Public Record
Estrella Health And Rehabilitation Center
From CMS
Facility profile
- CMS overall rating
- 5 / 5
- Certified beds
- 161
- Avg. residents per day
- 148.5
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Citations on record
- 19
- Inspections on file
- 7
- Last inspection
- 2024-03-29
*CMS
*CMS
*CMS
Citations
19 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0363Generalpotential for harm
Install corridor and hallway doors that block smoke.
- 0372Generalpotential for harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0133Generalpotential for harm
Install a two-hour-resistant firewall separation.
- 0658Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
- 0583Generalpotential for harm
Keep residents' personal and medical records private and confidential.
- 0578Generalpotential for harm
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.
- 0622Generalpotential for harm
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.
- 0655Generalpotential for harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- 0321Generalpotential for harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0521Generalpotential for harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- 0918Generalpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0732Generalno actual harm
Post nurse staffing information every day.
- 0770Generalpotential for harm
Provide timely, quality laboratory services/tests to meet the needs of residents.
- 0804Generalpotential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- 0200Generalpotential for harm
Meet other general requirements.
- 0355Generalpotential for harm
Properly select, install, inspect, or maintain portable fire extinguishes.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspection4 deficiencies
- View inspection reportInspection4 deficiencies
- View inspection reportInspection1 deficiency
- View inspection reportInspection7 deficiencies
- View inspection reportInspection7 deficiencies
- View inspection reportInspection7 deficiencies
- View inspection reportInspection7 deficiencies
FAQ
Questions and answers
- What is Estrella Health And Rehabilitation Center?
- Estrella Health And Rehabilitation Center is a Medicare- and Medicaid-certified nursing home in Avondale, AZ, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 035166.
- What is the CMS rating for Estrella Health And Rehabilitation Center?
- Estrella Health And Rehabilitation Center has a CMS overall rating of 5 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Estrella Health And Rehabilitation Center have?
- Estrella Health And Rehabilitation Center is certified for 161 beds. It serves an average of 148.5 residents per day.
- How many citations does Estrella Health And Rehabilitation Center have?
- Estrella Health And Rehabilitation Center has 19 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Estrella Health And Rehabilitation Center last inspected?
- Estrella Health And Rehabilitation Center was last inspected on March 29, 2024. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
/nursing-home/035166-estrella-health-and-rehabilitation-center