Mar 20263.870.634.053.433.3%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.

MeasureThis homeArizonaUS
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.91.21.6
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
25.723.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
8.910.412.0

Owners and operators

Legal business name: ASANTE TRC OF SURPRISE LLC. CMS links this home to Sante, a group of 5 nursing homes averaging 4.4 stars overall.

NameRoleTypeShareSince
Munch Tooke, LLC5% or greater direct ownership interestOrganization09/19/2011
Rdw Arizona LLC5% or greater direct ownership interestOrganization09/19/2011
Sp Re Surprise LLC5% or greater direct ownership interestOrganization09/19/2011
Sp Surprise LLC5% or greater direct ownership interestOrganization09/19/2011
Sterling & Jacqueline Holdings,llc5% or greater direct ownership interestOrganization01/01/2022
Wasser & Winters Co5% or greater direct ownership interestOrganization09/19/2011
Hansen, Charles5% or greater direct ownership interestIndividual09/19/2011
Munch, Michael5% or greater direct ownership interestIndividual09/19/2011
Schaefer, Jacob5% or greater direct ownership interestIndividual01/01/2022
Tooke, Arthur5% or greater direct ownership interestIndividual09/19/2011
Winters, Jess5% or greater direct ownership interestIndividual09/19/2011
Ingels, ShannonContracted managing employeeIndividual10/01/2021

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on May 28, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on May 28, 2026: "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."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on July 27, 2026: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on July 3, 2024: "Assure that each resident’s assessment is updated at least once every 3 months."

Other nursing homes nearby

Arizona contacts for a concern about a nursing home

These are the official offices in Arizona. NursingHomeClear cannot take or act on complaints.

Common questions

What is Sante of Surprise's Medicare star rating?
CMS rates Sante of Surprise 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Sante of Surprise get at its last inspection?
2 health deficiencies at the standard inspection on May 28, 2026. The Arizona average is 6.4.
Has Sante of Surprise been fined?
CMS lists no fines in the last three years.
Does Sante of Surprise accept Medicaid?
CMS lists it as "Medicare", so it is not certified for Medicaid.
Who owns Sante of Surprise?
CMS lists 12 owners and managers, and links the home to Sante. Legal business name: ASANTE TRC OF SURPRISE LLC.

Sources

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