Surprise Health and Rehabilitation Center
14660 West Parkwood Drive, Surprise, AZ 85374 · Maricopa County · (623) 546-5030
110 certified beds, about 101 residents a day · For profit - Corporation · Medicare since 2019
CMS Care Compare ratings, data as of September 1, 2026 · CCN 035297 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 27, 2026, inspectors cited 3 health deficiencies (the Arizona average is 6.4, the national average 9.2).
None of its 8 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 5.05 hours per resident per day, against 3.98 across Arizona and 3.86 nationally. Registered nurses accounted for 0.89 of those hours.
40.9% 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.
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 8 health citations on file.
March 27, 2026Standard inspection · 3 citations
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on a clinical record review, staff interviews, facility documentation, and policy review, the facility failed to ensure that Specialized Durable Medical Equipment (DME) services were provided to one resident (#100). The census was 98. The deficient practice could result in immobility and isolation.
- 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 observation, staff interviews, and the facility policy and procedures, the facility failed to ensure one medication cart was secured when left unattended. The deficient practice could result in residents, visitors and/or staff members having unrestricted access to medications. The census was 98.
- D 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 policy review, the facility failed to ensure that the food item was stored in accordance with professional standards for food service safety. The deficient practice could increase the risk of foodborne illness. Findings Include: During an initial walk-through of the kitchen dry storage on March 24, 2026, at 8:26 a.m., with the Kitchen Dietary Manager (staff #65), a gallon-sized container of Pace Chunky Salsa was observed to have approximately 1/10 of its contents used and stored in non-refrigerated dry storage with two different labels dated as February 2, 2026 and March 2, 2026. Then, the Kitchen Dietary Manager opened the lid of the Pace Chunky Salsa, noting that the safety seal had been opened and a portion of the salsa had been used. [...]
March 11, 2025Complaint inspection · 1 citation
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on clinical record review, facility documentation, interviews, and review of facility policies and procedures, the facility failed to ensure one resident (#5) received weight monitoring for dialysis treatment per physician orders. The deficient practice could lead to a lack of adequate monitoring during dialysis treatment. Findings Include: Resident #5 was admitted into the facility on January 29, 2025, with diagnoses that included respiratory failure, diffuse large B-cell lymphoma in remission, end stage renal disease, and dependence on renal dialysis. An admission Minimum Data Set (MDS) assessment dated [DATE], revealed that the resident's Brief Interview for Mental Status (BIMS) assessment was not conducted due to the resident being rarely or never understood. A care plan dated January 30, 2025, revealed Resident #5 required hemodialysis due to renal failure. [...]
March 6, 2025Complaint inspection · 1 citation
- D Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Inspectors wroteBased on clinical record review, observations, staff interviews, and policies and procedures, the facility failed to ensure that a request for a modification of a health care institution was approved by the state agency prior to establishing a dialysis center and provided dialysis treatment(s) from November 22, 2024 through March 06, 2025. Currently 3 residents are having bedside hemodialysis inside the facility. The deficiency may result in non compliance with federal, state, and local laws and professional standards.
June 27, 2024Complaint inspection · 1 citation
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on review of clinical records and policy, observations, and staff interviews the facility failed to ensure care and services related to a cervical collar was provided for one resident (#8). The deficient practice could result in resident needs not being met to attain and maintain the resident's highest practicable well-being.
April 12, 2024Standard inspection · 0 citations
December 23, 2022Standard inspection · 2 citations
- E Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observations, resident interviews, clinical record review, staff interviews, and policy review, the facility failed to ensure staff did not leave medications with two residents (#351 and #354) who were not assessed and determined to be clinically appropriate for self-administration of medication. The deficient practice could result in medication not being taken as ordered by the physician.
- 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 review, the facility failed to ensure the clinical record was accurate related to advance directives for one resident (#352). The deficient practice can lead to the advance directives being inconsistent with the resident's wishes.
Fire safety inspections
1 fire safety citation on file: 1 on March 27, 2026.
Every fire safety citation1 citation
- E Provide rooms that can be unlocked from inside without a key.
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) | 5.05 | 3.98 | 3.86 |
| Registered nurses | 0.89 | 0.70 | 0.69 |
| All nursing staff on weekends | 4.26 | 3.51 | 3.42 |
| Nurse aides | 2.70 | ||
| Licensed practical nurses | 1.46 | ||
| Nursing staff turnover (share who left in a year) | 40.9% | 45.1% | 45.8% |
| Registered nurse turnover | 40.0% | 43.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 6.28 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 5.36 on weekdays and 4.26 on weekends, 21% 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 5.05 in April to June 2025 to 5.05 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 | 5.05 | 0.89 | 5.36 | 4.26 | 0.0% | 0 of 90 | 101 |
| Oct to Dec 2025 | 5.06 | 0.89 | 5.35 | 4.32 | 0.0% | 0 of 92 | 99 |
| Jul to Sep 2025 | 5.09 | 0.90 | 5.43 | 4.24 | 0.0% | 0 of 92 | 100 |
| Apr to Jun 2025 | 5.05 | 0.98 | 5.39 | 4.20 | 0.0% | 0 of 91 | 99 |
| 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 | 3.7 | 10.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.6 | 1.2 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.4 | 1.2 | 1.6 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 10.4 | 4.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 1.2 | 10.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.5 | 23.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 5.4 | 10.4 | 12.0 |
Owners and operators
Legal business name: LUDDEN HEALTHCARE LLC. CMS links this home to The Ensign Group, a group of 344 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bandera Healthcare LLC | Direct ownership interest | Organization | 06/07/2019 | |
| Glazier, Mark | Managing control - governing body | Individual | 08/01/2019 | |
| Nassour, William | Managing control - governing body | Individual | 02/01/2021 | |
| Burnam, Soon | Corporate officer | Individual | 06/07/2019 | |
| Keetch, Chad | Corporate officer | Individual | 03/01/2011 | |
| Peterson, Forrest | Corporate officer | Individual | 08/01/2019 | |
| Ventura Medstaff, LLC | Operational/managerial control | Organization | 08/01/2019 | |
| Glazier, Mark | Operational/managerial control | Individual | 08/01/2019 | |
| Nassour, William | Operational/managerial control | Individual | 02/01/2021 | |
| Port, Barry | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 09/12/2025 | |
| Ensign Services Inc | Adp of the SNF | Organization | 06/07/2019 | |
| Standard Bearer Healthcare Op, LP | Adp of the SNF | Organization | 01/01/2022 | |
| Statler Health Holdings LLC | Adp of the SNF | Organization | 01/01/2022 | |
| The Ensign Group Inc | Adp of the SNF | Organization | 01/01/2022 | |
| Glazier, Mark | Adp of the SNF | Individual | 08/01/2019 | |
| Nassour, William | Adp of the SNF | Individual | 02/01/2021 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on March 27, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on March 27, 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."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on March 27, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- 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 March 6, 2025: "Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards."
Other nursing homes nearby
- Sante of Surprise Surprise, 0.8 mi · 4 of 5 stars · 11 citations
- Sun Health Grandview Care Center Sun City West, 1 mi · 5 of 5 stars · 9 citations
- Sun West Choice Healthcare & Rehab Sun City West, 1.3 mi · 5 of 5 stars · 14 citations
- Sun City Post Acute Sun City, 5.8 mi · 4 of 5 stars · 33 citations
- Sunview Respiratory and Rehabilitation Youngtown, 5.9 mi · 2 of 5 stars · 18 citations
- Lake Pleasant Post Acute Rehabilitation Center Peoria, 6 mi · 4 of 5 stars · 20 citations
- Boswell Transitional Care of Cascadia Sun City, 6 mi · 5 of 5 stars · 10 citations
- Freedom Plaza Care Center Peoria, 7.5 mi · 5 of 5 stars · 12 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 Surprise Health and Rehabilitation Center's Medicare star rating?
- CMS rates Surprise Health and Rehabilitation Center 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 Surprise Health and Rehabilitation Center get at its last inspection?
- 3 health deficiencies at the standard inspection on March 27, 2026. The Arizona average is 6.4.
- Has Surprise Health and Rehabilitation Center been fined?
- CMS lists no fines in the last three years.
- Does Surprise Health and Rehabilitation Center accept Medicaid?
- CMS lists it as "Medicare", so it is not certified for Medicaid.
- Who owns Surprise Health and Rehabilitation Center?
- CMS lists 16 owners and managers, and links the home to The Ensign Group. Legal business name: LUDDEN HEALTHCARE 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.