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Wellsprings of Gilbert

3319 South Mercy Road, Gilbert, AZ 85297 · Maricopa County · (480) 729-6500

32 certified beds, about 30 residents a day · For profit - Corporation · Medicare since 2012

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 035285 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on October 2, 2024, inspectors cited 0 health deficiencies (the Arizona average is 6.4, the national average 9.2).

None of its 4 health citations since June 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 4.07 hours per resident per day, against 3.98 across Arizona and 3.86 nationally. Registered nurses accounted for 1.05 of those hours.

48.6% 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 4 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
1D
3E
0F
Potential for minimal harm
0A
0B
0C
October 2, 2024Standard inspection · 0 citations
August 11, 2023Standard inspection · 4 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) August 14, 2023
  2. E
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 14, 2023
    Inspectors wroteBased on clinical record review, staff interviews, and review of policy, the facility failed to ensure a physician order for indwelling catheter use was obtained for two residents (#2 and #1) and for external female catheter use for one resident (#20). The deficient practice could increase the risk of complications including infections related to catheter use.
  3. E
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
    F887 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 14, 2023
    Inspectors wroteBased on observation, clinical record review, staff interviews, and the Centers for Medicare and Medicaid Services (CMS) regulation, the facility failed to ensure that four residents (#12, #16, #125, #227) were offered and received education on the risks and benefits associated with the COVID-19 vaccine.
  4. D
    Ensure that residents are fully informed and understand their health status, care and treatments.
    F552 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 14, 2023
    Inspectors wroteBased on clinical record review, staff interviews, and the facility's policy, the facility failed to ensure one resident (#126) was informed of the risks and benefits of a psychotropic medication prior to the administration of the medication. The deficient practice could result in not being informed and not able to exercise the right to choose the preferred option.
June 22, 2022Standard inspection · 0 citations

Fire safety inspections

7 fire safety citations on file: 2 on October 2, 2024, 2 on August 11, 2023, 3 on June 22, 2022.

Every fire safety citation7 citations
  1. E
    Install an approved automatic sprinkler system.
    K 351 · October 2, 2024 · Corrected (the home has a date of correction)
  2. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · October 2, 2024 · Corrected (the home has a date of correction)
  3. E
    Conduct testing and exercise requirements.
    E 39 · August 11, 2023 · Corrected (the home has a date of correction)
  4. E
    Provide properly protected cooking facilities.
    K 324 · August 11, 2023 · Corrected (the home has a date of correction)
  5. D
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · June 22, 2022 · Corrected (the home has a date of correction)
  6. D
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · June 22, 2022 · Corrected (the home has a date of correction)
  7. D
    Have proper medical gas storage and administration areas.
    K 923 · June 22, 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)4.073.983.86
Registered nurses1.050.700.69
All nursing staff on weekends3.523.513.42
Nurse aides2.16
Licensed practical nurses0.86
Nursing staff turnover (share who left in a year)48.6%45.1%45.8%
Registered nurse turnover28.6%43.6%42.9%
Administrators who left0

CMS expects 4.33 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 4.29 on weekdays and 3.52 on weekends, 18% 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 4.46 in April to June 2025 to 4.07 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.071.054.293.52 0.0%1 of 9030
Oct to Dec 20254.221.134.453.65 0.0%1 of 9227
Jul to Sep 20254.211.104.463.55 0.0%2 of 9227
Apr to Jun 20254.461.244.813.56 0.0%1 of 9127
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
0.01.21.6
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
15.723.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
3.510.412.0

Owners and operators

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

NameRoleTypeShareSince
Bermeo, CezanneManaging control - governing bodyIndividual06/01/2024
Burnam, SoonManaging control - governing bodyIndividual06/01/2024
Petty, ScottManaging control - governing bodyIndividual02/01/2026
Peterson, ForrestCorporate directorIndividual04/10/2024
Burnam, SoonCorporate officerIndividual06/01/2024
Keetch, ChadCorporate officerIndividual03/01/2011
Bermeo, CezanneOperational/managerial controlIndividual06/01/2024
Petty, ScottOperational/managerial controlIndividual02/01/2026
Port, BarryIndividual is an owner, partner or trustee of any ADP of the SNFIndividual06/20/2025
Creed Health Holdings LLCAdp of the SNFOrganization06/01/2024
Ensign Services IncAdp of the SNFOrganization06/01/2024
Standard Bearer Healthcare Op, LPAdp of the SNFOrganization06/01/2024
The Ensign Group IncAdp of the SNFOrganization06/01/2024
Bermeo, CezanneAdp of the SNFIndividual06/01/2024
Petty, ScottAdp of the SNFIndividual02/01/2026

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 2 problems in this area, most recently on August 11, 2023: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on August 11, 2023: "Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status."
  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 August 11, 2023: "Ensure that residents are fully informed and understand their health status, care and treatments."

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 Wellsprings of Gilbert's Medicare star rating?
CMS rates Wellsprings of Gilbert 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Wellsprings of Gilbert get at its last inspection?
0 health deficiencies at the standard inspection on October 2, 2024. The Arizona average is 6.4.
Has Wellsprings of Gilbert been fined?
CMS lists no fines in the last three years.
Does Wellsprings of Gilbert accept Medicaid?
CMS lists it as "Medicare", so it is not certified for Medicaid.
Who owns Wellsprings of Gilbert?
CMS lists 15 owners and managers, and links the home to The Ensign Group. Legal business name: HARBOR MESA HEALTHCARE LLC.

Sources

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