Desert Terrace Healthcare Center
2509 North 24th Street · Phoenix, AZ · 85008 · 6022731347
108 certified beds For profit - Corporation Chain: The Ensign Group
Why this verdict
- Carries CMS’s abuse warning icon.
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Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
Cited under the freedom-from-abuse rule
Cited 3 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.42 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.51 | 0.55–0.75 |
| Weekend hours / resident-day | 3.02 | ≈ weekday level |
| Nursing turnover / year | 50% | median 45% |
| Fines (3-yr window) | 1 · $1,300 |
Inspection citations (23 in the current record)
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Potential for harm · D April 9, 2026 · found via complaint
Employ staff that are licensed, certified, or registered in accordance with state laws.
Corrected May 5, 2026 · Administration
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Potential for harm · D January 22, 2026 · found via complaint
Honor the resident's right to manage his or her financial affairs.
Corrected March 8, 2026 · Resident Rights
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Potential for harm · D January 22, 2026 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected March 8, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 22, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 8, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 22, 2026 · found via complaint
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.
Corrected March 8, 2026 · Pharmacy Service
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Potential for harm · D December 3, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 5, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 26, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 10, 2025 · Quality of Life and Care
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Potential for harm · D January 24, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 10, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 24, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 3, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 16, 2024 · Quality of Life and Care
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Potential for harm · E January 16, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 6, 2024 · Pharmacy Service
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Potential for harm · D October 20, 2023
Ensure the activities program is directed by a qualified professional.
Corrected November 27, 2023 · Quality of Life and Care
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Potential for harm · D September 9, 2022
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected October 24, 2022 · Resident Rights
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Potential for harm · D September 9, 2022
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected October 24, 2022 · Resident Rights
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Potential for harm · D September 9, 2022
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 24, 2022 · Resident Assessment and Care Planning
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Potential for harm · E September 9, 2022
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected October 24, 2022 · Quality of Life and Care
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Potential for harm · E September 9, 2022
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 24, 2022 · Quality of Life and Care
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Potential for harm · E September 9, 2022
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 24, 2022 · Quality of Life and Care
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Potential for harm · D September 9, 2022
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected October 24, 2022 · Quality of Life and Care
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Potential for harm · D September 9, 2022
Provide safe and appropriate respiratory care for a resident when needed.
Corrected October 24, 2022 · Quality of Life and Care
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Potential for harm · E September 9, 2022
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected October 24, 2022 · Pharmacy Service
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Potential for harm · E September 9, 2022
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected October 24, 2022 · Pharmacy Service
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No harm found · B September 9, 2022
Post nurse staffing information every day.
Corrected October 24, 2022 · Nursing and Physician Services
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 21, 2025 | Fine | $1,300 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 035014 · certified since August 1, 1972. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.