Sedona Trace Health And Wellness Center

Penalties

• Jun 14, 2024 — Fine ($11,168)

Inspection findings

1. May 12, 2026 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0551 Resident Rights Deficiencies

     Give the resident's representative the ability to exercise the resident's rights.

     Corrected May 13, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0627 Resident Rights Deficiencies

     Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

     Corrected May 13, 2026 · CMS health inspection

2. Jul 24, 2025 Health · 2 findings
   • Not serious Scope/severity D

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Jul 25, 2025 · CMS health inspection

   • Not serious Scope/severity F

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Oct 14, 2025 · CMS fire safety

3. Jun 16, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0644 Resident Assessment and Care Planning Deficiencies

     Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

     Corrected Jul 15, 2025 · CMS health inspection

4. Jun 24, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0626 Resident Rights Deficiencies

     Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

     Corrected Jul 16, 2024 · CMS health inspection

5. Jun 14, 2024 Health · 15 findings
   • Not serious Scope/severity D

     F0578 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.

     Corrected Jun 15, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0636 Resident Assessment and Care Planning Deficiencies

     Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

     Corrected Jul 11, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0645 Resident Assessment and Care Planning Deficiencies

     PASARR screening for Mental disorders or Intellectual Disabilities

     Corrected Jun 15, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Jun 15, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Jun 15, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Jul 9, 2024 · CMS health inspection

   • Serious Scope/severity J

     F0919 Environmental Deficiencies

     Make sure that a working call system is available in each resident's bathroom and bathing area.

     Corrected Jun 15, 2024 · CMS health inspection

   • Not serious Scope/severity D

     K0211 Egress Deficiencies

     Keep aisles, corridors, and exits free of obstruction in case of emergency.

     Corrected Feb 26, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Feb 21, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Feb 20, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Apr 1, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0355 Smoke Deficiencies

     Properly select, install, inspect, or maintain portable fire extinguishes.

     Corrected Feb 19, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected Feb 27, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Mar 10, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0922 Gas, Vacuum, and Electrical Systems Deficiencies

     Meet requirements for the use and maintenance of medical gas equipment.

     Corrected Apr 30, 2025 · CMS fire safety

6. May 11, 2023 Health · 4 findings
   • Not serious Scope/severity C

     F0577 Resident Rights Deficiencies

     Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

     Corrected Jun 2, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0584 Resident Rights Deficiencies

     Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

     Corrected Jun 2, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0806 Nutrition and Dietary Deficiencies

     Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

     Corrected Jun 2, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jun 2, 2023 · CMS health inspection

Owners and managers (as published by CMS)

• BURNAM, SOON — corporate officer, NOT APPLICABLE, since 08/01/2021
• GANN, KODY — corporate officer, NOT APPLICABLE, since 08/01/2021
• HURLEY, RACHAEL — adp of the snf, NOT APPLICABLE, since 08/01/2021
• HURLEY, RACHAEL — managing control - governing body, NOT APPLICABLE, since 08/01/2021
• HURLEY, RACHAEL — operational/managerial control, NOT APPLICABLE, since 08/01/2021
• KEETCH, CHAD — corporate officer, NOT APPLICABLE, since 03/01/2011
• RATHI, ANIL — operational/managerial control, NOT APPLICABLE, since 01/14/2024
• RATHI, ANIL — adp of the snf, NOT APPLICABLE, since 01/14/2024
• RATHI, ANIL — managing control - governing body, NOT APPLICABLE, since 01/14/2024
• CARETRUST GP LLC — adp of the snf, NOT APPLICABLE, since 08/01/2021
• CARETRUST REIT INC — adp of the snf, NOT APPLICABLE, since 08/01/2021
• CTR PARTNERSHIP LP — adp of the snf, NOT APPLICABLE, since 08/01/2021
• ENSIGN SERVICES INC — adp of the snf, NOT APPLICABLE, since 06/18/2021
• GUADALUPE COUNTY HOSPITAL BOARD — 5% or greater direct ownership interest, 100%, since 08/01/2021
• MUSTANG RIDGE HEALTHCARE, INC. — operational/managerial control, NOT APPLICABLE, since 08/01/2021
• MUSTANG RIDGE HEALTHCARE, INC. — adp of the snf, NOT APPLICABLE, since 09/30/2025