Casas Adobes Post Acute Rehab Center
1919 West Medical Street · Tucson, AZ · 85704 · 5202978311
230 certified beds For profit - Limited Liability company Chain: The Ensign Group
Why this verdict
- Carries CMS’s abuse warning icon.
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
Cited under the freedom-from-abuse rule
Cited 7 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.85 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.40 | 0.55–0.75 |
| Weekend hours / resident-day | 3.41 | ≈ weekday level |
| Nursing turnover / year | 51% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (28 in the current record)
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Potential for harm · D April 14, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 15, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 21, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 24, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 21, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 22, 2025 · Pharmacy Service
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Potential for harm · D June 14, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 13, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E April 12, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 13, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 28, 2024
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected March 29, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 28, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 29, 2024 · Quality of Life and Care
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Potential for harm · D March 28, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected March 29, 2024 · Quality of Life and Care
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Potential for harm · D March 28, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 29, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E March 28, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 29, 2024 · Resident Assessment and Care Planning
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Potential for harm · E February 14, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 15, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 22, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 15, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 8, 2022
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected January 29, 2023 · Resident Rights
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Potential for harm · E December 8, 2022
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 29, 2023 · Resident Assessment and Care Planning
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Potential for harm · D December 8, 2022
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected January 29, 2023 · Quality of Life and Care
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Potential for harm · E December 8, 2022
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected January 29, 2023 · Quality of Life and Care
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Potential for harm · E December 8, 2022
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected January 29, 2023 · Resident Assessment and Care Planning
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Potential for harm · E September 8, 2021
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 20, 2021 · Resident Rights
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Potential for harm · D September 8, 2021
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.
Corrected October 20, 2021 · Resident Rights
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Potential for harm · D September 8, 2021
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 20, 2021 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 8, 2021
Ensure each resident receives an accurate assessment.
Corrected October 20, 2021 · Resident Assessment and Care Planning
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Potential for harm · D September 8, 2021
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected October 20, 2021 · Resident Assessment and Care Planning
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Potential for harm · D September 8, 2021
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected October 20, 2021 · Resident Assessment and Care Planning
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Potential for harm · D September 8, 2021
Plan the resident's discharge to meet the resident's goals and needs.
Corrected October 20, 2021 · Resident Assessment and Care Planning
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Potential for harm · E September 8, 2021
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 20, 2021 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 035070 · certified since April 17, 1979. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.