The nursing home failed to protect residents from abuse and neglect by others. Cited June 2025 — limited pattern, potential for harm.
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F-Tag 600 — 42 CFR §483.12 — S/S: E
Nursing home report
PUEBLO SPRINGS REHABILITATION CENTER
TUCSON, AZ · Medicare-certified · 129 beds
Needs attention
For-profitChain member
1 of 5 overall
Pueblo Springs Rehabilitation Center in Tucson has a 1-star overall rating, with 1-star staffing and 2-star health inspection ratings; reported nursing staffing is 3.01 hours per resident per day, below the 4.1-hour federal benchmark. It has no fines in the last 24 months, but it is flagged for the lowest overall rating.
Facility ratings
Health inspections
Staffing
3.0071 hrs/resident/day
Quality measures
Last inspection: June 6, 2025Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0071.
Staffing detail
- Registered nurses
- 0.30
- Licensed practical nurses
- 0.84
- Nurse aides
- 1.87
- Weekend nursing
- 2.54
Hours per resident per day.
Total staff turnover: 57%
Registered nurse turnover: 75%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
3%0%Improving
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
5.6%3.4%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
1.7%1.5%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
5.3%7.8%Worsening
Residents whose ability to walk got worse
—10.7%—
Long-stay residents on antianxiety or sleep medication
23.7%18.5%Improving
Short-stay residents newly given an antipsychotic
0%1.3%Worsening
Residents with a long-term catheter
1.4%0%Improving
Residents with new or worsening incontinence
18.5%19.4%Worsening
Residents with depressive symptoms
12.2%36.1%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—93.7%—
Long-stay residents given the pneumonia vaccine
95%78.9%Worsening
Short-stay residents given the seasonal flu vaccine
—84%—
Short-stay residents given the pneumonia vaccine
91.7%79.4%Worsening
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The nursing home failed to properly screen residents for mental health or intellectual disability needs before or during admission. Cited April 2023 — limited pattern, potential for harm.
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F-Tag 645 — 42 CFR §483.20 — S/S: E
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited April 2023 — limited pattern, potential for harm.
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F-Tag 697 — 42 CFR §483.25(k) — S/S: E
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited March 2022 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — 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 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
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
- 90.5 residents on an average day (70% of 129 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 45 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.