MI CASA NURSING CENTER

330 SOUTH PINNULE CIRCLE
MESA, AZ, 85206
4809810687
CCN: 035120
3
Overall
2
Health
4
Staffing
5
Quality
ChainLIFE CARE CENTERS OF AMERICA
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
LIFE CARE AFFILIATES II5% OR GREATER DIRECT OWNERSHIP INTEREST99%
PRESTON, FORREST5% OR GREATER INDIRECT OWNERSHIP INTEREST99%
THURMOND, JOANCORPORATE OFFICERNOT APPLICABLE
CROSS, CINDYCORPORATE OFFICERNOT APPLICABLE
HENRY, TERRYCORPORATE OFFICERNOT APPLICABLE
LAY, LISACORPORATE OFFICERNOT APPLICABLE
SWANKER, RICHARDCORPORATE OFFICERNOT APPLICABLE
LIFE CARE AFFILIATES IIGENERAL PARTNERSHIP INTERESTNOT APPLICABLE
PRESTON, FORRESTLIMITED PARTNERSHIP INTERESTNOT APPLICABLE
FLETCHER, TODDOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
JEAN-BAPTISTE, RONALDOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MAJERCIN, DONNAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
NANDIPATI, HARISHOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
PRESTON, AUBREYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ZIEGLER, JAMESOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
DEVELOPERS INVESTMENT COMPANY INCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
LIFE CARE AFFILIATES IIOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MESA UNITED MEDICAL INVESTORS LIMITED PARTNERSHIPOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
LIFE CARE CENTERS OF AMERICA, INC.OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BUTNER, NANCYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Penalties (1)
DateTypeAmount
2023-06-08Fine$7K
Health Deficiencies (23)
2026-01-09 · Health
D
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2025-09-05 · Health
D
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
2025-04-04 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F825 · Quality of Life and Care Deficiencies
Provide or get specialized rehabilitative services as required for a resident.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
F578 · Resident Rights Deficiencies
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.
D
F561 · Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
2025-01-30 · Health
E
F725 · Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
2025-01-03 · Health
E
F725 · Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2024-06-05 · Health
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2023-06-08 · Health
D
F761 · Pharmacy Service Deficiencies
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.
2022-04-20 · Health
D
F758 · Pharmacy Service Deficiencies
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.
E
F757 · Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
E
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
E
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F655 · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
F645 · Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
D
F635 · Resident Assessment and Care Planning Deficiencies
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.82
3.68
RN Hrs/Resident/Day
0.69
0.54
LPN Hrs/Resident/Day
0.96
0.81
CNA Hrs/Resident/Day
2.16
2.33
PT Hrs/Resident/Day
0.09
0.12
Data as of 2026-03-01