Skilled nursing facility · CMS certification number 035263
ARCHIE HENDRICKS SENIOR SKILLED NURSING FACILITY
SELLS, Arizona · Medicare and Medicaid
Certified beds, as filed in Care Compare: 60
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for October 1, 2023 to September 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 7, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,784,107 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $4,784,107 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,396,140 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$13,612,033 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,218,896 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$6,393,137 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$6,393,137 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 21,900 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,302 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 8,312 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 4,747 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 14,361 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 38 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 23 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 26 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 87 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.26 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 361.39 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 165.07 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1421233, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended September 30, 2023
Cost report for October 1, 2022 to September 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 12, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,481,076 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $3,481,076 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,793,367 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$10,312,291 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,910,289 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,402,002 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,488,168 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,414 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 46 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 376.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 269.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1382810, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended September 30, 2022
Cost report for October 1, 2021 to September 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 26, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,325,065 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $3,325,065 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,195,201 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$9,870,136 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,170,414 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,699,722 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,352,439 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,828 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 22 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 946.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 583.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1354276, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended September 30, 2021
Cost report for October 1, 2020 to September 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 22, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,694,330 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $2,694,330 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,230,343 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$9,536,013 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,634,062 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,901,951 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,901,951 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,401 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 43 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 373.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 288.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1326856, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended September 30, 2020
Cost report for October 1, 2019 to September 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 15, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,200,905 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $111,372 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,089,533 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,330,581 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$8,241,048 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,099,549 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$7,141,499 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$7,295,113 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,878 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 16.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 365.58 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 186.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1288496, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended September 30, 2019
Cost report for October 1, 2018 to September 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 21, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,664,551 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $411,649 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,252,902 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,693,669 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$7,440,767 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $925,550 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$6,515,217 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$6,646,428 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,056 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 383.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 198.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1271799, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended September 30, 2018
Cost report for October 1, 2017 to September 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 17, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,694,217 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $643,955 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,050,262 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,109,096 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$7,058,834 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,058,643 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$6,000,191 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$6,211,875 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,644 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 101 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.9 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 255.98 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 184.59 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1222457, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended September 30, 2017
Cost report for October 1, 2016 to September 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 2, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,646,084 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $737,662 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,908,422 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,873,444 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$6,965,022 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $941,589 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$6,023,433 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$6,059,568 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,282 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 109 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 277.46 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 176.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1188497, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended September 30, 2016
Cost report for October 1, 2015 to September 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 23, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,666,472 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $623,669 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,042,803 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,937,824 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$6,895,021 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $837,895 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$6,057,126 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$6,062,061 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,411 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 106 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.65 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 256.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 192.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1157831, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended September 30, 2015
Cost report for October 1, 2014 to September 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 24, 2016.
None of these figures is carried on this report.
CMS report record 1121223, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended September 30, 2014
Cost report for October 1, 2013 to September 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 23, 2015.
None of these figures is carried on this report.
CMS report record 1087544, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended September 30, 2013
Cost report for October 1, 2012 to September 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 7, 2014.
None of these figures is carried on this report.
CMS report record 1062750, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended September 30, 2012
Cost report for October 1, 2011 to September 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 26, 2013.
None of these figures is carried on this report.
CMS report record 1028081, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended September 30, 2011
Cost report for October 1, 2010 to September 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 24, 2012.
None of these figures is carried on this report.
CMS report record 428142, read from the public cost report file SNFFY2011.zip.
Fiscal year 2010, ended September 30, 2010
Cost report for October 1, 2009 to September 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 13, 2011.
None of these figures is carried on this report.
CMS report record 399390, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended September 30, 2009
Cost report for October 1, 2008 to September 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 14, 2010.
None of these figures is carried on this report.
CMS report record 367484, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended September 30, 2008
Cost report for October 10, 2007 to September 30, 2008 — a reporting period of 356 days, on form CMS-2540-96, settled, processed by CMS on May 18, 2009.
None of these figures is carried on this report.
CMS report record 339499, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended September 30, 2007
Cost report for October 1, 2006 to September 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on April 30, 2008.
None of these figures is carried on this report.
CMS report record 307888, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended September 30, 2006
Cost report for October 1, 2005 to September 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 23, 2008.
None of these figures is carried on this report.
CMS report record 309871, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended September 30, 2005
Cost report for September 15, 2004 to September 30, 2005 — a reporting period of 380 days, on form CMS-2540-96, settled, processed by CMS on April 28, 2006.
None of these figures is carried on this report.
CMS report record 248205, read from the public cost report file SNFFY2004.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| CASILLAS, JUANA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/01/2014 |
| LOPEZ, CHERYL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/18/2013 |
| STOUT, FRANCES | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 02/16/2006 |
| ABAD, ROSIE | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 04/02/2018 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of ARCHIE HENDRICKS SR SKILLED NURSING FACILITY (enrollment ID O20040714001640).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| CHERYL M LOPEZ | Individual | CORPORATE DIRECTOR | Not stated in the filing | 3/18/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FRANCES H STOUT | Individual | CORPORATE DIRECTOR | Not stated in the filing | 2/16/2006 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JUANA T CASILLAS | Individual | CORPORATE DIRECTOR | Not stated in the filing | 6/1/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES CHASTON | Individual | OTHER | 0 | 8/1/2003 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROSIE ABAD | Individual | W-2 MANAGING EMPLOYEE | 100 | 4/2/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
No change in ownership appears in the CMS files on record since September 20, 2022.
Recent changes on this record
- May 7, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- June 12, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- June 26, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- July 22, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- July 15, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- October 21, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- April 17, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- May 2, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- May 23, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- March 24, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- March 23, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- June 7, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- April 26, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- April 24, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
- May 13, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- April 14, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- May 18, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- May 23, 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- April 30, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- April 28, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | July 25, 2025 | July 25, 2025 | 3 | 3 |
| 2 | September 27, 2024 | September 27, 2024 | 9 | 8 |
| 3 | September 14, 2023 | September 14, 2023 | 15 | 6 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
27 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 25, 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | August 23, 2025 |
| July 25, 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | August 23, 2025 |
| July 25, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | August 23, 2025 |
| September 27, 2024 | Health | F 0578 | 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 | No | Deficient, Provider has date of correction | October 25, 2024 |
| September 27, 2024 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | No | Deficient, Provider has date of correction | October 25, 2024 |
| September 27, 2024 | Health | F 0625 | Resident Rights Deficiencies | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | No | Deficient, Provider has date of correction | October 25, 2024 |
| September 27, 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | October 25, 2024 |
| September 27, 2024 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | October 25, 2024 |
| September 27, 2024 | Health | F 0758 | 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. | D | No | Deficient, Provider has date of correction | October 25, 2024 |
| September 27, 2024 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | October 25, 2024 |
| September 27, 2024 | Health | F 0801 | Nutrition and Dietary Deficiencies | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | No | Deficient, Provider has date of correction | October 25, 2024 |
| September 27, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | October 25, 2024 |
| September 14, 2023 | Health | F 0578 | 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 | No | Deficient, Provider has date of correction | October 10, 2023 |
| September 14, 2023 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | October 10, 2023 |
| September 14, 2023 | Health | F 0622 | Resident Rights Deficiencies | 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. | D | No | Deficient, Provider has date of correction | October 10, 2023 |
| September 14, 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | October 10, 2023 |
| September 14, 2023 | Health | F 0657 | 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. | D | No | Deficient, Provider has date of correction | October 10, 2023 |
| September 14, 2023 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | October 10, 2023 |
| September 14, 2023 | Health | F 0689 | 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 | No | Deficient, Provider has date of correction | October 10, 2023 |
| September 14, 2023 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | E | No | Deficient, Provider has date of correction | October 10, 2023 |
| September 14, 2023 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | D | No | Deficient, Provider has date of correction | October 10, 2023 |
| September 14, 2023 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | No | Deficient, Provider has date of correction | October 10, 2023 |
| September 14, 2023 | Health | F 0699 | Quality of Life and Care Deficiencies | Provide care or services that was trauma informed and/or culturally competent. | D | No | Deficient, Provider has date of correction | October 10, 2023 |
| September 14, 2023 | Health | F 0756 | 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 | No | Deficient, Provider has date of correction | October 10, 2023 |
| September 14, 2023 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | October 10, 2023 |
| September 14, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | October 10, 2023 |
| September 14, 2023 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | No | Deficient, Provider has date of correction | October 10, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | ARCHIE HENDRICKS SR SKILLED NURSING FACILITY |
| Date First Approved to Provide Medicare and Medicaid Services | 2004-09-15 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Pima |
| Telephone Number | 5205855500 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 60 |
| Average Number of Residents per Day | 50.7 |
| Overall Rating | 3 |
| Health Inspection Rating | 3 |
| QM Rating | 4 |
| Long-Stay QM Rating | 3 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
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The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On May 7, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for ARCHIE HENDRICKS SENIOR SKILLED NURSING FACILITY
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Arizona at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 035263.