Wellsprings of Gilbert — nursing home in Gilbert, AZ

Facility type: Skilled nursing facility · Medicare only
CMS provider type: Medicare
Certified beds: 32 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: 30.9 CMS, MDS-derived
CMS Certification Number: 035285
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Mar 8, 2012
Ownership type: For profit - Corporation
Operator (legal business name): Harbor Mesa Healthcare LLC
CMS chain: The Ensign Group 347 facilities
Phone: (480) 729-6500
Resident & family council: None
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest Oct 2, 2024

Citations

11

4 health · 7 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D4	E7	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: 035285
Program: Medicare
Medicare (SNF): Certified
Medicaid (NF): No
Certified beds: 32
First approved: Mar 8, 2012
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
Oct 2, 2024	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Oct 2, 2024	Health	Health Standard	0	No citations	—	Open →
Feb 12, 2024	Health	Infection Control	0	No citations	—	Open →
Aug 11, 2023	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Aug 11, 2023	Health	Health Standard	4	Potential harm	—	Open →
Jun 22, 2022	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Jun 22, 2022	Health	Health Standard	0	No citations	—	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	D4	E7	F·
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction
Oct 2, 2024	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Nov 14, 2024
Oct 2, 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 Oct 14, 2024
Aug 11, 2023	E-0039	Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness	E · Potential harm Pattern	Corrected Oct 6, 2023
Aug 11, 2023	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 6, 2023
Aug 11, 2023	F-0552	Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 14, 2023
Aug 11, 2023	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Aug 14, 2023
Aug 11, 2023	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Aug 14, 2023
Aug 11, 2023	F-0887	Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Aug 14, 2023
Jun 22, 2022	K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 8, 2022
Jun 22, 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 Jul 8, 2022
Jun 22, 2022	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 8, 2022

“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 QMNot rated

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 staffing4.22

State avg 4.08US avg 3.90

Registered nurse (RN)0.97

State avg 0.74US avg 0.69

Licensed practical nurse1.03

State avg 1.04US avg 0.86

Nurse aide2.22

State avg 2.30US avg 2.35

Weekend total nurse3.38

State avg 3.59US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.76 (case-mix index 1.57).

Staff turnover

Total nursing staff turnover30.3%

State avg 44.8%US avg 45.3%

Registered nurse turnover28.6%

State avg 44.2%US avg 42.5%

Administrators who left0

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Oct 2, 2024
Cycle 1 health score: 0
Total weighted score: 7
Infection-control citations: 0

Operating entity

Harbor Mesa Healthcare LLC

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

4

Individuals

11

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 20, 2025
Cezanne Bermeo	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jun 1, 2024
Soon Burnam	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jun 1, 2024
Scott Petty	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Feb 1, 2026
Cezanne Bermeo	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 1, 2024
Scott Petty	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 1, 2026
Forrest Peterson	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Apr 10, 2024
Soon Burnam	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jun 1, 2024
Chad Keetch	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Mar 1, 2011
Creed Health Holdings LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 1, 2024
Ensign Services Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 1, 2024
Standard Bearer Healthcare Op, LP	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 1, 2024
The Ensign Group Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 1, 2024
Cezanne Bermeo	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 1, 2024
Scott Petty	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2026

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: 3319 South Mercy Road, Gilbert, AZ 85297
ZIP: 85297
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
The Center at Val Vista, LLC 3744 South Rome Street, Gilbert, AZ 85297 CCN 035291	1.1 km	96	Jun 18, 2026	13	—
Sante of Mesa 5358 East Baseline Road, Mesa, AZ 85206 CCN 035280	10.1 km	70	Sep 4, 2025	13	—
Desert Cove Nursing Center 1750 West Frye Road, Chandler, AZ 85224 CCN 035095Abuse icon	11.2 km	120	Aug 21, 2026	511 open	—
Sante of Chandler 825 South 94th Street, Chandler, AZ 85224 CCN 035283	12.1 km	70	Feb 19, 2026	8	—
Archstone Care Center 1980 West Pecos Road, Chandler, AZ 85224 CCN 035130	12.1 km	120	Jan 16, 2026	23	—
Chandler Post Acute and Rehabilitation 2121 West Elgin Street, Chandler, AZ 85224 CCN 035101	12.1 km	120	Dec 12, 2025	261 harm	—
River Park Post Acute 2555 North Price Road, Chandler, AZ 85224 CCN 035251	14.2 km	66	Apr 11, 2025	241 harm	—
Friendship Village of Tempe 2525 East Southern Avenue, Tempe, AZ 85282 CCN 035074	16.5 km	128	May 1, 2026	30	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	035285	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	035285	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 035285

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