PROVIDENCE PLACE AT GLENCROFT
8641 NORTH 67TH AVE
GLENDALE, AZ, 85302
6239399475
CCN: 035154
2
Overall2
Health4
Staffing4
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| WHITTAKER, FLYOD | CORPORATE DIRECTOR | NOT APPLICABLE |
| BYMARK, DYAN | CORPORATE DIRECTOR | NOT APPLICABLE |
| ECKSTEIN, CATHERINE | CORPORATE DIRECTOR | NOT APPLICABLE |
| GOULD, JOHN | CORPORATE DIRECTOR | NOT APPLICABLE |
| HOLLRAH, BRIAN | CORPORATE DIRECTOR | NOT APPLICABLE |
| IVERSON, ASHLEY | CORPORATE DIRECTOR | NOT APPLICABLE |
| KOCH, STEPHEN | CORPORATE DIRECTOR | NOT APPLICABLE |
| PATTERSON, PETER | CORPORATE DIRECTOR | NOT APPLICABLE |
| SMITH, JACQUELYN | CORPORATE DIRECTOR | NOT APPLICABLE |
| THORHAUER, JOHN | CORPORATE OFFICER | NOT APPLICABLE |
| MCCAMMOND, MICHAEL | CORPORATE OFFICER | NOT APPLICABLE |
| MCCLINTOCK, SCOTT | CORPORATE OFFICER | NOT APPLICABLE |
| SANOH, BENDU | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Health Deficiencies (22)
2025-05-09 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F645 · Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
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.
2025-02-20 · Health
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
2024-11-01 · Health
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-08-27 · 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.
2023-05-19 · Health
D
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
2023-05-12 · Health
D
F943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
D
F942 · Resident Rights Deficiencies
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
D
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.
D
F756 · Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
F732 · Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
E
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
D
F645 · Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
2023-04-14 · Health
G
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.
2022-04-08 · Health
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
F567 · Resident Rights Deficiencies
Honor the resident's right to manage his or her financial affairs.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
4.26
RN Hrs/Resident/Day0.54
0.69
LPN Hrs/Resident/Day0.81
1.09
CNA Hrs/Resident/Day2.33
2.48
PT Hrs/Resident/Day0.12
0.03
Data as of 2026-03-01