Pueblo Springs Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 5545 East Lee Street, Tucson, AZ 85712
- CCN
- 035068
- Ownership type
- For-profit, limited liability company
- Certified beds
- 129
- Chain
- The Ensign Group
- Residents per day
- 93
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Pueblo Springs Rehabilitation Center an overall rating of 2 of 5 stars. The last standard survey was on 6 Jun 2025. The latest survey cycle has 5 health citations. The median for nursing homes in Arizona is 5. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Pima County median | Arizona median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 3 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 4 | 5.0 | 5.0 | 3.6 |
A median is the middle value of the homes in the group: 24 homes in the county, 140 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Arizona median |
|---|---|---|---|
| Cycle 1 (latest) | 6 Jun 2025 | 5 | 5 |
| Cycle 2 | 25 Apr 2023 | 6 | 6 |
| Cycle 3 | No date | 10 | 6 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 5 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 12 Jun 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 8 Jul 2026 |
| 6 Jun 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Complaint investigation | 7 Jul 2025 |
| 6 Jun 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 7 Jul 2025 |
| 6 Jun 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 7 Jul 2025 |
| 6 Jun 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 7 Jul 2025 |
Survey cycle 2: 6 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 6 Jun 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint investigation | 7 Jul 2025 |
| 6 Jun 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 7 Jul 2025 |
| 6 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 7 Jul 2025 |
| 25 Apr 2023 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Standard survey | 16 Jun 2023 |
| 25 Apr 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | E | Standard survey | 16 Jun 2023 |
| 25 Apr 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 16 Jun 2023 |
Survey cycle 3: 10 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 7 Dec 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 26 Jan 2024 |
| 7 Dec 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 26 Jan 2024 |
| 24 Mar 2022 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 15 Apr 2022 |
| 24 Mar 2022 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 15 Apr 2022 |
| 24 Mar 2022 | F0584 | 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. | D | Standard survey | 15 Apr 2022 |
| 24 Mar 2022 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 15 Apr 2022 |
| 24 Mar 2022 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 15 Apr 2022 |
| 24 Mar 2022 | F0688 | 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. | D | Standard survey | 15 Apr 2022 |
| 24 Mar 2022 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 15 Apr 2022 |
| 24 Mar 2022 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 15 Apr 2022 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Arizona median | Arizona average (CMS) |
|---|---|---|---|
| All nurse staff | 3.03 | 3.80 | 3.97 |
| Registered nurses (RN) | 0.21 | 0.60 | 0.70 |
| Licensed practical nurses (LPN) | 0.93 | 1.04 | |
| Nurse aides | 1.89 | 2.23 | |
| All nurse staff, weekends | 2.64 | 3.30 | 3.50 |
- Nurse staff turnover in a year
- 58.3%
- Nurse staff turnover, Arizona median
- 46.3%
- RN turnover in a year
- 75.0%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Arizona median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 5.3% | 8.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.4% | 0.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.4% | 1.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.6% | 0.6% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.4% | 11.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.1% | 3.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 1.9% | 7.9% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Willow Canyon Healthcare LLC
- Chain
- The Ensign Group (342 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| The Ensign Group Inc | Indirect ownership interest | 13 Jun 2017 | |
| Ensign Services Inc | Adp of the snf | 13 Jun 2017 | |
| Harlan Heights Health Holdings LLC | Adp of the snf | 1 Jan 2022 | |
| Standard Bearer Healthcare Op, LP | Adp of the snf | 1 Jan 2022 | |
| The Ensign Group Inc | Adp of the snf | 1 Sep 2017 |
The site shows organisations only. It does not show the names of persons.
Other homes in Pima County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Sabino Canyon Rehabilitation & Care Center | Tucson | 4 of 5 | 6 | $0 | 25 Aug 2023 | |
| Handmaker Home for the Aging | Tucson | 3 of 5 | 7 | $0 | 23 Jan 2026 | |
| Sandstone Estates Rehab Centre | Tucson | 1 of 5 | 7 | $0 | 20 Mar 2026 | |
| Foothills Rehabilitation Center | Tucson | 2 of 5 | 12 | $0 | 28 Mar 2026 | |
| Devon Gables Rehabilitation Center | Tucson | 2 of 5 | 2 | $0 | 14 Jul 2023 | |
| Santa Rosa Care Center | Tucson | 3 of 5 | 8 | $0 | 29 Aug 2025 | |
| Haven of Saguaro Valley | Tucson | 5 of 5 | 1 | $0 | 23 May 2025 | |
| The Center at Tucson | Tucson | 5 of 5 | 3 | $0 | 16 Aug 2024 | |
| Villa Maria Post Acute and Rehabilitation | Tucson | 3 of 5 | 6 | $8,018 | 23 Jan 2026 | |
| Haven of Tucson | Tucson | 2 of 5 | 7 | $0 | 21 Apr 2026 | |
| Catalina Post Acute and Rehabilitation | Tucson | 4 of 5 | 4 | $0 | 16 Sep 2025 | |
| Park Avenue Health and Rehabilitation Center | Tucson | 4 of 5 | 5 | $25,116 | 22 Aug 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Pueblo Springs Rehabilitation Center (CCN 035068). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/pueblo-springs-rehabilitation-center-tucson-az-035068/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Pueblo Springs Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 12 Jun 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 25 Apr 2023.
- Who operates Pueblo Springs Rehabilitation Center?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain The Ensign Group. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Pueblo Springs Rehabilitation Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Arizona as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.