Tucson, AZ

Casas Adobes Post Acute Rehab Center

3-star overall rating with 2-star inspections with abuse icon flag with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

1919 West Medical Street, Tucson, AZ

(520) 297-8311

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

230

Certified beds

Average residents

170

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

The Ensign Group

Operator or chain grouping

Approved since

1979-04-17

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

329 facilities

Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.45

Registered nurse staffing · state 0.72 · national 0.68

LPN hours / resident day

1.09

Licensed practical nurse staffing · state 1.04 · national 0.87

Aide hours / resident day

2.47

Nurse aide staffing · state 2.36 · national 2.35

Total nurse hours

4.01

All reported nurse hours · state 4.12 · national 3.89

Licensed hours

1.54

RN + LPN hours · state 1.76 · national 1.54

Weekend hours

3.62

Weekend nurse staffing · state 3.62 · national 3.43

Weekend RN hours

0.36

Weekend registered nurse coverage · state 0.51 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.50

CMS adjusted RN staffing hours

Adjusted total hours

4.50

CMS adjusted total nurse staffing hours

Case-mix index

1.22

Higher values indicate more complex resident acuity

RN turnover

64%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

54%

Annual nurse turnover · state 48% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,407

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

40.11

Composite VBP score used to determine payment impact.

Payment multiplier

0.9930

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

6.35

Baseline 21.58% · Performance 18.49% · Measure score 6.35 · Achievement 6.35 · Improvement 6.29

Healthcare-associated infections

3.31

Baseline 7.32% · Performance 6.85% · Measure score 3.31 · Achievement 3.31 · Improvement 1.54

Total nurse turnover

2.40

Baseline 62.99% · Performance 53.89% · Measure score 2.40 · Achievement 2.40 · Improvement 1.89

Adjusted total nurse staffing

3.99

Baseline 4.06 hours · Performance 4.21 hours · Measure score 3.99 · Achievement 3.99 · Improvement 0.40

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.54%	10.72% 1.8 pts worse	No Different than the National Rate · Eligible stays 204 · Observed rate 14.22% · Lower 95% interval 9.64%
Discharge to community	59.77%	50.57% 9.2 pts better	Better than the National Rate · Eligible stays 198 · Observed rate 52.02% · Lower 95% interval 53.36%
Medicare spending per beneficiary	0.9	1.02 0.1 pts better
Drug regimen review with follow-up	95.35%	95.27% 0.1 pts better	Numerator 123 · Denominator 129
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 129
Discharge self-care score	86.3%	53.69% 32.6 pts better	Numerator 63 · Denominator 73
Discharge mobility score	71.23%	50.94% 20.3 pts better	Numerator 52 · Denominator 73
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 129 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	6.85%	7.12% 0.3 pts better	No Different than the National Rate · Eligible stays 124 · Observed rate 6.45% · Lower 95% interval 4.34%
Staff COVID-19 vaccination coverage	1.43%	8.2% 6.8 pts worse	Numerator 3 · Denominator 210
Staff flu vaccination coverage	24.16%	42% 17.8 pts worse	Numerator 72 · Denominator 298
Discharge function score	84.93%	56.45% 28.5 pts better	Numerator 62 · Denominator 73
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 95 · Denominator 95
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	12.5%	25.2% 12.7 pts worse	Numerator 8 · Denominator 64

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.4%	97.1% 1.3 pts better	93.4% 5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.2% · Q2 99.1% · Q3 98.1% · Q4 98.1% · 4Q avg 98.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	99.2%	94.6% 4.6 pts better	95.5% 3.7 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 99.2%
Percentage of long-stay residents experiencing one or more falls with major injury	0.5%	2.1% 1.6 pts better	3.3% 2.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	4.2% 4.2 pts better	11.4% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	5.0%	5.3% 0.3 pts better	5.4% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 2.1% · Q3 7.3% · Q4 2.2% · 4Q avg 5.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	33.8%	20.5% 13.3 pts worse	19.6% 14.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 33.7% · Q2 32.0% · Q3 33.3% · Q4 36.3% · 4Q avg 33.8%
Percentage of long-stay residents who received an antipsychotic medication	38.7%	11.8% 26.9 pts worse	16.7% 22 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 39.7% · Q2 41.1% · Q3 36.2% · Q4 37.9% · 4Q avg 38.7% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.3% 0.3 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	10.7%	14.5% 3.8 pts better	16.3% 5.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 15.1% · Q3 9.3% · Q4 15.1% · 4Q avg 10.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	8.0%	10.8% 2.8 pts better	14.9% 6.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 8.0% · Q3 6.8% · Q4 8.2% · 4Q avg 8.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.2%	0.9% 0.7 pts better	1.0% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.8% · 4Q avg 0.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.7%	1.2% 0.5 pts better	1.7% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.9% · Q3 0.9% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	24.2%	20.5% 3.7 pts worse	19.8% 4.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.6% · Q2 25.8% · Q3 21.2% · Q4 22.0% · 4Q avg 24.2%
Percentage of long-stay residents with pressure ulcers	4.9%	4.8% 0.1 pts worse	5.1% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 5.9% · Q3 5.6% · Q4 5.1% · 4Q avg 4.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	97.1%	91.1% 6 pts better	81.7% 15.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 96.0% · Q2 96.0% · Q3 98.9% · Q4 97.2% · 4Q avg 97.1%
Percentage of short-stay residents who had an outpatient emergency department visit	14.3%	10.7% 3.6 pts worse	12.0% 2.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 14.3% · Observed 16.1% · Expected 12.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.0%	1.1% 0.9 pts worse	1.6% 0.4 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.4% · Q3 2.0% · Q4 3.0% · 4Q avg 2.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	90.2%	87.3% 2.9 pts better	79.7% 10.5 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 90.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	30.2%	24.6% 5.6 pts worse	23.9% 6.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 30.2% · Observed 32.3% · Expected 25.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-03-28 · Fire 2024-03-28

7 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

4 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2022-12-08 · Fire 2022-12-08

7 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2021-09-08 · Fire 2021-09-08

13 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-03-28

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-05-20

D · Potential for more than minimal harm 2024-03-28

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2024-04-04

D · Potential for more than minimal harm 2024-03-28

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2024-05-14

D · Potential for more than minimal harm 2024-03-28

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-05-14

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-06-21

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-03-24

D · Potential for more than minimal harm 2025-06-21

F755 · Pharmacy Service Deficiencies

Health

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

Corrected 2025-06-22

D · Potential for more than minimal harm 2024-06-14

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-04-13

E · Potential for more than minimal harm 2024-04-12

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-04-13

E · Potential for more than minimal harm 2024-03-28

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-03-29

D · Potential for more than minimal harm 2024-03-28

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-03-29

D · Potential for more than minimal harm 2024-03-28

F638 · Resident Assessment and Care Planning Deficiencies

Health

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2024-03-29

D · Potential for more than minimal harm 2024-03-28

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-03-29

D · Potential for more than minimal harm 2024-03-28

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2024-03-29

E · Potential for more than minimal harm 2024-02-14

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-02-15

D · Potential for more than minimal harm 2023-11-22

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-01-15

E · Potential for more than minimal harm 2022-12-08

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-01-29

E · Potential for more than minimal harm 2022-12-08

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2023-01-29

E · Potential for more than minimal harm 2022-12-08

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-01-29

D · Potential for more than minimal harm 2022-12-08

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2023-01-29

D · Potential for more than minimal harm 2022-12-08

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2023-01-29

E · Potential for more than minimal harm 2021-09-08

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2021-10-20

E · Potential for more than minimal harm 2021-09-08

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2021-10-20

E · Potential for more than minimal harm 2021-09-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2021-10-20

E · Potential for more than minimal harm 2021-09-08