Tucson, AZ

Foothills Rehabilitation Center

3-star overall rating with 3-star inspections with 5 recent health deficiencies with 21 fire-safety deficiencies in the latest cycle

2250 North Craycroft Road, Tucson, AZ

(520) 733-8700

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

149

Certified beds

Average residents

120

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Atied Associates

Operator or chain grouping

Approved since

1976-08-18

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

13 facilities

Chain averages 3 overall / 3 health / 2 staffing / 3 quality stars

Changed ownership

No

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

0.80

Registered nurse staffing · state 0.72 · national 0.68

LPN hours / resident day

0.86

Licensed practical nurse staffing · state 1.04 · national 0.87

Aide hours / resident day

2.87

Nurse aide staffing · state 2.36 · national 2.35

Total nurse hours

4.52

All reported nurse hours · state 4.12 · national 3.89

Licensed hours

1.65

RN + LPN hours · state 1.76 · national 1.54

Weekend hours

4.17

Weekend nurse staffing · state 3.62 · national 3.43

Weekend RN hours

0.56

Weekend registered nurse coverage · state 0.51 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.64

CMS adjusted RN staffing hours

Adjusted total hours

3.61

CMS adjusted total nurse staffing hours

Case-mix index

1.71

Higher values indicate more complex resident acuity

RN turnover

11%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

28%

Annual nurse turnover · state 48% · national 46%

SNF VBP

Value-based purchasing

Program rank

3,772

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

Performance score

42.75

Composite VBP score used to determine payment impact.

Payment multiplier

0.9957

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

7.17

Baseline 31.15% · Performance 34.38% · Measure score 7.17 · Achievement 7.17 · Improvement 0

Adjusted total nurse staffing

1.38

Baseline 3.17 hours · Performance 3.47 hours · Measure score 1.38 · Achievement 1.38 · Improvement 0.66

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.18%
10.72%
0.5 pts worse
No Different than the National Rate · Eligible stays 33 · Observed rate 15.15% · Lower 95% interval 7.44%
Discharge to community 53.58%
50.57%
3 pts better
No Different than the National Rate · Eligible stays 35 · Observed rate 48.57% · Lower 95% interval 40.21%
Medicare spending per beneficiary 1.2
1.02
0.2 pts worse
Drug regimen review with follow-up 97.14%
95.27%
1.9 pts better
Numerator 34 · Denominator 35
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 35
Discharge self-care score 41.67%
53.69%
12 pts worse
Numerator 10 · Denominator 24
Discharge mobility score 41.67%
50.94%
9.3 pts worse
Numerator 10 · Denominator 24
Pressure ulcers or injuries, new or worsened 5.71%
2.29%
3.4 pts worse
Numerator 2 · Denominator 35 · Adjusted rate 5.3%
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 20 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 2.29%
8.2%
5.9 pts worse
Numerator 4 · Denominator 175
Staff flu vaccination coverage 6.01%
42%
36 pts worse
Numerator 11 · Denominator 183
Discharge function score 50%
56.45%
6.5 pts worse
Numerator 12 · Denominator 24
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.5%
97.1%
0.6 pts worse
93.4%
3.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 97.9% · Q2 95.7% · Q3 96.7% · Q4 95.9% · 4Q avg 96.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.2%
94.6%
1.6 pts better
95.5%
0.7 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.2%
Percentage of long-stay residents experiencing one or more falls with major injury 2.1%
2.1%
About the same
3.3%
1.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 2.2% · Q3 2.2% · Q4 3.1% · 4Q avg 2.1% · 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 6.6%
5.3%
1.3 pts worse
5.4%
1.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 7.9% · Q3 9.2% · Q4 5.3% · 4Q avg 6.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 15.7%
20.5%
4.8 pts better
19.6%
3.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 13.5% · Q3 13.8% · Q4 19.1% · 4Q avg 15.7%
Percentage of long-stay residents who received an antipsychotic medication 13.0%
11.8%
1.2 pts worse
16.7%
3.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 17.4% · Q2 14.8% · Q3 11.5% · Q4 9.1% · 4Q avg 13.0% · 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 9.1%
14.5%
5.4 pts better
16.3%
7.2 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 9.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 9.2%
10.8%
1.6 pts better
14.9%
5.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 14.1% · Q3 9.4% · Q4 3.2% · 4Q avg 9.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.9%
0.9%
2 pts worse
1.0%
1.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 3.1% · Q3 0.0% · Q4 3.0% · 4Q avg 2.9% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.0%
1.2%
1.2 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 5.2%
20.5%
15.3 pts better
19.8%
14.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 5.4% · Q3 6.8% · Q4 3.5% · 4Q avg 5.2%
Percentage of long-stay residents with pressure ulcers 4.4%
4.8%
0.4 pts better
5.1%
0.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 3.8% · Q3 4.0% · Q4 7.2% · 4Q avg 4.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 89.5%
91.1%
1.6 pts worse
81.7%
7.8 pts better
Short Stay · 2024Q4-2025Q3 · Q1 89.7% · Q2 89.5% · Q3 89.2% · Q4 89.7% · 4Q avg 89.5%
Percentage of short-stay residents who newly received an antipsychotic medication 1.5%
1.1%
0.4 pts worse
1.6%
0.1 pts better
Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.0% · Q3 1.2% · Q4 2.6% · 4Q avg 1.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 91.7%
87.3%
4.4 pts better
79.7%
12 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 91.7%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-07 · Fire 2025-03-07

5 health deficiencies

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

21 fire-safety deficiencies

Top issue: Emergency Preparedness (10 deficiencies)

Cycle 2 Health 2023-02-16 · Fire 2023-02-16

6 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2022-01-07 · Fire 2022-01-07

3 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

9 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-03-07

E18 · Emergency Preparedness Deficiencies

Fire Safety

Establish procedures for tracking staff and patients during an emergency.

Corrected 2025-04-22

E · Potential for more than minimal harm 2025-03-07

E22 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for sheltering.

Corrected 2025-04-22

E · Potential for more than minimal harm 2025-03-07

E23 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for medical documentation.

Corrected 2025-04-22

E · Potential for more than minimal harm 2025-03-07

E24 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for volunteers.

Corrected 2025-04-22

E · Potential for more than minimal harm 2025-03-07

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2025-04-22

E · Potential for more than minimal harm 2025-03-07

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2025-04-22

E · Potential for more than minimal harm 2025-03-07

E33 · Emergency Preparedness Deficiencies

Fire Safety

Establish methods for sharing information.

Corrected 2025-04-22

E · Potential for more than minimal harm 2025-03-07

E34 · Emergency Preparedness Deficiencies

Fire Safety

Provide a means of sharing information on occupancy/needs.

Corrected 2025-04-22

E · Potential for more than minimal harm 2025-03-07

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-04-22

E · Potential for more than minimal harm 2025-03-07

E9 · Emergency Preparedness Deficiencies

Fire Safety

Include a process for Emergency Preparedness collaboration.

Corrected 2025-04-22

E · Potential for more than minimal harm 2025-03-07

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-04-21

E · Potential for more than minimal harm 2025-03-07

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-04-21

E · Potential for more than minimal harm 2025-03-07

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-05-05

E · Potential for more than minimal harm 2025-03-07

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-04-22

E · Potential for more than minimal harm 2025-03-07

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2025-04-22

E · Potential for more than minimal harm 2025-03-07

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-04-22

E · Potential for more than minimal harm 2025-03-07

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2025-04-22

E · Potential for more than minimal harm 2025-03-07

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2025-04-22

E · Potential for more than minimal harm 2025-03-07

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-04-22

D · Potential for more than minimal harm 2025-03-07

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2025-04-16

D · Potential for more than minimal harm 2025-03-07

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-04-22

D · Potential for more than minimal harm 2023-02-16

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-05-05

D · Potential for more than minimal harm 2023-02-16

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-05-05

D · Potential for more than minimal harm 2023-02-16

K521 · Services Deficiencies

Fire Safety

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

Corrected 2023-05-05

D · Potential for more than minimal harm 2023-02-16

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-05-05

D · Potential for more than minimal harm 2023-02-16

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-05-05

E · Potential for more than minimal harm 2022-01-07

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-02-04

D · Potential for more than minimal harm 2022-01-07

E20 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures including evacuation.

Corrected 2022-02-04

D · Potential for more than minimal harm 2022-01-07

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2022-02-04

D · Potential for more than minimal harm 2022-01-07

K200 · Egress Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2022-02-04

D · Potential for more than minimal harm 2022-01-07

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-02-04

D · Potential for more than minimal harm 2022-01-07

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-02-04

D · Potential for more than minimal harm 2022-01-07

K521 · Services Deficiencies

Fire Safety

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

Corrected 2022-02-04

D · Potential for more than minimal harm 2022-01-07

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2022-02-04

D · Potential for more than minimal harm 2022-01-07

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2022-02-04

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-08-01

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 2025-08-30

D · Potential for more than minimal harm 2025-07-21

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 2025-09-12

D · Potential for more than minimal harm 2025-06-25

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-07-25

D · Potential for more than minimal harm 2025-05-01

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-06-10

D · Potential for more than minimal harm 2025-03-07

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-04-21

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

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-01-07

G · Actual harm 2024-11-25

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 2024-11-26

G · Actual harm 2023-02-16

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 2023-01-25

E · Potential for more than minimal harm 2023-02-16

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2023-05-09

E · Potential for more than minimal harm 2023-02-16

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2023-05-09

D · Potential for more than minimal harm 2023-02-16

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-05-09

E · Potential for more than minimal harm 2022-01-07

F552 · Resident Rights Deficiencies

Health

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

Corrected 2022-01-26

D · Potential for more than minimal harm 2022-01-07

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2022-01-26

D · Potential for more than minimal harm 2022-01-07

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2022-01-26

Penalties and ownership

What sits behind the stars

Ownership

Atied Associates LLC

5% Or Greater Direct Ownership Interest · Organization

48% 44 facilities 2011-10-05
Rothner, William

5% Or Greater Direct Ownership Interest · Individual

40% 10 facilities 2011-10-05
Rothner, Daniel

5% Or Greater Indirect Ownership Interest · Individual

7% 2 facilities 2011-10-05
Rothner, Melissa

5% Or Greater Indirect Ownership Interest · Individual

7% 2 facilities 2011-10-05
Rothner, Rachel

5% Or Greater Indirect Ownership Interest · Individual

7% 2 facilities 2011-10-05
Rothner, William

5% Or Greater Indirect Ownership Interest · Individual

7% 10 facilities 2011-10-05
Okeke, Patrick

W-2 Managing Employee · Individual

0% 1 facilities 2017-03-06
Zimmerman, Joe

Operational/Managerial Control · Individual

0% 2 facilities 2012-01-01

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