The Lingenfelter Center
1099 Sunrise Avenue, Kingman, AZ 86401 · Mohave County · (928) 718-4852
88 certified beds, about 73 residents a day · For profit - Corporation · Medicare and Medicaid since 2003
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
4 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 035262 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 9, 2026, inspectors cited 3 health deficiencies (the Arizona average is 6.4, the national average 9.2).
None of its 22 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 3.72 hours per resident per day, against 3.98 across Arizona and 3.86 nationally. Registered nurses accounted for 0.58 of those hours.
46.4% 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.
102/23
103/24
105/24
1206/24
211/24
105/25
104/26
307/26
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 22 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
21D
1E
0F
Potential for minimal harm
0A
0B
0C
July 9, 2026Standard inspection · 3 citations
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observation, clinical record review, staff interviews, and review of facility documentation and policy, the facility failed to ensure that privacy was maintained during medication administration for 3 residents (#203, #200, and #206) out of 11 sampled residents. The universe was 87. This deficient practice could result in unauthorized access to residents' private medical records.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on clinical record review, staff interviews, and facility documentation and policy review, the facility failed to ensure one of six sampled residents (#210) received a timely, monitoring, and treatment following a fall. The deficient practice delayed recognition of the resident's injury and delayed medical treatment resulting in prolonged pain, hospitalization and surgical hip repair of a right hip fracture.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on observation, clinical record review, interviews, facility documentation and policy, the facility failed to ensure necessary blood sugar medications were administered according to provider orders for one resident (#200) out of five sampled residents. The universe was 87. This deficient practice could put residents at the risk for not receiving medications as per the parameter.
April 8, 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 clinical record review, facility documentation, and staff interviews, the facility failed to protect the rights for two of three sampled residents (#3, #5) to be free from physical abuse by another resident. The deficient practice could lead to additional resident-to-resident altercations, creating an unsafe environment. The sample was 3. The universe was 3.
May 15, 2025Complaint 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 clinical record reviews, staff interviews, facility documentation and policies and procedures, the facility failed to ensure that one resident (#4) was free from physical abuse by another resident (#2). The deficient practice could result in residents suffering from injuries.
November 14, 2024Complaint inspection · 2 citations
- 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, facility documentation, and staff interviews, the facility failed to ensure two residents (#3 and #4) were provided adequate supervision to prevent resident abuse. The deficient practice could result in residents being at risk for abuse.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on clinical record review, facility documentation, and staff interviews, the facility failed to ensure two residents (#3 and #4) were provided adequate supervision to prevent resident abuse. The deficient practice could result in residents being at risk for abuse.
June 6, 2024Standard inspection, Complaint inspection · 12 citations
- E Post nurse staffing information every day.
Inspectors wroteBased on documentation, staff interviews, and the facility policy and procedures, the facility failed to ensure all of the correct information was on the daily staff posting.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on documentation, staff interviews, and the facility policy and procedures, the facility failed to ensure that resident (#69) to resident (#25) abuse did not occur with two residents. The deficient practice could result in residents being physically and emotionally injured.
- 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.
Inspectors wroteBased on clinical record review, staff interviews, and review of facility policies and procedures, the facility failed to ensure one resident's (#70) clinical record included the required information for discharge. The deficient practice could result in residents not having a safe and effective transition of care.
- 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 one resident's (#76) care planned interventions were reassessed for effectiveness and revised as needed. The deficient practice could result in a care plan that does not meet the resident's needs.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on clinical record review, interviews, and facility policy, the facility failed to ensure that ordered fluid restrictions were followed for one resident (#21) on dialysis. The deficient practice could result in the potential for complications and fluid overload for residents.
- D Ensure the activities program is directed by a qualified professional.
Inspectors wroteBased on documentation, staff interviews, and facility policy and procedures, the facility failed to designate a qualified individual to provide recreational activities. The deficient practice could result in appropriate activities not being identified and assessed for the residents.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, staff interviews, and the facility policy and procedures, the facility failed to ensure provide respiratory care for one resident (#6) is in accordance with physician's order. The deficient practice could result in hypoxia.
- D Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Inspectors wroteBased on clinical record review, staff interviews, the facility assessment, and review of policy and procedure, the facility failed to ensure that the necessary behavioral health care and services were provided to one resident (#76). The deficient practice could result in residents not receiving the necessary behavioral health care and services.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, staff interview, facility policy and procedure review, the facility failed to ensure that four medications were disposed of in accordance with professional standards of practice. The deficient practice could result in medications not being disposed properly. The sample was 25 medication administrations observed.
- 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 the facility policy and procedures, the facility failed to maintain a safe and sanitary kitchen. The deficient practice could result in residents becoming ill.
- D Dispose of garbage and refuse properly.
Inspectors wroteBased on observation, staff interviews, and the facility policy and procedures, the facility failed to ensure that garbage/refuse was disposed of properly. The deficient practice could attracted rodents and pests.
- D Keep all essential equipment working safely.
Inspectors wroteBased on observation, staff interviews, and the facility policy and procedures, the facility failed to ensure that essential kitchen equipment was maintained and in safe operating condition. The deficient practice could result in residents becoming ill.
May 15, 2024Complaint inspection · 1 citation
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on resident, resident representative, and staff interviews and facility documentation, the facility failed to ensure that all alleged violations involving abuse are reported timely for one resident #2. The deficient practice can result in abuse allegations not being reported timely.
March 27, 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 clinical record review, staff interviews, facility documentation, policies and procedures, the facility failed to protect the rights of two residents (#520 and #525) to be free from abuse from each other. The deficient practice could result in further abuse of residents and appropriate action not taken.
February 23, 2023Standard inspection · 1 citation
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observations, staff interviews, record review, and policy reviews, the facility failed to ensure standard of practice were followed during medication administration. The deficient practice could result in the contamination of medications.
Fire safety inspections
1 fire safety citation on file: 1 on July 9, 2026.
Every fire safety citation1 citation
- E Install corridor and hallway doors that block smoke.
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) | 3.72 | 3.98 | 3.86 |
| Registered nurses | 0.58 | 0.70 | 0.69 |
| All nursing staff on weekends | 3.40 | 3.51 | 3.42 |
| Nurse aides | 2.47 | ||
| Licensed practical nurses | 0.66 | ||
| Nursing staff turnover (share who left in a year) | 46.4% | 45.1% | 45.8% |
| Registered nurse turnover | 30.8% | 43.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.23 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 3.85 on weekdays and 3.40 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.29 in April to June 2025 to 3.72 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 | 3.72 | 0.58 | 3.85 | 3.40 | 2.7% | 0 of 90 | 73 |
| Oct to Dec 2025 | 3.51 | 0.62 | 3.65 | 3.15 | 4.3% | 0 of 92 | 79 |
| Jul to Sep 2025 | 3.36 | 0.67 | 3.51 | 2.99 | 3.9% | 0 of 92 | 82 |
| Apr to Jun 2025 | 3.29 | 0.58 | 3.47 | 2.82 | 1.1% | 0 of 91 | 86 |
| 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.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
Official wage estimates for Arizona
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Arizona, all employers | |||
| CNAs (nursing assistants) | $21.53 | $18.43 to $22.42 | 20,320 |
| LPNs and LVNs | $37.05 | $32.10 to $39.36 | 6,530 |
| Registered nurses | $47.84 | $39.33 to $52.20 | 73,150 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 34.9 | 10.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.7 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.2 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 7.8 | 2.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 9.1 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 29.1 | 12.8 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.5 | 4.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 40.6 | 10.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 18.8 | 23.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 16.5 | 10.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.6 | 1.4 | 1.8 |
Short-term rehab results
For a stay to recover after a hospital visit, these are the results CMS publishes for The Lingenfelter Center's Medicare short-stay residents. How to read these, and what Medicare pays for.
CMS reports none of these results for this home: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Owners and operators
Legal business name: THE LINGENFELTER CENTER, LTD.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Creative Care Inc | Direct ownership interest | Organization | 05/03/2013 | |
| Collins, Jessica | Direct ownership interest | Individual | 02/28/2017 | |
| Collins, Jillian | Direct ownership interest | Individual | 02/28/2017 | |
| Collins, Joshua | Direct ownership interest | Individual | 02/28/2017 | |
| Lingenfelter, Fred | Direct ownership interest | Individual | 01/01/2014 | |
| Overson, Sara | Direct ownership interest | Individual | 01/01/2014 | |
| Terry, Sandra | Direct ownership interest | Individual | 01/01/2014 | |
| Napier, Pierre | Managing control - governing body | Individual | 04/01/2022 | |
| Ott, Kristen | Managing control - governing body | Individual | 08/16/2021 | |
| Collins, Jessica | Corporate director | Individual | 02/28/2017 | |
| Napier, Pierre | Corporate officer | Individual | 04/01/2022 | |
| Ott, Kristen | Corporate officer | Individual | 08/16/2021 | |
| Creative Care Inc | Operational/managerial control | Organization | 01/15/2005 | |
| Ernest L Harman Md Zia Way LLC | Operational/managerial control | Organization | 01/01/2008 | |
| Cobanovich, Stephanie | Operational/managerial control | Individual | 06/16/2020 | |
| Collins, Jessica | Operational/managerial control | Individual | 02/20/2017 | |
| Harman, Ernest | Operational/managerial control | Individual | 01/01/2008 | |
| Napier, Pierre | Operational/managerial control | Individual | 04/01/2022 | |
| Ott, Kristen | Operational/managerial control | Individual | 08/16/2021 | |
| Creative Care Inc | Adp of the SNF | Organization | 02/14/2025 | |
| Ernest L Harman Md Zia Way LLC | Adp of the SNF | Organization | 02/28/2025 | |
| Cobanovich, Stephanie | Adp of the SNF | Individual | 06/16/2020 | |
| Collins, Jessica | Adp of the SNF | Individual | 02/28/2017 | |
| Collins, Jillian | Adp of the SNF | Individual | 02/28/2017 | |
| Collins, Joshua | Adp of the SNF | Individual | 02/28/2017 | |
| Harman, Ernest | Adp of the SNF | Individual | 01/01/2008 | |
| Lingenfelter, Fred | Adp of the SNF | Individual | 01/01/2014 | |
| Napier, Pierre | Adp of the SNF | Individual | 04/01/2022 | |
| Ott, Kristen | Adp of the SNF | Individual | 08/16/2021 | |
| Overson, Sara | Adp of the SNF | Individual | 01/01/2014 | |
| Terry, Sandra | Adp of the SNF | Individual | 01/01/2014 |
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 6 problems in this area, most recently on April 8, 2026: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- 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 July 9, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on June 6, 2024: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on July 9, 2026: "Keep residents' personal and medical records private and confidential."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.40 hours per resident per day, below the Arizona average of 3.51.
Other nursing homes nearby
- The Gardens Rehab & Care Center Kingman, 0 mi · 3 of 5 stars · 8 citations
- Desert Highlands Care Center Kingman, 0.1 mi · 3 of 5 stars · 27 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 The Lingenfelter Center's Medicare star rating?
- CMS rates The Lingenfelter Center 2 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did The Lingenfelter Center get at its last inspection?
- 3 health deficiencies at the standard inspection on July 9, 2026. The Arizona average is 6.4.
- Has The Lingenfelter Center been fined?
- CMS lists no fines in the last three years.
- Does The Lingenfelter 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 The Lingenfelter Center?
- CMS lists 31 owners and managers. Legal business name: THE LINGENFELTER CENTER, LTD.
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.