Tucson, AZ

Mountain View Care Center

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

1313 West Magee Road, Tucson, AZ

(520) 797-2600

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

100

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

The Ensign Group

Operator or chain grouping

Approved since

1995-05-23

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

0.39

Registered nurse staffing · state 0.72 · national 0.68

LPN hours / resident day

0.74

Licensed practical nurse staffing · state 1.04 · national 0.87

Aide hours / resident day

1.63

Nurse aide staffing · state 2.36 · national 2.35

Total nurse hours

2.76

All reported nurse hours · state 4.12 · national 3.89

Licensed hours

1.13

RN + LPN hours · state 1.76 · national 1.54

Weekend hours

2.42

Weekend nurse staffing · state 3.62 · national 3.43

Weekend RN hours

0.20

Weekend registered nurse coverage · state 0.51 · national 0.47

Physical therapist

0.08

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.45

CMS adjusted RN staffing hours

Adjusted total hours

3.14

CMS adjusted total nurse staffing hours

Case-mix index

1.20

Higher values indicate more complex resident acuity

RN turnover

25%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

48%

Annual nurse turnover · state 48% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,099

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

Performance score

8.37

Composite VBP score used to determine payment impact.

Payment multiplier

0.9807

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 21.31% · Performance 23.65% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

Baseline 5.04% · Performance 9.34% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

3.35

Baseline 61.29% · Performance 50.00% · Measure score 3.35 · Achievement 3.35 · Improvement 2.60

Adjusted total nurse staffing

Baseline 3.22 hours · Performance 3 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.32%	10.72% 0.6 pts worse	No Different than the National Rate · Eligible stays 123 · Observed rate 10.57% · Lower 95% interval 7.55%
Discharge to community	50.08%	50.57% 0.5 pts worse	No Different than the National Rate · Eligible stays 113 · Observed rate 44.25% · Lower 95% interval 40.66%
Medicare spending per beneficiary	0.82	1.02 0.2 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 75 · Denominator 75
Falls with major injury	1.33%	0.77% 0.6 pts worse	Numerator 1 · Denominator 75
Discharge self-care score	61.7%	53.69% 8 pts better	Numerator 29 · Denominator 47
Discharge mobility score	51.06%	50.94% 0.1 pts better	Numerator 24 · Denominator 47
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 75 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	9.34%	7.12% 2.2 pts worse	No Different than the National Rate · Eligible stays 66 · Observed rate 13.64% · Lower 95% interval 5.47%
Staff COVID-19 vaccination coverage	3.25%	8.2% 4.9 pts worse	Numerator 4 · Denominator 123
Staff flu vaccination coverage	33.33%	42% 8.7 pts worse	Numerator 60 · Denominator 180
Discharge function score	63.83%	56.45% 7.4 pts better	Numerator 30 · Denominator 47
Transfer of health information to provider	86.27%	95.95% 9.7 pts worse	Numerator 44 · Denominator 51
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	12.5%	25.2% 12.7 pts worse	Numerator 5 · Denominator 40

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.7%	97.1% 1.6 pts better	93.4% 5.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 97.5% · Q2 98.7% · Q3 100.0% · Q4 98.7% · 4Q avg 98.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	86.9%	94.6% 7.7 pts worse	95.5% 8.6 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 86.9%
Percentage of long-stay residents experiencing one or more falls with major injury	4.7%	2.1% 2.6 pts worse	3.3% 1.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 5.1% · Q3 5.1% · Q4 3.8% · 4Q avg 4.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	14.7%	4.2% 10.5 pts worse	11.4% 3.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.3% · Q2 9.5% · Q3 14.5% · Q4 13.5% · 4Q avg 14.7%
Percentage of long-stay residents who lose too much weight	8.7%	5.3% 3.4 pts worse	5.4% 3.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 8.6% · Q3 6.2% · Q4 12.5% · 4Q avg 8.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	22.6%	20.5% 2.1 pts worse	19.6% 3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.7% · Q2 22.9% · Q3 21.2% · Q4 23.4% · 4Q avg 22.6%
Percentage of long-stay residents who received an antipsychotic medication	12.4%	11.8% 0.6 pts worse	16.7% 4.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.8% · Q2 14.0% · Q3 12.5% · Q4 10.4% · 4Q avg 12.4% · 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	10.2%	14.5% 4.3 pts better	16.3% 6.1 pts better	Long Stay · 2024Q4-2025Q3 · Q2 12.9% · Q3 9.8% · Q4 10.7% · 4Q avg 10.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	9.5%	10.8% 1.3 pts better	14.9% 5.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 6.2% · Q3 11.1% · Q4 14.3% · 4Q avg 9.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.3%	0.9% 0.4 pts worse	1.0% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.8% · Q4 2.5% · 4Q avg 1.3% · 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	26.7%	20.5% 6.2 pts worse	19.8% 6.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 35.3% · Q2 27.9% · Q3 16.9% · Q4 25.9% · 4Q avg 26.7%
Percentage of long-stay residents with pressure ulcers	5.6%	4.8% 0.8 pts worse	5.1% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 4.8% · Q3 6.3% · Q4 6.5% · 4Q avg 5.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	95.0%	91.1% 3.9 pts better	81.7% 13.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 97.3% · Q2 94.7% · Q3 92.7% · Q4 95.4% · 4Q avg 95.0%
Percentage of short-stay residents who had an outpatient emergency department visit	9.7%	10.7% 1 pts better	12.0% 2.3 pts better	Short Stay · 20240701-20250630 · Adjusted 9.7% · Observed 11.1% · Expected 12.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.6%	1.1% 0.5 pts better	1.6% 1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.0% · Q3 0.0% · Q4 1.3% · 4Q avg 0.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	89.7%	87.3% 2.4 pts better	79.7% 10 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 89.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	24.6%	24.6% About the same	23.9% 0.7 pts worse	Short Stay · 20240701-20250630 · Adjusted 24.6% · Observed 25.9% · Expected 25.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-06-09 · Fire 2023-06-09

4 health deficiencies

Top issue: Nursing and Physician Services (1 deficiency)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2022-05-18 · Fire 2022-05-18

8 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2020-02-03 · Fire 2020-02-03

23 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2023-06-09

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2023-08-01

D · Potential for more than minimal harm 2023-06-09

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-08-01

D · Potential for more than minimal harm 2022-05-18

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-06-27

D · Potential for more than minimal harm 2020-02-03

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2020-03-31

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-01-19

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 2024-03-18

E · Potential for more than minimal harm 2024-01-19

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 2024-03-18

D · Potential for more than minimal harm 2024-01-19

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-03-18

D · Potential for more than minimal harm 2023-08-28

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 2023-10-19

E · Potential for more than minimal harm 2023-06-09

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 2023-07-29

D · Potential for more than minimal harm 2023-06-09

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2023-07-29

D · Potential for more than minimal harm 2023-06-09

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2023-07-29

D · Potential for more than minimal harm 2023-06-09

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 2023-07-29

D · Potential for more than minimal harm 2023-03-24

F552 · Resident Rights Deficiencies

Health

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

Corrected 2023-05-25

D · Potential for more than minimal harm 2023-03-24

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-05-25

D · Potential for more than minimal harm 2023-03-24

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 2023-05-25

E · Potential for more than minimal harm 2022-05-18

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2022-07-02

E · Potential for more than minimal harm 2022-05-18

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2022-07-02

E · Potential for more than minimal harm 2022-05-18

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 2022-07-02

D · Potential for more than minimal harm 2022-05-18

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 2022-07-02

D · Potential for more than minimal harm 2022-05-18

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2022-07-02

D · Potential for more than minimal harm 2022-05-18

F644 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2022-07-02

D · Potential for more than minimal harm 2022-05-18

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2022-07-02

D · Potential for more than minimal harm 2022-05-18

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2022-07-02

K · Immediate jeopardy 2020-02-03

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2020-07-14

H · Actual harm 2020-02-03