Villa Maria Post Acute And Rehabilitation

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.42 therapist hours per resident per day in 2026Q1 — more than 71% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 3% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 83 beds and averages 57.0 residents a day — about 69% occupied, or roughly 26 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.51 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.23 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.98 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.85 hrs/resident/day on weekends vs 3.78 on weekdays — 25% thinner on weekends — a notable drop. RN hours go from 0.25 to 0.17 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 42% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

26 citations, most serious first. The 12 most serious are shown; the remaining 14 are one tap away and print in full.

• Actual harm · G2024-10-03 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, staff interviews, facility documentation and policy review, the facility failed to protect the rights of one resident (#1) to be free from abuse by another resident (#2). The deficient practice could result in further resident abuse. Findings include: -Resident #1 was admitted on [DATE] with diagnoses of dementia, non-displaced bimalleolar fracture of the lower right leg, alcohol abuse, and type 2 diabetes. The resident's bed assignment in the electronic health record (EHR) revealed that the resident was moved to a different bed in a different unit on September 21, 2024. A 5-day MDS (Minimum Data Set) assessment dated [DATE] revealed a BIMS (Brief Interview for Mental Status) score of 14 indicating the resident had no cognitive impairment. The progress note dated on October 1, 2024 included that resident #1 saw and attempted to slap resident #2 who then stood up from his chair and struck resident #1. Per the documentation, both residents swung at each other several times before…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• Actual harm · G2024-04-12 · tag F0694 — isolated
  Provide for the safe, appropriate administration of IV fluids for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, staff interviews, facility documentation and policy review and the State Agency (SA) complaint tracking system, the facility failed to provide care and services related to a peripherally inserted central catheter (PICC) line resulting in the hospitalization for one resident (#75). The deficient practice resulted in complications related to the PICC line not being removed. Findings include: -Resident #75 was admitted to the facility on [DATE] with diagnoses of urinary tract infection (UTI), weakness, pneumonia, hepatitis C, and hypertension. An antibiotic care plan, initiated March 14, 2024 revealed that resident #75 was on intravenous medications due to a diagnosis of complicated UTI. Goals for this care plan included will be free from complications through the review date, with a noted intervention that the facility staff will check the dressing at site daily, and monitor for any signs and symptoms of infection. A physician order dated March 15, 2024 noted ertapenem 1 gm (gram)…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-06-19 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, staff interviews, facility documentation, and policy review, the facility failed to ensure adequate supervision to prevent one of one sampled resident (Resident #1) from eloping the facility while a Peripherally Inserted Central Catheter (PICC) line remained in place. The deficient practice could place the resident at risk for interruption of prescribed intravenous therapy, catheter-related infection, misuse of the PICC line, overdose, and death.Findings Include: Resident #1 was admitted on [DATE], and discharged on May 18, 2026, with a diagnosis that included cellulitis of the left lower limb, muscle weakness, abnormalities of gait and mobility, assistance with personal care, hypokalemia, opioid abuse, and depressive disorders. An elopement and wandering evaluation completed on April 25, 2026, indicated a score of 5.0, indicating Resident #1 is at low risk for elopement and wandering and has no history of eloping in the last 6 months. A care plan initiated on April 28, 2026, had…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has no plan of correction
• Potential for harm · Ecited before2026-01-23 · tag F0645 — pattern
  PASARR screening for Mental disorders or Intellectual Disabilities
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on the interview, review of the clinical record, and review of facility policy and procedure, the facility failed to ensure PASSAR screening and referral were accurate and completed for 6residents (#3, #5, #9, #13, #21, and #55). This deficient practice can result in residents medically related social and emotional needs not being met. The sample size was 8. The census was 56. -Regarding Resident # 9 Resident # 9 was initially admitted to the facility on [DATE], and re-admitted on [DATE], with clinical diagnoses that included borderline personality disorder, post-traumatic stress disorder, chronic pain syndrome, insomnia, recurrent depressive disorders, other specified anxiety disorders, and factitious disorder imposed on self, with predominately physical signs and symptoms. A Pre-admission Screening and Resident Review (PASSR) dated May 1, 2025 from the discharging hospital, completed prior to admission, revealed the resident had no history of Serious Mental Illness (SMI), mental disorders or was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-01-23 · tag F0684 — failed to provide proper treatment and quality of care — pattern
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Number of residents sampled: 15Number of residents cited: 2Universe: 56Based on review of records, staff interviews and review of policy and procedures, the facility failed to ensure that timely care and services, including physician notification and a physician order for oxygen, were provided upon a change of condition for one resident (#50). The deficient practice could lead to a medical decline and/or physical harm of a resident.Findings include:Resident #50 was admitted to the facility November 14, 2025, with diagnoses of type 2 diabetes mellitus, chronic pain syndrome, spinal stenosis, malignant neoplasm of overlapping sites of right female breast, and pressure ulcer of sacral region, stage 4.A care plan focus initiated November 18, 2025, revealed Resident #50 had an alteration in gastro-intestinal status due to colostomy, with an intervention to monitor vital signs as ordered and record, and to notify provider of significant abnormalities.Despite the care plan intervention to monitor vital signs as ordered…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-01-23 · tag F0755 — failed to provide safe pharmacy services — pattern
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, facility documentation and policy, the facility failed to ensure that safeguards and systems were in place to ensure accurate reconciliation and accounting for all controlled substances for two of three medication carts sampled. The deficient practice could result in inventory loss and potential diversion. An observation of the 100 Medication Cart narcotic reconciliation log was conducted on January 20, 2025 at 2:52 p.m., and reviewed with with Licensed Practical Nurse (LPN/Staff #45),who revealed the missing nurse signature entries on 6 shifts from January 1-19, 2026, were not supposed to be left blank. An observation of the 300 Medication Cart Narcotic reconciliation log was conducted on January 20, 2025 at 3:05 p.m., and reviewed with LPN/Staff #140, revealed the missing nurse signature entries on 5 shifts from January 1-19, 2026, were not supposed to be left blank. The facility's in-service sign-in sheets revealed that education on daily narcotic log sign-in and sign-out procedures was provided by the Assistant Director of Nursing (ADON/Staff…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-01-23 · tag F0842 — failed to keep accurate, complete medical records — pattern
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, interviews, facility documentation and policy, the facility failed to ensure the clinical record for one resident (# 9), contained an accurate representation of the actual experiences of a resident with an allegation of resident to resident abuse, and was accurate, complete and readily available for one resident (#50). The deficient practice could result in records that do not accurately and completely reflect the care and services provided to residents.Findings include: -Regarding Resident # 9 Resident # 9 was initially admitted to the facility on [DATE], and re-admitted on [DATE], with clinical diagnoses that included borderline personality disorder, post-traumatic stress disorder, chronic pain syndrome, insomnia, recurrent depressive disorders, other specified anxiety disorders, and factitious disorder imposed on self, with predominately physical signs and symptoms. An admission Minimum Data Set assessment, dated May 8, 2025, revealed the resident had a Brief Interview for…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-23 · tag F0757 — failed to avoid unnecessary drugs — isolated
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, interviews, and review of facility policies and procedures, the facility failed to ensure insulin was administered according to provider instruction for one resident (#5). This deficient practice could result in side effects leading to negative resident outcomes. The sample size was 5. The universe was 56. Findings include: Regarding Resident # 5 Resident # 5 was re-admitted to the facility on [DATE] with diagnoses that included Type 2 Diabetes Mellitus (DM) with chronic kidney disease, moderate protein-calorie malnutrition, generalized muscle weakness, and sequelae of cerebral infarction. A physician order dated April 9, 2025, revealed the resident was to receive 20 units of Insulin Glargine Solution one time a day for diabetes, unless the blood sugar was less than 110. The resident's Diabetes Mellitus- Insulin Injection care plan, revised on April 14, 2025, revealed the resident was noncompliant with his therapeutic diet, and was to have diabetes medication as ordered by the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-07-24 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, interviews, and policy review, and the State Agency (SA) complaint tracking system, the facility failed to ensure that one resident (#1) received treatment and care in accordance with professional standards of practice by failing to call a provider and emergency services in a timely manner. The deficient practice has the potential of the resident suffering from a life-threatening medical event. Findings include: Resident #1 was admitted to the facility on [DATE] with diagnoses that include epilepsy, intractable, with status epilepticus, major depressive disorder, and hemiplegia and hemiparesis following cerebral infarction (stroke) affecting the left non-dominant side. A review of a Minimum Data Set (MDS) assessment dated [DATE], indicated that resident #1 was unable to complete a Brief Interview for Mental Status (BIMS). Staff assessment revealed resident #1's cognitive skills for daily decision making was severely impaired. Review of the physician orders revealed resident was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-02-16 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — pattern
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff and resident interviews, clinical record review, facility records and facility policy, the facility failed to ensure that three residents (#2, 6, 8) were provided catheter related care as ordered. Failure to ensure that a physician's orders are implemented and failure to ensure care was provided can lead to increased risk of and late detection for urinary tract infections (UTIs) and other adverse effects. Findings include: • Resident #6 was admitted on [DATE] with diagnoses of paraplegia, and neuromuscular dysfunction of the bladder. A Quarterly Minimum Data Set (MDS) assessment dated [DATE] included that this resident was cognitively intact, and that this resident was dependent for toileting hygiene. This assessment included that this resident had an indwelling catheter. A care plan initiated 6/26/23 included that this resident had an indwelling catheter #16/10 milliliter (mL) for a diagnosis of paraplegic neurogenic bladder and was at risk for frequent UTIs. Interventions included to change…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-09-15 · tag F0578 — failed to honor advance directives / code status — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, staff interviews, and policy review, the facility failed to ensure one resident (#114) or their representative have the ability to request, refuse, or discontinue treatment. The census was 57. The deficient practice could result in residents receiving services which are not in accordance with their wishes. Findings include: Resident #114 was initially admitted into the facility on August 17, 2023, hospitalized on [DATE], and re-admitted to the facility on [DATE] with diagnoses that included aneurysm of the ascending aorta, without rupture, unspecified sequelae of cerebral infarction (complications resulting from a stroke), aphasia following cerebral infarction (communication disorder resulting from a stroke), and muscle weakness. Review of the clinical record revealed Durable Power of Attorney (POA) was signed on June 14, 2016 by resident #114. This POA also includes the ability to make healthcare decisions on behalf of resident #114. Review of the clinical record revealed the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-09-15 · tag F0622 — isolated
  Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, staff interviews, and review of facility policies and procedures, the facility failed to ensure one sampled resident's (#41) clinical record included the required information for transfer/discharge. The deficient practice could result in residents not having a safe and effective transition of care. Findings include: Resident #41 was admitted on [DATE] with diagnosis including Wernicke's encephalopathy, chronic obstructive pulmonary disease, major depressive disorder, unspecified psychosis, chronic respiratory failure, heart failure, and paroxysmal atrial fibrillation. The resident was transferred to the emergency department on May 7, 2023 for breathing difficulty and hypertension, per Tucson Medical Center (TMC) emergency department triage notes. TMC summary notes indicated decreased breath sounds, wheezing and rales present. Resident #41 was then returned home to Villa [NAME] on May 11, 2023. A review of the MDS (minimum data set) assessment dated [DATE] revealed a BIMS (brief…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$8,018 in federal fines across 1 penalty.

• $8,018 — penalty dated 2024-04-12

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to THE ENSIGN GROUP — 342 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 13 rows in the source record cover these 8 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 84% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $793K paid to related parties — landlords or management companies under common ownership — equal to about 11% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in AZ