The nursing home failed to protect residents from abuse and neglect by others. Cited April 2025 — isolated incident, actual harm.
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F-Tag 600 — 42 CFR §483.12 — S/S: G
Nursing home report
SANDSTONE OF TUCSON REHAB CENTRE
TUCSON, AZ · Medicare-certified · 240 beds
Needs attention
Special Focus candidateAbuse citationFor-profitChain member
2 of 5 overall
Sandstone of Tucson Rehab Centre has a 2-star overall rating, with a very low 1-star health inspection rating but strong staffing (4 stars; 4.16 hours per resident per day, slightly above the 4.1 federal benchmark) and quality measures (5 stars). It is a Special Focus Facility candidate with $20,930 in fines over the last 24 months, and recent citations included abuse/neglect prevention, unnecessary drugs, and residents’ rights to participate in groups.
Facility ratings
Health inspections
Staffing
4.1601 hrs/resident/day
Quality measures
Last inspection: February 11, 2026Penalties, last 24 months: $20,930special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.1601.
Staffing detail
- Registered nurses
- 0.65
- Licensed practical nurses
- 0.90
- Nurse aides
- 2.61
- Weekend nursing
- 3.91
Hours per resident per day.
Total staff turnover: 42%
Registered nurse turnover: 41%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
29.4%Worsening
Residents with a fall causing major injury
0.2%Steady
Residents with pressure ulcers (bedsores)
2.4%Improving
Residents with a urinary tract infection
0.2%Steady
Residents who lost too much weight
0.5%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
13.1%Worsening
Residents whose ability to walk got worse
14.2%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
25.9%Worsening
Short-stay residents newly given an antipsychotic
3.2%Worsening
Residents with a long-term catheter
0.6%Worsening
Residents with new or worsening incontinence
10.8%Improving
Residents with depressive symptoms
0.5%Steady
Long-stay residents given the seasonal flu vaccine
94.5%Steady
Long-stay residents given the pneumonia vaccine
99.4%Steady
Short-stay residents given the seasonal flu vaccine
93.5%Steady
Short-stay residents given the pneumonia vaccine
94.2%Improving
What the inspectors found
The home failed to ensure residents’ medications were free from unnecessary drugs. Cited December 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 757 — 42 CFR §483.45(d) — S/S: E
The home failed to protect residents’ right to organize and take part in resident and family groups. Cited November 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 565 — 42 CFR §483.10 — S/S: E
The home failed to create and carry out a timely plan to meet a new resident’s most immediate needs after admission. Cited September 2022 — limited pattern, potential for harm.
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F-Tag 655 — 42 CFR §483.21 — S/S: E
The nursing home failed to coordinate resident assessments with required screening and make needed service referrals. Cited September 2022 — limited pattern, potential for harm.
View the original federal record
F-Tag 644 — 42 CFR §483.20 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $20,930 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $20,930 in total fines.
- $20,930
Federal fine
Apr 22, 2025
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of SANDSTONE HEALTHCARE GROUP · 3 homes · 2 stars avg
- Occupancy
- 123.4 residents on an average day (51% of 240 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 41 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.