Cycle 1
Health 2024-07-03 · Fire 2024-07-03
1 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Oro Valley, AZ
Skilled Nursing Unit At Oro Valley Hospital
5-star overall rating with 4-star inspections with 1 recent health deficiencies
1551 E Tangerine Rd, Oro Valley, AZ
(520) 901-6164
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
33
Certified beds
Average residents
30
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2022-03-29
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
Hours and turnover
RN hours / resident day
1.24
Registered nurse staffing · state 0.72 · national 0.68
LPN hours / resident day
1.87
Licensed practical nurse staffing · state 1.04 · national 0.87
Aide hours / resident day
2.53
Nurse aide staffing · state 2.36 · national 2.35
Total nurse hours
5.64
All reported nurse hours · state 4.12 · national 3.89
Licensed hours
3.10
RN + LPN hours · state 1.76 · national 1.54
Weekend hours
5.17
Weekend nurse staffing · state 3.62 · national 3.43
Weekend RN hours
0.69
Weekend registered nurse coverage · state 0.51 · national 0.47
Physical therapist
0.57
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
1.28
CMS adjusted RN staffing hours
Adjusted total hours
5.83
CMS adjusted total nurse staffing hours
Case-mix index
1.32
Higher values indicate more complex resident acuity
RN turnover
83%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
95%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
139
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
81.87
Composite VBP score used to determine payment impact.
Payment multiplier
1.0262
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.74
Baseline 19.41% · Performance 18.31% · Measure score 6.74 · Achievement 6.74 · Improvement 4.14
Healthcare-associated infections
10
Baseline 5.95% · Performance 4.71% · Measure score 10 · Achievement 10 · Improvement 9
Total nurse turnover
6.01
Performance 39.13% · Measure score 6.01 · Achievement 6.01 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
10
Performance 5.88 hours · Measure score 10 · Achievement 10 · This facility did not have sufficient data to calculate a baseline period measure result.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.7% |
10.72%
About the same
|
No Different than the National Rate · Eligible stays 388 · Observed rate 8.76% · Lower 95% interval 8.24% |
| Discharge to community | 73.11% |
50.57%
22.5 pts better
|
Better than the National Rate · Eligible stays 347 · Observed rate 75.22% · Lower 95% interval 68.94% |
| Medicare spending per beneficiary | 0.77 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 250 · Denominator 250 |
| Falls with major injury | 0.8% |
0.77%
About the same
|
Numerator 2 · Denominator 250 |
| Discharge self-care score | 59.31% |
53.69%
5.6 pts better
|
Numerator 121 · Denominator 204 |
| Discharge mobility score | 59.8% |
50.94%
8.9 pts better
|
Numerator 122 · Denominator 204 |
| Pressure ulcers or injuries, new or worsened | 0.8% |
2.29%
1.5 pts better
|
Numerator 2 · Denominator 250 · Adjusted rate 1.41% |
| Healthcare-associated infections requiring hospitalization | 4.71% |
7.12%
2.4 pts better
|
No Different than the National Rate · Eligible stays 230 · Observed rate 1.74% · Lower 95% interval 2.62% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 66 |
| Staff flu vaccination coverage | 55.17% |
42%
13.2 pts better
|
Numerator 32 · Denominator 58 |
| Discharge function score | 60.78% |
56.45%
4.3 pts better
|
Numerator 124 · Denominator 204 |
| Transfer of health information to provider | 98.2% |
95.95%
2.2 pts better
|
Numerator 218 · Denominator 222 |
| Transfer of health information to patient | 92.86% |
96.28%
3.4 pts worse
|
Numerator 26 · Denominator 28 |
| Resident COVID-19 vaccinations up to date | 32.21% |
25.2%
7 pts better
|
Numerator 48 · Denominator 149 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.5% |
91.1%
8.4 pts better
|
81.7%
17.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.0% · Q2 99.4% · Q3 100.0% · Q4 99.7% · 4Q avg 99.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.6% |
10.7%
3.9 pts worse
|
12.0%
2.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.6% · Observed 11.4% · Expected 8.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.2% |
1.1%
0.9 pts better
|
1.6%
1.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.5% · Q2 0.4% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.2% |
87.3%
10.9 pts better
|
79.7%
18.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.6% |
24.6%
1 pts better
|
23.9%
0.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.6% · Observed 16.5% · Expected 16.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-01-19 · Fire 2023-01-19
6 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-03-11 · Fire 2022-03-11
1 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-07-03
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 2024-08-08
E · Potential for more than minimal harm
2023-01-19
F552 · Resident Rights Deficiencies
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2023-02-22
E · Potential for more than minimal harm
2023-01-19
F758 · Pharmacy Service Deficiencies
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 2023-02-22
E · Potential for more than minimal harm
2023-01-19
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 2023-02-22
D · Potential for more than minimal harm
2023-01-19
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-02-22
D · Potential for more than minimal harm
2023-01-19
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-02-22
D · Potential for more than minimal harm
2023-01-19
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-02-22
D · Potential for more than minimal harm
2022-03-11
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2022-03-14
Penalties and ownership
What sits behind the stars
Ownership
Nov Holdings, LLC
5% Or Greater Direct Ownership Interest · Organization
Buffington-Price, Edna
Corporate Director · Individual
Cash, William
Corporate Officer · Individual
Chs Community Health Systems Inc
5% Or Greater Indirect Ownership Interest · Organization
Cobb, Christopher
Corporate Officer · Individual
Community Health Systems Inc
5% Or Greater Indirect Ownership Interest · Organization
Desert Hospital Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Hammons, Kevin
Corporate Director · Individual
Hammons, Kevin
Corporate Officer · Individual
Hma-Tri Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Johnson, Jason
Corporate Officer · Individual
Lalor, Paula
Corporate Director · Individual
Ottinger, Roman
Corporate Officer · Individual
Pitt, Justin
Corporate Director · Individual
Pitt, Justin
Corporate Officer · Individual
Runyon, Erica
Operational/Managerial Control · Individual
Tennyson Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Triad Healthcare LLC
5% Or Greater Indirect Ownership Interest · Organization
Triad Holdings V LLC
5% Or Greater Indirect Ownership Interest · Organization
Wadleigh, John
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Splendido At Rancho Vistoso
Tucson, AZ
5-star overall rating with 4-star inspections with $8,018 in total fines with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Mountain View Care Center
Tucson, AZ
4-star overall rating with 3-star inspections with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
La Canada Care Center
Tucson, AZ
4-star overall rating with 3-star inspections with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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