The nursing home failed to protect residents from abuse and neglect by others. Cited April 2024 — limited pattern, potential for harm.
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F-Tag 600 — 42 CFR §483.12 — S/S: E
Nursing home report
CASAS ADOBES POST ACUTE REHAB CENTER
TUCSON, AZ · Medicare-certified · 230 beds
Needs attention
Abuse citationFor-profitChain member
3 of 5 overall
CASAS ADOBES POST ACUTE REHAB CENTER has a 3-star overall rating. Staffing is 3 stars with reported nurse staffing below the federal benchmark (3.85 vs 4.1 hours per resident per day), health inspections are 2 stars, quality measures are 5 stars, there were no fines in the last 24 months, and it has a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.8481 hrs/resident/day
Quality measures
Last inspection: June 21, 2025Penalties, last 24 months: $0recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8481.
Staffing detail
- Registered nurses
- 0.40
- Licensed practical nurses
- 1.08
- Nurse aides
- 2.36
- Weekend nursing
- 3.41
Hours per resident per day.
Total staff turnover: 51%
Registered nurse turnover: 71%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
40.1%Worsening
Residents with a fall causing major injury
0.2%Improving
Residents with pressure ulcers (bedsores)
5.1%Improving
Residents with a urinary tract infection
0.5%Improving
Residents who lost too much weight
4.4%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
7%Improving
Residents whose ability to walk got worse
13.7%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
32.2%Improving
Short-stay residents newly given an antipsychotic
1.9%Steady
Residents with a long-term catheter
0.2%Steady
Residents with new or worsening incontinence
24.2%Worsening
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
99.2%Steady
Long-stay residents given the pneumonia vaccine
98.4%Worsening
Short-stay residents given the seasonal flu vaccine
90.2%Steady
Short-stay residents given the pneumonia vaccine
96.9%Steady
What the inspectors found
The nursing home failed to provide services that met professional standards of quality. Cited March 2024 — limited pattern, potential for harm.
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F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: E
The home failed to provide safe, appropriate dialysis care for a resident who needed it. Cited December 2022 — limited pattern, potential for harm.
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F-Tag 698 — 42 CFR §483.25(l) — S/S: E
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited December 2022 — limited pattern, potential for harm.
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F-Tag 842 — 42 CFR §483.70 — S/S: E
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited September 2021 — limited pattern, potential for harm.
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F-Tag 550 — 42 CFR §483.10(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
- Occupancy
- 184.5 residents on an average day (80% of 230 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 47 years
The most recent standard health inspection was more than two years ago.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.