Villa Maria Post Acute and Rehabilitation

Nursing home in Tucson, AZ

Medicare & Medicaid certified3★ overall (CMS)

Call (520) 323-9351 Send a message Map ↗

Public-record details

Address: 4310 East Grant Road, Tucson, AZ 85712
Phone: (520) 323-9351
Listed under: For-profit
Medicare CCN: 035147
Overall star rating: 3 of 5 ★★★☆☆
Health inspection rating: 2 of 5
Staffing rating: 2 of 5
Quality measures rating: 5 of 5
Certified beds: 83
Average residents per day: 57
Ownership: For-profit, limited Liability company
Legal business name: Mount Lemmon Healthcare LLC
Chain: The Ensign Group (342 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Aug 17, 1987
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 035147. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jan 23, 2026. CMS lists 26 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 11, 2022 to Jun 19, 2026): 5 from complaint inspections, 2 at the “actual harm” level or higher.

Inspection	Citation	Severity
Jun 19, 2026	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
Jan 23, 2026	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service	D Potential for more than minimal harm, isolated
Jan 23, 2026	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning	E Potential for more than minimal harm, pattern
Jan 23, 2026	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care	E Potential for more than minimal harm, pattern
Jan 23, 2026	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service	E Potential for more than minimal harm, pattern
Jan 23, 2026	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning	E Potential for more than minimal harm, pattern
Oct 3, 2024	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation · complaint inspection	G Actual harm, isolated
Jul 24, 2024	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
Apr 12, 2024	Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care · complaint inspection	G Actual harm, isolated
Feb 16, 2024	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care · complaint inspection	E Potential for more than minimal harm, pattern
Sep 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… Resident Rights	D Potential for more than minimal harm, isolated
Sep 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. Resident Rights	D Potential for more than minimal harm, isolated

Showing the 12 most recent of 26. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $8,018 in the last three years.

Apr 12, 2024

Fine: $8,018

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 3.51 hours
Registered nurse (RN) time per resident per day: 0.23 hours
Nurse aide time per resident per day: 1.98 hours
Total nurse staffing on weekends: 2.85 hours
Nursing staff turnover (yearly): 42%
Administrators who left in the past year: 0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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