PUEBLO SPRINGS REHABILITATION CENTER

5545 EAST LEE STREET
TUCSON, AZ 85712

πŸ“ž 5202962306
For profit - Limited Liability companyTHE ENSIGN GROUP129 certified beds~83 residents/day

5545 EAST LEE STREET, TUCSON, AZ

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CMS Five-Star Ratings

Source: CMS Provider Data Catalog. Ratings updated monthly.

Overall Rating

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Composite of health inspections, staffing, and quality measures

Health Inspections

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Based on results of onsite inspection surveys

Staffing

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Nurse staffing levels relative to resident census

Quality Measures

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Clinical quality metrics from resident assessments

Staffing Data

Higher staffing hours = better care outcomes. RN turnover over 40% is a warning sign.

Total Nurse Hours / Resident / Day

2.99 hrs

Recommended: 4.1+ hrs

RN Hours / Resident / Day

0.32 hrs

Recommended: 0.5+ hrs

RN Turnover Rate

43%

Warning if >40%

Total Nurse Turnover

52%

Warning if >50%

Inspection Deficiency Citations

Recent citations from CMS health inspections. Severity A–F = no resident harm. G–L = resident harm occurred.

F0600EAbuse CitationFreedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Inspection: 2025-06-06Corrected: 2025-07-07
F0607DAbuse CitationFreedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Inspection: 2025-06-06Corrected: 2025-07-07
F0645DResident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

Inspection: 2025-06-06Corrected: 2025-07-07
F0880EInfection Control Deficiencies

Provide and implement an infection prevention and control program.

Inspection: 2025-06-06Corrected: 2025-07-07
F0600DAbuse CitationFreedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Inspection: 2023-12-07Corrected: 2024-01-26
F0689DQuality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Inspection: 2023-12-07Corrected: 2024-01-26
F0645EResident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

Inspection: 2023-04-25Corrected: 2023-06-16
F0697EQuality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

Inspection: 2023-04-25Corrected: 2023-06-16
F0755DPharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Inspection: 2023-04-25Corrected: 2023-06-16
F0684EQuality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Inspection: 2023-03-30Corrected: 2023-05-26
F0725ENursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Inspection: 2023-03-30Corrected: 2023-05-26
F0727DNursing and Physician Services Deficiencies

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.

Inspection: 2023-03-30Corrected: 2023-05-26
F0554DResident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

Inspection: 2022-03-24Corrected: 2022-04-15
F0580DResident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Inspection: 2022-03-24Corrected: 2022-04-15
F0584DResident Rights Deficiencies

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.

Inspection: 2022-03-24Corrected: 2022-04-15
F0658DResident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Inspection: 2022-03-24Corrected: 2022-04-15
F0677DQuality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Inspection: 2022-03-24Corrected: 2022-04-15
F0688DQuality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Inspection: 2022-03-24Corrected: 2022-04-15
F0695DQuality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Inspection: 2022-03-24Corrected: 2022-04-15
F0755EPharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Inspection: 2022-03-24Corrected: 2022-04-15

About This Data

All data is sourced directly from the CMS Provider Data Catalog (data.cms.gov) and updated every month. NursingHomeUSA receives no compensation from this facility.

CMS Provider Number (CCN): 035068

Medicare approved: 1981-01-16

Quick Facts

Certified beds129
Avg residents/day83
OwnershipFor profit - Limited Liability company
ChainTHE ENSIGN GROUP
Abuse alertNo
Special Focus (SFF)No

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