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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D18 | E7 | 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 | |
|---|---|---|---|---|---|---|
| Oct 24, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 22, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Aug 22, 2025 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Aug 1, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jun 11, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Aug 1, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| May 19, 2023 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| May 19, 2023 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Apr 1, 2022 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Apr 1, 2022 | Health | Health Standard | 9 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Aug 1, 2024 | Civil money penalty (fine) | $25,116 | — | 035174|Fine|133252 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D18 | E7 | F· |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Oct 24, 2025 | 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 | D · Potential harm Isolated | Corrected Nov 1, 2025 | Complaint |
| Aug 22, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 1, 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.
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 |
|---|---|---|---|---|---|
| Barry Port | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Jul 30, 2025 |
| Ellen Cote | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 12, 2008 |
| Elise Vo | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 5, 2021 |
| Forrest Peterson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2019 |
| Soon Burnam | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 18, 2006 |
| Chad Keetch | Individual | Corporate officer / director |
| Facility | Beds | CMS overall | 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 035014 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Catalina Post Acute and Rehabilitation 2611 North Warren Avenue, Tucson, AZ 85719 CCN 035190 | 1.3 km | 102 | Aug 27, 2026 | 351 open | — | |
| Villa Maria Post Acute and Rehabilitation 4310 East Grant Road, Tucson, AZ 85712 CCN 035147 | 5.7 km | 83 | Jun 19, 2026 | 352 harm | $8,018 | |
| Santa Rosa Care Center 1650 North Santa Rosa Avenue, Tucson, AZ 85712 CCN 035004Abuse icon | 6.6 km | 144 | Feb 20, 2026 | 49 | — | |
| The Center at Tucson 5020 East Glenn Street, Tucson, AZ 85712 CCN 035295 | 6.7 km | 96 | Aug 16, 2024 | 23 | — | |
| Haven of Tucson 3705 North Swan Road, Tucson, AZ 85718 CCN 035165 | 7.3 km | 118 | Apr 21, 2026 | 212 harm | — | |
| Handmaker Home for the Aging 2221 North Rosemont Boulevard, Tucson, AZ 85712 CCN 035016Abuse icon | 7.5 km | 94 | Apr 15, 2026 | 61 | — | |
| Foothills Rehabilitation Center 2250 North Craycroft Road, Tucson, AZ 85712 CCN 035064 | 7.5 km | 149 | Mar 28, 2026 | 622 harm | — | |
| Arizona State Veteran Home-Tucson 555 East Ajo Way, Tucson, AZ 85713 CCN 035284 | 7.5 km | 120 | Apr 10, 2026 | 19 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 035174 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 035174 | 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
| K-0372 |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety |
| D · Potential harm Isolated |
| Corrected Nov 1, 2025 |
| Aug 22, 2025 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 25, 2025 |
| Aug 22, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 25, 2025 |
| Aug 1, 2025 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 15, 2025 | Complaint |
| Aug 1, 2025 | 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 Sep 15, 2025 | Complaint |
| Jun 11, 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 Jul 7, 2025 | Complaint |
| Jun 11, 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 Jul 7, 2025 | Complaint |
| Aug 1, 2024 | 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 | G · Actual harm Isolated | Corrected Sep 12, 2024 | Complaint |
| May 19, 2023 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 10, 2023 |
| May 19, 2023 | 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 Jul 10, 2023 |
| May 19, 2023 | 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 Jul 10, 2023 |
| May 19, 2023 | 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 | Past non-compliance Apr 14, 2023 |
| May 19, 2023 | 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 Jul 10, 2023 |
| May 19, 2023 | F-0790 | Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 10, 2023 |
| Apr 1, 2022 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 9, 2022 |
| Apr 1, 2022 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 12, 2022 |
| Apr 1, 2022 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 12, 2022 |
| Apr 1, 2022 | 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 May 12, 2022 |
| Apr 1, 2022 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 12, 2022 |
| Apr 1, 2022 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected May 12, 2022 |
| Apr 1, 2022 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected May 12, 2022 |
| Apr 1, 2022 | 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 May 12, 2022 |
| Apr 1, 2022 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 12, 2022 |
| Apr 1, 2022 | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 12, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.51 (case-mix index 1.27).
| CORPORATE OFFICER |
| not provided |
| Mar 1, 2011 |
| Ensign Services Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2003 |
| Ellen Cote | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 12, 2008 |
| Elise Vo | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 5, 2021 |
| 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 | — |