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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D33 | E16 | F· |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Feb 20, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 31, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 29, 2025 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Aug 29, 2025 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Jun 13, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 7, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 18, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 1, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Oct 21, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 23, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 1, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 27, 2023 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Oct 27, 2023 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Sep 1, 2022 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| Sep 1, 2022 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D33 | E16 | F· |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Feb 20, 2026 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 24, 2026 | Complaint |
| Oct 31, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 13, 2025 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: — (case-mix index —).
CMS legal business name of the certified provider. Operates this facility only.
347 facilities in 17 states. CMS chain ID 507.
Chain average overall rating (CMS): 3.3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Chad Keetch | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Feb 3, 2026 |
| Barry Port | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Nov 26, 2025 |
| Christopher Rowe | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 1, 2025 |
| Harbir Singh | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 1, 2025 |
| Forrest Peterson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 9, 2025 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Desert Terrace Healthcare Center 2509 North 24th Street, Phoenix, AZ 85008 CCN 035014Abuse icon | 108 | Jun 25, 2026 | 29 | — | |
| Pueblo Springs Rehabilitation Center 5545 East Lee Street, Tucson, AZ 85712 CCN 035068 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Handmaker Home for the Aging 2221 North Rosemont Boulevard, Tucson, AZ 85712 CCN 035016Abuse icon | 1.1 km | 94 | Apr 15, 2026 | 61 | — | |
| Foothills Rehabilitation Center 2250 North Craycroft Road, Tucson, AZ 85712 CCN 035064 | 1.2 km | 149 | Mar 28, 2026 | 622 harm | — | |
| Villa Maria Post Acute and Rehabilitation 4310 East Grant Road, Tucson, AZ 85712 CCN 035147 | 1.3 km | 83 | Jun 19, 2026 | 352 harm | $8,018 | |
| The Center at Tucson 5020 East Glenn Street, Tucson, AZ 85712 CCN 035295 | 1.7 km | 96 | Aug 16, 2024 | 23 | — | |
| Sabino Canyon Rehabilitation & Care Center 5830 East Pima Street, Tucson, AZ 85712 CCN 035151 | 1.9 km | 112 | Jun 26, 2026 | 20 | — | |
| Pueblo Springs Rehabilitation Center 5545 East Lee Street, Tucson, AZ 85712 CCN 035068 | 1.9 km | 129 | Aug 24, 2026 | 262 open | — | |
| Sandstone Estates Rehab Centre 2040 North Wilmot Road, Tucson, AZ 85712 CCN 035292 | 2.9 km | 103 | Jun 5, 2026 | 45 | — | |
| Devon Gables Rehabilitation Center 6150 East Grant Road, Tucson, AZ 85712 CCN 035145Abuse icon | 3 km | 312 | Jun 26, 2026 | 271 harm | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 035004 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 035004 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Aug 29, 2025 | E-0030 | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Sep 19, 2025 |
| Aug 29, 2025 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | E · Potential harm Pattern | Corrected Sep 24, 2025 |
| Aug 29, 2025 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 27, 2025 |
| Aug 29, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 30, 2025 |
| Aug 29, 2025 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 1, 2025 |
| Aug 29, 2025 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 1, 2025 |
| Aug 29, 2025 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 7, 2025 |
| Aug 29, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 25, 2025 |
| Aug 29, 2025 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 25, 2025 |
| Aug 29, 2025 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 15, 2025 |
| Aug 29, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Aug 30, 2025 |
| Aug 29, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 30, 2025 |
| Jun 13, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 14, 2025 | Complaint |
| Feb 7, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 8, 2025 | Complaint |
| Dec 18, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Dec 19, 2024 | Complaint |
| Nov 1, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Nov 2, 2024 | Complaint |
| Nov 1, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 2, 2024 | Complaint |
| Oct 21, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 22, 2024 | Complaint |
| Sep 23, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 25, 2024 | Complaint |
| Apr 1, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 25, 2024 | Complaint |
| Oct 27, 2023 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | E · Potential harm Pattern | Corrected Dec 18, 2023 |
| Oct 27, 2023 | K-0222 | 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. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 18, 2023 |
| Oct 27, 2023 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 18, 2023 |
| Oct 27, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 18, 2023 |
| Oct 27, 2023 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 18, 2023 |
| Oct 27, 2023 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 18, 2023 |
| Oct 27, 2023 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 18, 2023 |
| Oct 27, 2023 | F-0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 8, 2023 |
| Oct 27, 2023 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 13, 2023 |
| Oct 27, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Dec 8, 2023 |
| Oct 27, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Dec 6, 2023 |
| Oct 27, 2023 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Dec 6, 2023 |
| Oct 27, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Dec 8, 2023 |
| Sep 1, 2022 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Nov 14, 2022 |
| Sep 1, 2022 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 14, 2022 |
| Sep 1, 2022 | K-0342 | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 14, 2022 |
| Sep 1, 2022 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 14, 2022 |
| Sep 1, 2022 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 14, 2022 |
| Sep 1, 2022 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 14, 2022 |
| Sep 1, 2022 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 14, 2022 |
| Sep 1, 2022 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 14, 2022 |
| Sep 1, 2022 | K-0921 | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 14, 2022 |
| Sep 1, 2022 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Nov 23, 2022 |
| Sep 1, 2022 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 23, 2022 |
| Sep 1, 2022 | F-0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 23, 2022 |
| Sep 1, 2022 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 23, 2022 |
| Soon Burnam | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 9, 2025 |
| Christine Jones | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 9, 2025 |
| Ami Sato | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 9, 2025 |
| Ensign Services Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 9, 2025 |
| Santa Rosa Propco, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 1, 2025 |
| Christopher Rowe | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 1, 2025 |
| Harbir Singh | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 1, 2025 |
| 129 |
| Aug 24, 2026 |
262 open |
| — |
| Casas Adobes Post Acute Rehab Center 1919 West Medical Street, Tucson, AZ 85704 CCN 035070Abuse icon | 230 | May 22, 2026 | 251 open | — |
| Mission Palms Post Acute 6461 East Baywood Avenue, Mesa, AZ 85206 CCN 035071 | 160 | Aug 20, 2026 | 24 | — |
| Phoenix Mountain Post Acute 13232 North Tatum Blvd, Phoenix, AZ 85032 CCN 035072 | 130 | Nov 19, 2025 | 311 harm | $8,018 |
| Osborn Health and Rehabilitation 3333 North Civic Center Plaza, Scottsdale, AZ 85251 CCN 035076 | 130 | Jan 16, 2026 | 10 | — |
| Heritage Court Post Acute of Scottsdale 3339 North Drinkwater Boulevard, Scottsdale, AZ 85251 CCN 035083Abuse icon | 108 | Jun 5, 2026 | 22 | — |
| North Mountain Medical and Rehabilitation Center 9155 North Third Street, Phoenix, AZ 85020 CCN 035087 | 164 | Nov 25, 2025 | 7 | — |