Lake Pleasant Post Acute Rehabilitation Center

Nursing Home · Peoria, AZ

CMS overall rating 4/5 For profit - Limited Liability company

CMS certification number035111

Contact & location

20625 North Lake Pleasant Road
Peoria, AZ 85382
Maricopa County
Phone
(623) 566-0642
ZIP code
85382 – all care providers

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Facility details

Certified beds
128
Residents per day
101.5 (79% occupied)
Ownership
For profit - Limited Liability company
Legal name
Lake Pleasant Healthcare INC.
Chain
The Ensign Group (342 facilities, avg 3.2★)
Medicare certified since
July 29, 1985
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 4/5
State avg 3.3
Health inspections★★★★★ 3/5
State avg 2.8
Staffing★★★★★ 2/5
State avg 2.9
Quality measures★★★★★ 5/5
State avg 4.5
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 5/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.32 (state 3.97 · U.S. 3.86)
Registered nurses (RN)
0.59 (state 0.70 · U.S. 0.69)
Licensed practical nurses
0.95 (state 1.04 · U.S. 0.86)
Nurse aides
1.78 (state 2.23 · U.S. 2.32)
Weekend total
2.92 (state 3.50 · U.S. 3.42)
Nursing staff turnover
50.0 (state 45.1 · U.S. 45.8)%
RN turnover
61.1 (state 43.6 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
February 26, 2026
Health deficiencies (last cycle)
5.0 (state 6.4 · U.S. 9.3)
From complaints
1
Citations on record (3 years)
20 health · 6 fire safety
DateCitationSeverityStatus
2026-02-26 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-04-15
2026-02-26 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-04-15
2026-02-26 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-15
2026-02-26 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-15
2026-02-26 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-15
2024-05-10 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-06-24
2024-05-10 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-06-24
2024-05-10 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-24
2024-05-10 Provide appropriate care/assistance for a resident with a prosthesis.
F0696 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-24
2024-05-10 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-24
2024-01-17 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-03-01
2023-12-13 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-19
2023-12-13 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-19
2023-01-26 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-03-05
2023-01-26 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-03-05
2023-01-26 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
F0758 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-03-05
2023-01-26 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-03-05
2023-01-26 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-03-05
2023-01-26 Assist a resident in gaining access to vision and hearing services.
F0685 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-03-05
2023-01-26 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-03-05

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Ensign Services INC (organization)Administrator · NOT APPLICABLE
Hill, Sean (individual)Administrator · NOT APPLICABLE
Nagle, Craig (individual)Administrator · NOT APPLICABLE
Sun Grove Village Care Center, LLC (organization)Administrator · NOT APPLICABLE
Peterson, Forrest (individual)Corporate Director · NOT APPLICABLE
Burnam, Soon (individual)Corporate Officer · NOT APPLICABLE
Fischbeck, Courtney (individual)Corporate Officer · NOT APPLICABLE
Keetch, Chad (individual)Corporate Officer · NOT APPLICABLE
Sato, Ami (individual)Corporate Officer · NOT APPLICABLE
Port, Barry (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Hill, Sean (individual)Managing Control - Governing Body · NOT APPLICABLE
Nagle, Craig (individual)Managing Control - Governing Body · NOT APPLICABLE
Hill, Sean (individual)Operational/managerial Control · NOT APPLICABLE
Nagle, Craig (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Lake Pleasant Post Acute Rehabilitation Center?

Lake Pleasant Post Acute Rehabilitation Center has a 4-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.3-star average in Arizona.

How many beds does Lake Pleasant Post Acute Rehabilitation Center have?

It has 128 certified beds and cares for about 102 residents per day.

Has Lake Pleasant Post Acute Rehabilitation Center been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Lake Pleasant Post Acute Rehabilitation Center?

It is part of The Ensign Group and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Lake Pleasant Post Acute Rehabilitation Center?

(623) 566-0642. The facility is located at 20625 North Lake Pleasant Road, Peoria, AZ 85382.

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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.