Villa Maria Post Acute and Rehabilitation — nursing home in Tucson, AZ

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 83 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 51.6 CMS, MDS-derived
CMS Certification Number: 035147
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Aug 17, 1987
Ownership type: For profit - Limited Liability company
Operator (legal business name): Mount Lemmon Healthcare LLC
CMS chain: The Ensign Group 347 facilities
Phone: (520) 323-9351
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

11

latest Jun 19, 2026

Citations

35

26 health · 9 fire

Harm or worse

2

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G2	H·	I·
Potential harm	D23	E10	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.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

1

$8,018

Payment denials

0

Latest

Apr 12, 2024

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 035147
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 83
First approved: Aug 17, 1987
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Arizona.

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.

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.

Date	Domain	Survey types	Citations	Most severe	Open
Jun 19, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Jan 23, 2026	Health	Health Standard	5	Potential harm	—	Open →
Oct 3, 2024	Health	Health Complaint	1	Actual harm	—	Open →
Jul 24, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Apr 12, 2024	Health	Health Complaint	1	Actual harm	—	Open →
Feb 16, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Sep 15, 2023	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Sep 15, 2023	Health	Health Standard	9	Potential harm	—	Open →
Aug 11, 2022	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Aug 11, 2022	Health	Health Standard	7	Potential harm	—	Open →
Oct 30, 2020	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Apr 12, 2024	Civil money penalty (fine)	$8,018	—	035147\|Fine\|133248

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G2	H·	I·
Potential harm	D23	E10	F·
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jun 19, 2026	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 22, 2026	Complaint
Jan 23, 2026	F-0645	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Feb 18, 2026
Jan 23, 2026	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Feb 18, 2026
Jan 23, 2026	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Feb 18, 2026
Jan 23, 2026	F-0757	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Feb 18, 2026
Jan 23, 2026	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Feb 18, 2026
Oct 3, 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	G · Actual harm Isolated	Past non-compliance Oct 2, 2024	Complaint
Jul 24, 2024	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 29, 2024	Complaint
Apr 12, 2024	F-0694	Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Apr 18, 2024	Complaint
Feb 16, 2024	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Mar 31, 2024	Complaint
Sep 15, 2023	K-0233	Install resident room doors of proper design and width. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 16, 2023
Sep 15, 2023	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Nov 16, 2023
Sep 15, 2023	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 16, 2023
Sep 15, 2023	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 16, 2023
Sep 15, 2023	F-0578	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 18, 2023
Sep 15, 2023	F-0622	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 18, 2023
Sep 15, 2023	F-0636	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 18, 2023
Sep 15, 2023	F-0645	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 18, 2023
Sep 15, 2023	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 18, 2023
Sep 15, 2023	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 18, 2023
Sep 15, 2023	F-0697	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 18, 2023
Sep 15, 2023	F-0727	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. Nursing and Physician Services Deficiencies · Staffing & supervision	D · Potential harm Isolated	Corrected Nov 18, 2023
Sep 15, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Nov 18, 2023
Aug 11, 2022	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	D · Potential harm Isolated	Corrected Sep 26, 2022
Aug 11, 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 Sep 26, 2022
Aug 11, 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 Sep 26, 2022
Aug 11, 2022	F-0645	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 30, 2022
Aug 11, 2022	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 30, 2022
Aug 11, 2022	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Sep 30, 2022
Aug 11, 2022	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 30, 2022
Aug 11, 2022	F-0725	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected Sep 30, 2022
Aug 11, 2022	F-0757	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Sep 30, 2022
Aug 11, 2022	F-0773	Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected Sep 30, 2022
Oct 30, 2020	E-0037	Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness	E · Potential harm Pattern	Corrected Dec 8, 2020
Oct 30, 2020	K-0926	Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 8, 2020

“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.

Five-Star ratings

Federal · CMS

Overallstate 3.4

Health inspectionsstate 2.8

Staffingstate 3

Quality measuresstate 4.5

Long-stay QM

Short-stay QMNot rated

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.

Nurse staffing · hours per resident per day

Total nurse staffing3.54

State avg 4.08US avg 3.90

Registered nurse (RN)0.22

State avg 0.74US avg 0.69

Licensed practical nurse1.34

State avg 1.04US avg 0.86

Nurse aide1.98

State avg 2.30US avg 2.35

Weekend total nurse2.88

State avg 3.59US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.96 (case-mix index 1.25).

Staff turnover

Total nursing staff turnover35.7%

State avg 44.8%US avg 45.3%

Registered nurse turnoverNot reported

State avg 44.2%US avg 42.5%

Administrators who left0

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Jan 23, 2026
Cycle 1 health score: 40
Total weighted score: 52

Operating entity

Mount Lemmon Healthcare LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

The Ensign Group

347 facilities in 17 states. CMS chain ID 507.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.3

Ownership disclosures

Disclosures

13

Organizations

2

Individuals

11

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Michael Bostwick	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jul 1, 2022
Soon Burnam	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jul 1, 2022
Kiyan Rad	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jun 16, 2024
Michael Bostwick	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 1, 2022
Kiyan Rad	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 16, 2024
Forrest Peterson	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	May 1, 2022
Soon Burnam	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	May 1, 2022
Chad Keetch	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Mar 1, 2011
Barry Port	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jul 26, 2018
Standard Bearer Healthcare Op, LP	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2022
The Ensign Group Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2022
Michael Bostwick	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 1, 2022
Kiyan Rad	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 16, 2024

Same chain in Arizona

All 346 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Santa Rosa Care Center 1650 North Santa Rosa Avenue, Tucson, AZ 85712 CCN 035004Abuse icon	144	Feb 20, 2026	49	—
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	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	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 4310 East Grant Road, Tucson, AZ 85712
ZIP: 85712
County: Pima County FIPS 04019
State: Arizona
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
The Center at Tucson 5020 East Glenn Street, Tucson, AZ 85712 CCN 035295	1.2 km	96	Aug 16, 2024	23	—
Santa Rosa Care Center 1650 North Santa Rosa Avenue, Tucson, AZ 85712 CCN 035004Abuse icon	1.3 km	144	Feb 20, 2026	49	—
Foothills Rehabilitation Center 2250 North Craycroft Road, Tucson, AZ 85712 CCN 035064	1.9 km	149	Mar 28, 2026	622 harm	—
Handmaker Home for the Aging 2221 North Rosemont Boulevard, Tucson, AZ 85712 CCN 035016Abuse icon	1.9 km	94	Apr 15, 2026	61	—
Haven of Tucson 3705 North Swan Road, Tucson, AZ 85718 CCN 035165	2.7 km	118	Apr 21, 2026	212 harm	—
Sabino Canyon Rehabilitation & Care Center 5830 East Pima Street, Tucson, AZ 85712 CCN 035151	2.9 km	112	Jun 26, 2026	20	—
Pueblo Springs Rehabilitation Center 5545 East Lee Street, Tucson, AZ 85712 CCN 035068	3 km	129	Aug 24, 2026	262 open	—
Devon Gables Rehabilitation Center 6150 East Grant Road, Tucson, AZ 85712 CCN 035145Abuse icon	3.8 km	312	Jun 26, 2026	271 harm	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	035147	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	035147	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

Record-level source links for CCN 035147

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction