Tucson, AZ
2-star overall rating with 1-star inspections with 13 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
2040 North Wilmot Road, Tucson, AZ
(520) 300-6115
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
103
Certified beds
Average residents
68
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Sandstone Healthcare Group
Operator or chain grouping
Approved since
2017-02-21
CMS approved date
Coverage
Medicare
Participation flags
Chain footprint
3 facilities
Chain averages 2 overall / 1 health / 3 staffing / 4 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
RN hours / resident day
0.55
Registered nurse staffing · state 0.72 · national 0.68
LPN hours / resident day
1.21
Licensed practical nurse staffing · state 1.04 · national 0.87
Aide hours / resident day
2.76
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
1.76
RN + LPN hours · state 1.76 · national 1.54
Weekend hours
4.04
Weekend nurse staffing · state 3.62 · national 3.43
Weekend RN hours
0.45
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
0.58
CMS adjusted RN staffing hours
Adjusted total hours
4.81
CMS adjusted total nurse staffing hours
Case-mix index
1.29
Higher values indicate more complex resident acuity
RN turnover
55%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
57%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Program rank
11,368
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
17.02
Composite VBP score used to determine payment impact.
Payment multiplier
0.9817
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 22.41% · Performance 22.59% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 8.08% · Performance 8.38% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
3.60
Baseline 86.18% · Performance 61.05% · Measure score 3.60 · Achievement 0.64 · Improvement 3.60
Adjusted total nurse staffing
3.21
Baseline 3.13 hours · Performance 3.99 hours · Measure score 3.21 · Achievement 3.21 · Improvement 2.75
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.98% |
10.72%
0.7 pts better
|
No Different than the National Rate · Eligible stays 251 · Observed rate 9.16% · Lower 95% interval 6.51% |
| Discharge to community | 62.98% |
50.57%
12.4 pts better
|
Better than the National Rate · Eligible stays 257 · Observed rate 58.75% · Lower 95% interval 56.25% |
| Medicare spending per beneficiary | 1.07 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 96.75% |
95.27%
1.5 pts better
|
Numerator 119 · Denominator 123 |
| Falls with major injury | 0.81% |
0.77%
About the same
|
Numerator 1 · Denominator 123 |
| Discharge self-care score | 66.04% |
53.69%
12.4 pts better
|
Numerator 35 · Denominator 53 |
| Discharge mobility score | 54.72% |
50.94%
3.8 pts better
|
Numerator 29 · Denominator 53 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 123 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 8.38% |
7.12%
1.3 pts worse
|
No Different than the National Rate · Eligible stays 106 · Observed rate 10.38% · Lower 95% interval 5.17% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 125 |
| Staff flu vaccination coverage | 22.73% |
42%
19.3 pts worse
|
Numerator 35 · Denominator 154 |
| Discharge function score | 62.26% |
56.45%
5.8 pts better
|
Numerator 33 · Denominator 53 |
| Transfer of health information to provider | 94.74% |
95.95%
1.2 pts worse
|
Numerator 90 · Denominator 95 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 1.64% |
25.2%
23.6 pts worse
|
Numerator 1 · Denominator 61 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.0% |
97.1%
1.9 pts better
|
93.4%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 98.1% · Q4 97.9% · 4Q avg 99.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.1% |
94.6%
3.5 pts better
|
95.5%
2.6 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.0% |
2.1%
1.1 pts better
|
3.3%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.9% · Q4 2.1% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 12.2% |
4.2%
8 pts worse
|
11.4%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 6.1% · Q3 25.0% · Q4 7.9% · 4Q avg 12.2% |
| Percentage of long-stay residents who lose too much weight | 5.7% |
5.3%
0.4 pts worse
|
5.4%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 7.0% · Q3 4.5% · Q4 2.2% · 4Q avg 5.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.9% |
20.5%
1.4 pts worse
|
19.6%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.7% · Q2 20.9% · Q3 26.7% · Q4 17.4% · 4Q avg 21.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 21.6% |
11.8%
9.8 pts worse
|
16.7%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.7% · Q2 23.1% · Q3 20.0% · Q4 22.7% · 4Q avg 21.6% · 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 | 10.1% |
14.5%
4.4 pts better
|
16.3%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 10.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.3% |
10.8%
2.5 pts better
|
14.9%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 7.5% · Q3 9.3% · Q4 15.6% · 4Q avg 8.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.1% |
0.9%
0.2 pts worse
|
1.0%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.0% · Q4 2.4% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.5% |
1.2%
0.7 pts better
|
1.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.8% |
20.5%
6.7 pts better
|
19.8%
6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 19.0% · Q3 18.8% · Q4 12.5% · 4Q avg 13.8% |
| Percentage of long-stay residents with pressure ulcers | 2.8% |
4.8%
2 pts better
|
5.1%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 3.6% · Q3 1.9% · Q4 2.2% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.0% |
91.1%
6.9 pts better
|
81.7%
16.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.1% · Q2 98.9% · Q3 98.2% · Q4 96.4% · 4Q avg 98.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.4% |
10.7%
1.3 pts better
|
12.0%
2.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.4% · Observed 9.9% · Expected 11.7% · 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 0.7% · Q2 0.6% · Q3 0.7% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.2% |
87.3%
1.9 pts better
|
79.7%
9.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.7% |
24.6%
4.1 pts worse
|
23.9%
4.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.7% · Observed 28.2% · Expected 23.4% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Quality of Life and Care (4 deficiencies)
11 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Top issue: Pharmacy Service (4 deficiencies)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-11-04
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-10-30
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-06-08
Fire Safety
Establish staff and initial training requirements.
Corrected 2023-06-08
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-06-08
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 2023-06-08
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-06-08
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-06-08
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-06-08
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 2023-06-08
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-06-08
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-06-08
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-06-08
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-01-14
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-01-14
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-01-14
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-01-14
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-01-14
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2022-01-14
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-27
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-12-06
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-12-06
Health
Respond appropriately to all alleged violations.
Corrected 2024-12-06
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-12-06
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-12-06
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-12-06
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-12-06
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-12-06
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-12-06
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-12-06
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-12-06
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-06
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-06-30
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-06-30
Health
Assess the resident when there is a significant change in condition
Corrected 2023-02-28
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-02-03
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-02-03
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-02-14
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-02-14
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-02-14
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 2023-03-03
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 2023-02-03
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-02-03
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-02-01
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2022-01-28
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2022-01-28
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2022-01-28
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-01-28
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-01-28
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-01-28
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2022-01-28
Health
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.
Corrected 2022-01-28
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 2022-01-28
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-01-28
Health
Provide and implement an infection prevention and control program.
Corrected 2022-01-28
Health
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.
Corrected 2022-01-28
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2022-01-28
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-01-28
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2022-01-28
Penalties and ownership
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
Nearby options
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2-star overall rating with 2-star inspections with abuse icon flag with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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Tucson, AZ
3-star overall rating with 2-star inspections with 7 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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