Estrella Health and Rehabilitation Center — nursing home in Avondale, AZ

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 161 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 147.4 CMS, MDS-derived
CMS Certification Number: 035166
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jul 26, 1988
Ownership type: For profit - Corporation
Operator (legal business name): Coldwater Springs Healthcare, Inc
CMS chain: The Ensign Group 347 facilities
Phone: (623) 932-2282
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Apr 10, 2026

Citations

19

13 health · 6 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D13	E6	F·
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 035166
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 161
First approved: Jul 26, 1988
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Arizona.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Apr 10, 2026	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Apr 10, 2026	Health	Health Complaint, Health Standard	7	Potential harm	—	Open →
Mar 29, 2024	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Mar 29, 2024	Health	Health Standard	1	Potential harm	—	Open →
Dec 9, 2022	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Dec 9, 2022	Health	Health Standard	5	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D13	E6	F·
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Apr 10, 2026	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 24, 2026
Apr 10, 2026	F-0583	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 4, 2026
Apr 10, 2026	F-0679	Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected May 4, 2026
Apr 10, 2026	F-0757	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected May 4, 2026	Complaint
Apr 10, 2026	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected May 4, 2026
Apr 10, 2026	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected May 4, 2026
Apr 10, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected May 4, 2026
Apr 10, 2026	F-0926	Have policies on smoking. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 4, 2026
Mar 29, 2024	K-0133	Install a two-hour-resistant firewall separation. Construction Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 8, 2024
Mar 29, 2024	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 8, 2024
Mar 29, 2024	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 8, 2024
Mar 29, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected May 8, 2024
Dec 9, 2022	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 23, 2023
Dec 9, 2022	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 23, 2023
Dec 9, 2022	F-0578	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 20, 2023
Dec 9, 2022	F-0583	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 20, 2023
Dec 9, 2022	F-0622	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 20, 2023
Dec 9, 2022	F-0655	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 20, 2023
Dec 9, 2022	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 20, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.4

Health inspectionsstate 2.8

Staffingstate 3

Quality measuresstate 4.5

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.49

State avg 4.08US avg 3.90

Registered nurse (RN)0.41

State avg 0.74US avg 0.69

Licensed practical nurse0.96

State avg 1.04US avg 0.86

Nurse aide2.12

State avg 2.30US avg 2.35

Weekend total nurse3.11

State avg 3.59US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.67 (case-mix index 1.33).

Staff turnover

Total nursing staff turnover40.6%

State avg 44.8%US avg 45.3%

Registered nurse turnover43.8%

State avg 44.2%US avg 42.5%

Administrators who left0

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Apr 10, 2026
Cycle 1 health score: 36
Total weighted score: 28

Operating entity

Coldwater Springs Healthcare, Inc

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

The Ensign Group

347 facilities in 17 states. CMS chain ID 507.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.3

Ownership disclosures

Disclosures

15

Organizations

3

Individuals

12

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Barry Port	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Jun 23, 2025
Matthew Moser	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Feb 1, 2026
William Nassour	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jan 1, 2022
Matthew Moser	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 1, 2026
William Nassour	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2022
Soon Burnam	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Nov 5, 2021
Chad Keetch	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Mar 1, 2011
Chandler Monks	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Mar 1, 2024
Forrest Peterson	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Nov 5, 2021
Ami Sato	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Sep 9, 2024
Ensign Services Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Nov 5, 2021
National Health Investors, Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 30, 2021
Texas Nhi Investors, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 30, 2021
Matthew Moser	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2026
William Nassour	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 23, 2025

Same chain in Arizona

All 346 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Santa Rosa Care Center 1650 North Santa Rosa Avenue, Tucson, AZ 85712 CCN 035004Abuse icon	144	Feb 20, 2026	49	—
Desert Terrace Healthcare Center 2509 North 24th Street, Phoenix, AZ 85008 CCN 035014Abuse icon	108	Jun 25, 2026	29	—
Pueblo Springs Rehabilitation Center 5545 East Lee Street, Tucson, AZ 85712 CCN 035068	129	Aug 24, 2026	262 open	—
Casas Adobes Post Acute Rehab Center 1919 West Medical Street, Tucson, AZ 85704 CCN 035070Abuse icon	230	May 22, 2026	251 open	—
Mission Palms Post Acute 6461 East Baywood Avenue, Mesa, AZ 85206 CCN 035071	160	Aug 20, 2026	24	—
Phoenix Mountain Post Acute 13232 North Tatum Blvd, Phoenix, AZ 85032 CCN 035072	130	Nov 19, 2025	311 harm	$8,018
Osborn Health and Rehabilitation 3333 North Civic Center Plaza, Scottsdale, AZ 85251 CCN 035076	130	Jan 16, 2026	10	—
Heritage Court Post Acute of Scottsdale 3339 North Drinkwater Boulevard, Scottsdale, AZ 85251 CCN 035083Abuse icon	108	Jun 5, 2026	22	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 350 East La Canada, Avondale, AZ 85323
ZIP: 85323
County: Maricopa County FIPS 04013
State: Arizona
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Palm Valley Post Acute 13575 West Mcdowell Road, Goodyear, AZ 85395 CCN 035255SFF Candidate	2 km	180	Jan 29, 2026	653 IJ3 harm24 open	$83k
Sun Health La Loma Care Center 14260 South Denny Boulevard, Litchfield Park, AZ 85340 CCN 035264	7.3 km	43	Oct 28, 2025	171 harm	$8,278
Northpark Health and Rehabilitation of Cascadia 2020 North 95th Avenue, Phoenix, AZ 85037 CCN 035299	8.7 km	54	Feb 11, 2026	101 harm	$13k
Diamondback Healthcare Center 3000 N 91st Avenue, Phoenix, AZ 85037 CCN 035302	9.2 km	94	Feb 6, 2026	18	$5,073
Az - Rio Vista Post Acute and Rehabilitation 10323 West Olive Avenue, Peoria, AZ 85345 CCN 035183	14.8 km	150	Jul 16, 2026	161 harm	—
Immanuel Campus of Care 11301 North 99th Avenue, Peoria, AZ 85345 CCN 035250Abuse icon	15.9 km	228	May 22, 2026	432 harm	$19k
Sunview Respiratory and Rehabilitation 12207 North 113th Avenue, Youngtown, AZ 85363 CCN 035245SFF CandidateAbuse icon	17.2 km	127	May 8, 2026	222 IJ	$63k
Agave Grove Post Acute 8641 North 67th Ave, Glendale, AZ 85302 CCN 035154	18.9 km	225	Jun 24, 2026	43	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	035166	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	035166	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 035166

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction