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Sun West Choice Healthcare & Rehab

14002 West Meeker Blvd, Sun City West, AZ 85375 · Maricopa County · (623) 584-6161

140 certified beds, about 134 residents a day · For profit - Corporation · Medicare and Medicaid since 1985

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 035110 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on September 3, 2024, inspectors cited 2 health deficiencies (the Arizona average is 6.4, the national average 9.2).

None of its 14 health citations since January 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 3.61 hours per resident per day, against 3.98 across Arizona and 3.86 nationally. Registered nurses accounted for 0.59 of those hours.

34.4% 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.

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 14 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
9D
5E
0F
Potential for minimal harm
0A
0B
0C
August 29, 2025Complaint inspection · 1 citation
  1. E
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) October 7, 2025
    Inspectors wroteBased on clinical record reviews, facility documentation, staff interviews and policy review, the facility failed to protect the rights of three residents (#38, #24, #23, #11) to be free from abuse from other residents (#39, #22, #10). The deficient practice could result in residents being physically or emotionally harmed.
September 3, 2024Standard inspection, Complaint inspection · 2 citations
  1. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 11, 2024
    Inspectors wroteBased on clinical record reviews, staff interviews and reviews of facility policies and procedures, the facility failed to ensure care and services that adhere to accepted standards related to medications administration was provided to one resident (#125). The deficient practice could result in resident not receiving the necessary treatment needed.
  2. D
    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
    F773 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 11, 2024
    Inspectors wroteBased on record review, staff interviews, and policy review, the facility failed to ensure an abnormal lab results for one resident (#91) were promptly communicated to the provider. The deficient practice could result in complications and/or worsening of resident's health.
February 3, 2023Standard inspection · 3 citations
  1. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 27, 2023
    Inspectors wroteBased on closed clinical record review, staff interview, and the RAI (Resident Assessment Instrument) manual, the facility failed to ensure the MDS (Minimum Data Set) assessment was accurate for one resident (#121). The sample size was 25. The deficient practice could result in an inaccurate assessment and resident not receiving the appropriate care and services needed.
  2. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 27, 2023
    Inspectors wroteBased on clinical record reviews, staff interviews, and policy and procedures, the facility failed to ensure that comprehensive care plans were developed for one resident (#121) using oxygen therapy. The deficient practice could result in residents needs based on the comprehensive assessment not being met. Resident # 121 was admitted on [DATE] with diagnoses that included type 2 diabetes mellitus without complications, down syndrome, restlessness and agitation, adult failure to thrive, essential (primary) hypertension, benign prostatic hyperplasia without lower urinary tract symptoms, hyperlipidemia, syndrome of inappropriate secretion of antidiuretic hormone, hyperkeratosis of [NAME], and personal history of urinary (tract) infections. [...]
  3. 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) April 27, 2023
    Inspectors wroteBased on review of clinical records, staff interviews, and facility policies and procedures, the facility provided a psychotropic medication for Bipolar disorder for one resident (#72) without a diagnosis of Bipolar disorder:
January 7, 2022Standard inspection · 8 citations
  1. E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 17, 2022
    Inspectors wroteBased on observations, staff interviews, and policy reviews, the facility failed to ensure that maintenance and housekeeping services necessary to maintain a sanitary, orderly, and comfortable interior was provided for 7 residents (#24, #63, #11, #74, #31, #41, and #76). The census was 124. The deficient practice could result in resident rooms not having a homelike environment.
  2. E
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 17, 2022
    Inspectors wroteBased on clinical record reviews, facility documentation, staff interviews, and facility policy and procedures, the facility failed to ensure a copy of the written notice of transfer/discharge for two of two residents (#76 and #37) was sent to the Office of the State Long Term Ombudsman. The deficient practice could result in the ombudsman not being notified of resident transfers/discharges.
  3. E
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 17, 2022
    Inspectors wroteBased on clinical record reviews, staff interviews, review of facility policy, and the Resident Assessment Instrument (RAI) manual, the facility failed to ensure that Minimum Data Set (MDS) assessments were completed accurately for 8 residents (#27, #64, #75, #33, #52, #66, #63, and #37), by failing to conduct the Brief Interview for Mental Status (BIMS) and for one resident (#75) regarding hospice. The sample size was 25 residents. The deficient practice could result in not identifying necessary care needs and treatment.
  4. E
    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, pattern · Corrected (the home has a date of correction) February 17, 2022
    Inspectors wroteBased on clinical record reviews, resident and staff interviews, and facility policies and procedures, the facility failed to ensure adequate monitoring and supervision was provided for six residents (#s 107, 76, 41, 32, 83, and 82). The deficient practice could result in other residents being denied the right to privacy and personal space.
  5. 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) February 17, 2022
    Inspectors wroteBased on clinical record review, staff interviews, and policy review, the facility failed to ensure advanced directive was accurately documented for one of two sampled residents (#27). The census was 124. The deficient practice could result in residents receiving services which are not in accordance with their wishes.
  6. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 17, 2022
    Inspectors wroteBased on clinical record review, resident and staff interviews, and facility policy and procedures, the facility failed to ensure that an allegation of sexual abuse for one resident (#32) was reported to the State Agency. The deficient practice could result in allegations of abuse not being reported as mandated by federal guidelines.
  7. D
    Assess the resident when there is a significant change in condition
    F637 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 17, 2022
    Inspectors wroteBased on clinical record review, staff interviews, review of facility policy, and the Resident Assessment Instrument (RAI) manual, the facility failed to ensure that a significant change in status Minimum Data Set (MDS) assessment was completed for one resident (#75) who was admitted on hospice services. The sample size was 25. The deficient practice could affect residents' continuity of care.
  8. 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) February 17, 2022
    Inspectors wroteBased on observation, staff interviews, and facility policy, the facility failed to ensure infection prevention and control standards were maintained when handling one resident's (#70) medication during medication administration. The sample size was 6. The deficient practice could result in transmission of infection.

Fire safety inspections

9 fire safety citations on file: 1 on September 3, 2024, 2 on February 3, 2023, 6 on January 7, 2022.

Every fire safety citation9 citations
  1. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · September 3, 2024 · Corrected (the home has a date of correction)
  2. D
    Install corridor and hallway doors that block smoke.
    K 363 · February 3, 2023 · Corrected (the home has a date of correction)
  3. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · February 3, 2023 · Corrected (the home has a date of correction)
  4. E
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · January 7, 2022 · Corrected (the home has a date of correction)
  5. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · January 7, 2022 · Corrected (the home has a date of correction)
  6. D
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · January 7, 2022 · Corrected (the home has a date of correction)
  7. D
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · January 7, 2022 · Corrected (the home has a date of correction)
  8. D
    Ensure proper usage of power strips and extension cords.
    K 920 · January 7, 2022 · Corrected (the home has a date of correction)
  9. D
    Have proper medical gas storage and administration areas.
    K 923 · January 7, 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.

MeasureThis homeArizonaUnited States
All nursing staff (RN, LPN and aides)3.613.983.86
Registered nurses0.590.700.69
All nursing staff on weekends3.173.513.42
Nurse aides2.18
Licensed practical nurses0.84
Nursing staff turnover (share who left in a year)34.4%45.1%45.8%
Registered nurse turnover41.7%43.6%42.9%
Administrators who left0

CMS expects 3.53 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 3.78 on weekdays and 3.17 on weekends, 16% 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 3.73 in April to June 2025 to 3.61 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.610.593.783.17 0.0%0 of 90134
Oct to Dec 20253.640.573.853.11 0.0%0 of 92134
Jul to Sep 20253.670.593.893.10 0.0%0 of 92133
Apr to Jun 20253.730.623.963.15 0.0%0 of 91131
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 long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
6.410.713.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.40.80.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.21.21.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.92.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
10.712.814.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.74.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
9.710.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
17.623.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
7.410.412.0

Owners and operators

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

NameRoleTypeShareSince
Granger, TerryManaging control - governing bodyIndividual05/01/2018
Nassour, WilliamManaging control - governing bodyIndividual10/01/2022
Peterson, ForrestCorporate directorIndividual03/27/2020
Burnam, SoonCorporate officerIndividual10/10/2013
Fischbeck, CourtneyCorporate officerIndividual01/01/2025
Keetch, ChadCorporate officerIndividual03/01/2011
Sato, AmiCorporate officerIndividual09/09/2024
Pioneer Healthcare Services LLCOperational/managerial controlOrganization12/01/2018
Prime Time Healthcare LLCOperational/managerial controlOrganization06/01/2018
Granger, TerryOperational/managerial controlIndividual05/01/2018
Nassour, WilliamOperational/managerial controlIndividual10/01/2022
Port, BarryIndividual is an owner, partner or trustee of any ADP of the SNFIndividual06/22/2025
Azore Property LLCAdp of the SNFOrganization04/11/2018
Ensign Services IncAdp of the SNFOrganization09/10/2013
Granger, TerryAdp of the SNFIndividual05/01/2018
Nassour, WilliamAdp of the SNFIndividual10/01/2022

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. When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on September 3, 2024: "Ensure services provided by the nursing facility meet professional standards of quality."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on January 7, 2022: "Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely."
  3. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on August 29, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  4. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on September 3, 2024: "Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.17 hours per resident per day, below the Arizona average of 3.51.

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Common questions

What is Sun West Choice Healthcare & Rehab's Medicare star rating?
CMS rates Sun West Choice Healthcare & Rehab 5 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Sun West Choice Healthcare & Rehab get at its last inspection?
2 health deficiencies at the standard inspection on September 3, 2024. The Arizona average is 6.4.
Has Sun West Choice Healthcare & Rehab been fined?
CMS lists no fines in the last three years.
Does Sun West Choice Healthcare & Rehab 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 Sun West Choice Healthcare & Rehab?
CMS lists 16 owners and managers, and links the home to The Ensign Group. Legal business name: APACHE TRAIL HEALTHCARE, INC..

Sources

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