Villa Maria Post Acute and Rehabilitation

4310 East Grant Road · Tucson, AZ · 85712 · 5203239351

83 certified beds For profit - Limited Liability company Chain: The Ensign Group

  • 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.

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Red flags

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

RN staffing in the bottom 10% nationally

0.23 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Score breakdown

Inspection record 30% of score 57
Serious harm & abuse 20% 78
Staffing 20% 54
Federal penalties 15% 77
Trend 10% 82
Context 5% 100

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: 2 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.603.48 min · 4.1 strong
RN hours / resident-day0.230.55–0.75
Weekend hours / resident-day2.87≈ weekday level
Nursing turnover / year40%median 45%
Fines (3-yr window)1 · $8,018

Inspection citations (25 in the current record)

  • Potential for harm · E January 23, 2026

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected February 18, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E January 23, 2026

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

    Corrected February 18, 2026 · Quality of Life and Care

  • Potential for harm · E January 23, 2026

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

    Corrected February 18, 2026 · Pharmacy Service

  • Potential for harm · D January 23, 2026

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected February 18, 2026 · Pharmacy Service

  • Potential for harm · E January 23, 2026

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected February 18, 2026 · Resident Assessment and Care Planning

  • Actual harm · G October 3, 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 October 2, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 24, 2024 · found via complaint

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

    Corrected August 29, 2024 · Quality of Life and Care

  • Actual harm · G April 12, 2024 · found via complaint

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

    Corrected April 18, 2024 · Quality of Life and Care

  • Potential for harm · E February 16, 2024 · found via complaint

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

    Corrected March 31, 2024 · Quality of Life and Care

  • Potential for harm · D September 15, 2023

    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 November 18, 2023 · Resident Rights

  • Potential for harm · D September 15, 2023

    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.

    Corrected November 18, 2023 · Resident Rights

  • Potential for harm · D September 15, 2023

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

    Corrected November 18, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D September 15, 2023

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected November 18, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D September 15, 2023

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

    Corrected November 18, 2023 · Quality of Life and Care

  • Potential for harm · D September 15, 2023

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

    Corrected November 18, 2023 · Quality of Life and Care

  • Potential for harm · D September 15, 2023

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

    Corrected November 18, 2023 · Quality of Life and Care

  • Potential for harm · D September 15, 2023

    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.

    Corrected November 18, 2023 · Nursing and Physician Services

  • Potential for harm · D September 15, 2023

    Provide and implement an infection prevention and control program.

    Corrected November 18, 2023 · Infection Control

  • Potential for harm · D August 11, 2022

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected September 30, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D August 11, 2022

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

    Corrected September 30, 2022 · Resident Assessment and Care Planning

  • Potential for harm · E August 11, 2022

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

    Corrected September 30, 2022 · Quality of Life and Care

  • Potential for harm · D August 11, 2022

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

    Corrected September 30, 2022 · Quality of Life and Care

  • Potential for harm · E August 11, 2022

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

    Corrected September 30, 2022 · Nursing and Physician Services

  • Potential for harm · D August 11, 2022

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected September 30, 2022 · Pharmacy Service

  • Potential for harm · D August 11, 2022

    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

    Corrected September 30, 2022 · Administration

Federal penalties

DateTypeAmount / length
April 12, 2024Fine$8,018

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 035147 · certified since August 17, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.