Elder Care Record

Arizona › Pima County › Tucson

Villa Maria Post Acute and Rehabilitation

4310 East Grant Road, Tucson, AZ 85712

CCN 035147 · For-profit, limited liability company · 83 certified beds · chain The Ensign Group

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Villa Maria Post Acute and Rehabilitation is a For-profit, limited liability company nursing home in Tucson, Arizona, certified for 83 beds and caring for about 57 residents a day.

CMS gives it 3 of 5 stars overall, equal to the Arizona median; the health inspection rating is 2, staffing 2 and quality measures 5.

Inspectors recorded 26 health deficiencies across the three most recent survey cycles (6, 10, 10 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 31.3 per 100 beds, more than the state median of 18.4.

CMS lists 1 penalty in the period covered: fines totalling $8K.

Reported nurse staffing is 3.5 hours per resident per day (0.2 RN), close to the Arizona median of 3.8; nursing staff turnover is 41.8%.

26health deficiencies, 3 survey cycles2 at actual harm or worse
$8Kfines listed by CMS1 penalty in period
3.5nurse hours per resident per daystate median 3.8
69%occupancy (residents ÷ beds)57 residents a day

Compared with county, state and nation

MeasureThis facilityPima Co. medianArizona medianUS average
Overall star rating3333.0
Health citations, 3 cycles26222028.7
Citations per 100 beds31.320.618.426.8
Total nurse hours per resident day3.53.93.83.9
RN hours per resident day0.20.50.60.7
Nursing staff turnover41.8%42.3%46.3%45.8%
Fines listed$8,018$0$0—

County and state figures are medians across facilities (24 in the county, 140 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)6
Cycle 210
Cycle 310

Dark bar: this facility. Grey bar: Arizona average per facility for the same cycle, as published by CMS. Standard health survey dates: 23 Jan 2026, 15 Sep 2023.

Severity mix: G ×2 D ×17 E ×7

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
19 Jun 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigationDeficient, Provider has no plan of correction
23 Jan 2026F0645PASARR screening for Mental disorders or Intellectual DisabilitiesEStandard survey18 Feb 2026
23 Jan 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard survey18 Feb 2026
23 Jan 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey18 Feb 2026
23 Jan 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard survey18 Feb 2026
23 Jan 2026F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey18 Feb 2026
3 Oct 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation2 Oct 2024
24 Jul 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation29 Aug 2024
12 Apr 2024F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.GComplaint investigation18 Apr 2024
16 Feb 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EComplaint investigation31 Mar 2024
15 Sep 2023F0578Honor 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.DStandard survey18 Nov 2023
15 Sep 2023F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard survey18 Nov 2023
15 Sep 2023F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard survey18 Nov 2023
15 Sep 2023F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey18 Nov 2023
15 Sep 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey18 Nov 2023
15 Sep 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey18 Nov 2023
15 Sep 2023F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey18 Nov 2023
15 Sep 2023F0727Have 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.DStandard survey18 Nov 2023
15 Sep 2023F0880Provide and implement an infection prevention and control program.DStandard survey18 Nov 2023
11 Aug 2022F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EStandard survey30 Sep 2022
11 Aug 2022F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard survey30 Sep 2022
11 Aug 2022F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey30 Sep 2022
11 Aug 2022F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey30 Sep 2022
11 Aug 2022F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey30 Sep 2022
11 Aug 2022F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey30 Sep 2022
11 Aug 2022F0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DStandard survey30 Sep 2022

Penalties

DateTypeAmountDetail
12 Apr 2024Fine$8,018

Staffing

Total nursing3.51 h
Nurse aides1.98 h
LPN1.3 h
RN0.23 h
Weekend total2.85 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Arizona average. Turnover: nursing staff 41.8%, RNs —; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityArizona medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay11.7%8.8%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%0.5%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.6%1.7%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.6%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay11.3%11.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.2%3.9%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay0.0%7.9%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Mount Lemmon Healthcare Llc. Chain: The Ensign Group (342 facilities).

OrganisationRole in the CMS recordInterestSince
Standard Bearer Healthcare Op, LPAdp of the snfNOT APPLICABLE01/01/2022
The Ensign Group IncAdp of the snfNOT APPLICABLE01/01/2022

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Pima County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Haven Health Green Valley, LLCGreen Valley1115432724.3—5 Jun 2026
Haven of Saguaro ValleyTucson1125421816.1—23 Dec 2025
Skilled Nursing Unit At Oro Valley HospitalOro Valley33555927.3—14 May 2026
The Center At TucsonTucson965532222.9—16 Aug 2024
Brookdale Santa CatalinaTucson424353173.8—29 May 2026
Catalina Post Acute and RehabilitationTucson1024332120.6—29 Oct 2025
Mountain View Care CenterTucson1204322319.2—6 Jun 2025
Park Avenue Health and Rehabilitation CenterTucson2004322311.5$25K24 Oct 2025

All 24 facilities in Pima County

Questions and answers

How many deficiencies has Villa Maria Post Acute and Rehabilitation been cited for?

26 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Arizona median is 20 per facility.

Has Villa Maria Post Acute and Rehabilitation been fined?

Yes. CMS lists fines totalling $8K in the period covered.

How does staffing at Villa Maria Post Acute and Rehabilitation compare?

Reported total nurse staffing is 3.5 hours per resident per day against a Arizona median of 3.8 and a national average of 3.9.

Who operates Villa Maria Post Acute and Rehabilitation?

It is part of the The Ensign Group chain. Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.

When was Villa Maria Post Acute and Rehabilitation last inspected?

The most recent survey or investigation in the CMS record is dated 19 Jun 2026; the most recent standard health survey was 23 Jan 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.