Horizon Post Acute and Rehabilitation Center
4704 West Diana Avenue · Glendale, AZ · 85302 · 6232473949
196 certified beds For profit - Corporation Chain: The Ensign Group
Why this verdict
- Carries CMS’s abuse warning icon.
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.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
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: 3 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.65 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.46 | 0.55–0.75 |
| Weekend hours / resident-day | 3.28 | ≈ weekday level |
| Nursing turnover / year | 47% | median 45% |
| Fines (3-yr window) | 1 · $10,985 |
Inspection citations (18 in the current record)
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Potential for harm · D February 26, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 3, 2026 · Resident Rights
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Actual harm · G October 31, 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 November 26, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 23, 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 August 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 23, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected August 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 23, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 4, 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 June 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 16, 2025
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.
Corrected June 30, 2025 · Resident Rights
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Potential for harm · D May 16, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected June 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · E May 16, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected June 30, 2025 · Pharmacy Service
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Potential for harm · D May 16, 2025
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 June 30, 2025 · Pharmacy Service
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Potential for harm · E May 16, 2025
Provide and implement an infection prevention and control program.
Corrected June 30, 2025 · Infection Control
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Potential for harm · D April 1, 2022
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected April 1, 2022 · Resident Rights
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Potential for harm · D April 1, 2022
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected May 20, 2022 · Resident Rights
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Potential for harm · D April 1, 2022
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 20, 2022 · Quality of Life and Care
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Potential for harm · D April 1, 2022
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 20, 2022 · Quality of Life and Care
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Potential for harm · D April 1, 2022
Ensure medication error rates are not 5 percent or greater.
Corrected May 20, 2022 · Pharmacy Service
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Potential for harm · D April 1, 2022
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected May 20, 2022 · Nutrition and Dietary
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Potential for harm · E April 1, 2022
Provide and implement an infection prevention and control program.
Corrected May 20, 2022 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 31, 2025 | Fine | $10,985 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 035159 · certified since April 6, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.