The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
DEVON GABLES REHABILITATION CENTER
TUCSON, AZ · Medicare-certified · 312 beds
Needs attention
Abuse citationFor-profitChain member
2 of 5 overall
2 of 5 stars overall. DEVON GABLES REHABILITATION CENTER has a 2-star health inspection rating, a 4-star staffing rating, and 3.72 reported nurse staffing hours per resident per day versus the 4.1 federal benchmark; it has no fines in the last 24 months, but does have a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.7189 hrs/resident/day
Quality measures
Last inspection: June 26, 2025Penalties, last 24 months: $0recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7189.
Staffing detail
- Registered nurses
- 0.50
- Licensed practical nurses
- 0.87
- Nurse aides
- 2.35
- Weekend nursing
- 3.45
Hours per resident per day.
Total staff turnover: 31%
Registered nurse turnover: 35%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
19.8%Improving
Residents with a fall causing major injury
1.9%Steady
Residents with pressure ulcers (bedsores)
6.7%Worsening
Residents with a urinary tract infection
0.9%Steady
Residents who lost too much weight
0%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
14.1%Worsening
Residents whose ability to walk got worse
16.5%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
22.3%Worsening
Short-stay residents newly given an antipsychotic
2.2%Worsening
Residents with a long-term catheter
2%Worsening
Residents with new or worsening incontinence
5.5%Worsening
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
99.5%Steady
Long-stay residents given the pneumonia vaccine
99.5%Worsening
Short-stay residents given the seasonal flu vaccine
79.5%Steady
Short-stay residents given the pneumonia vaccine
88.6%Improving
What the inspectors found
The nursing home failed to protect residents from abuse and neglect by others. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited July 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
The home failed to provide appropriate care to help a resident maintain or improve movement and mobility. Cited April 2022 — limited pattern, potential for harm.
View the original federal record
F-Tag 688 — 42 CFR §483.25(c) — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited April 2022 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — 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 2 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of ATIED ASSOCIATES · 12 homes · 2.5 stars avg
- Occupancy
- 183.6 residents on an average day (59% of 312 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 38 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.