VILLA MARIA POST ACUTE AND REHABILITATION

4310 EAST GRANT ROAD
TUCSON, AZ 85712

πŸ“ž 5203239351
For profit - Limited Liability companyTHE ENSIGN GROUP83 certified beds~55 residents/day

4310 EAST GRANT ROAD, 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

3.58 hrs

Recommended: 4.1+ hrs

RN Hours / Resident / Day

0.25 hrs

Recommended: 0.5+ hrs

RN Turnover Rate

43%

Warning if >40%

Total Nurse Turnover

37%

Warning if >50%

Inspection Deficiency Citations

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

F0600G (Harm)Abuse 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: 2024-10-03Corrected: 2024-10-02
F0684DQuality of Life and Care Deficiencies

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

Inspection: 2024-07-24Corrected: 2024-08-29
F0694G (Harm)Quality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Inspection: 2024-04-12Corrected: 2024-04-18
F0690EQuality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Inspection: 2024-02-16Corrected: 2024-03-31
F0578DResident Rights Deficiencies

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.

Inspection: 2023-09-15Corrected: 2023-11-18
F0622DResident Rights Deficiencies

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.

Inspection: 2023-09-15Corrected: 2023-11-18
F0636DResident Assessment and Care Planning Deficiencies

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Inspection: 2023-09-15Corrected: 2023-11-18
F0645DResident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

Inspection: 2023-09-15Corrected: 2023-11-18
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: 2023-09-15Corrected: 2023-11-18
F0695DQuality of Life and Care Deficiencies

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

Inspection: 2023-09-15Corrected: 2023-11-18
F0697DQuality of Life and Care Deficiencies

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

Inspection: 2023-09-15Corrected: 2023-11-18
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: 2023-09-15Corrected: 2023-11-18
F0880DInfection Control Deficiencies

Provide and implement an infection prevention and control program.

Inspection: 2023-09-15Corrected: 2023-11-18
F0584EResident 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: 2023-05-26Corrected: 2023-05-27
F0692DQuality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

Inspection: 2023-05-26Corrected: 2023-05-29
F0645DResident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

Inspection: 2022-08-11Corrected: 2022-09-30
F0658DResident Assessment and Care Planning Deficiencies

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

Inspection: 2022-08-11Corrected: 2022-09-30
F0686EQuality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Inspection: 2022-08-11Corrected: 2022-09-30
F0690DQuality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Inspection: 2022-08-11Corrected: 2022-09-30
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: 2022-08-11Corrected: 2022-09-30

Civil Money Penalties

Total fines: $8,018 across 1 penalty.

Fine2024-04-12
$8,018

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): 035147

Medicare approved: 1987-08-17

Quick Facts

Certified beds83
Avg residents/day55
OwnershipFor profit - Limited Liability company
ChainTHE ENSIGN GROUP
Abuse alertNo
Special Focus (SFF)No
Total fines$8,018

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