Federal inspection record · CMS data as of October 1, 2026
Casas Adobes Post Acute Rehab Center
1919 West Medical Street, Tucson, AZ · (520) 297-8311
- Cited for abuse (CMS abuse icon)
- Certified beds
- 230
- Residents per day
- 181
- Ownership
- For-Profit
- Chain
- The Ensign Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 17, 1979
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Arizona.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Arizona homes
Casas Adobes Post Acute Rehab Center carries 22 inspection points. That is fewer than 68% of Arizona's 139 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Arizona: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9.5 pts
- 4★ 9.5–23 pts
- 3★ 23–38 pts
- 2★ 38–59 pts
- 1★ over 59 pts
Bars show every rated home in Arizona by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
19 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Freedom from Abuse, Neglect, and Exploitation7E
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Quality of Life and Care5E
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- E
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Resident Assessment and Care Planning4E
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Assure that each resident’s assessment is updated at least once every 3 months.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Rights2D
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
Pharmacy Service1D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspection history
2026-05-22
3 health deficiencies · 2 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2024-03-28
7 health deficiencies · 4 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2022-12-08
9 health deficiencies · 0 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 1 min of nursing staff time a day, 22 min of it from a registered nurse.
This home
4 h 1 min
Arizona average
4 h 5 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 52% of nursing staff and 72% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.4 pts better | 99.2% | 96.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.5 pts better | 99.2% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.1 pts better | 0.2% | 2.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.5 pts better | 0.2% | 3.7% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.7 pts better | 3.7% | 5.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication11.4 pts worse | 32.8% | 21.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication31.4 pts worse | 42.0% | 10.6% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.6 pts worse | 16.3% | 11.7% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.8 pts better | 8.8% | 10.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.2% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.2 pts better | 0.0% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.7 pts worse | 25.0% | 20.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.6 pts worse | 4.9% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.5 pts better | 97.1% | 92.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.7 pts worse | 13.7% | 10.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts worse | 1.6% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine7.9 pts better | 95.8% | 87.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.4 pts better | 21.1% | 23.5% | 23.4% |
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Who owns and runs it
20 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bandera Healthcare LLC | Direct Ownership Interest · Organization | 0% | 7 facilities |
| Burnam, Soon | Operational/Managerial Control · Individual | 0% | 353 facilities |
| Eagar, Robert | Managing Control - Governing Body · Individual | 0% | 3 facilities |
| Eagar, Robert | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Eagar, Robert | Adp Of The SNF · Individual | 0% | 3 facilities |
| Ensign Services Inc | Adp Of The SNF · Organization | 0% | 299 facilities |
| Favorite Healthcare Staffing LLC | Operational/Managerial Control · Organization | 0% | 14 facilities |
| Frefer, Mosab | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Frefer, Mosab | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Frefer, Mosab | Adp Of The SNF · Individual | 0% | 1 facilities |
| Keetch, Chad | Operational/Managerial Control · Individual | 0% | 301 facilities |
| Montebella Health Holdings LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Nursa Inc | Operational/Managerial Control · Organization | 0% | 7 facilities |
| Onshift Inc | Operational/Managerial Control · Organization | 0% | 20 facilities |
| Peterson, Forrest | Operational/Managerial Control · Individual | 0% | 42 facilities |
| Port, Barry | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 203 facilities |
| Prestige Health Staffing LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Standard Bearer Healthcare Op, LP | Adp Of The SNF · Organization | 0% | 78 facilities |
| The Ensign Group Inc | Indirect Ownership Interest · Organization | 0% | 135 facilities |
| The Ensign Group Inc | Adp Of The SNF · Organization | 0% | 135 facilities |
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Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3E
- E
Install corridor and hallway doors that block smoke.
- D
Provide properly protected cooking facilities.
- D
Install corridor and hallway doors that block smoke.
Services1E
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Emergency Preparedness1D
- D
Conduct risk assessment and an All-Hazards approach.
Egress1D
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
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Other homes nearby
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Life Care Center of Tucson
Tucson, AZ · Life Care Centers Of America · Abuse icon
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 13 min
- Fines
- $14,380
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La Canada Care Center
Tucson, AZ · The Ensign Group
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 20 min
- Fines
- $8,278
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Mountain View Care Center
Tucson, AZ · The Ensign Group
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 2 h 34 min
- Fines
- $0