Nursing HomeInspections

Villa Maria Post Acute and Rehabilitation

Nursing home in Tucson, AZ

Medicare & Medicaid certified3★ overall (CMS)

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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
3 of 5
Quality measures rating
5 of 5
Certified beds
83
Average residents per day
52
Ownership
For-profit, limited Liability company
Legal business name
Mount Lemmon Healthcare LLC
Chain
The Ensign Group (347 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 2026-11-07.

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.

InspectionCitationSeverity
Jun 19, 2026Ensure 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, 2026Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service
D
Potential for more than minimal harm, isolated
Jan 23, 2026PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning
E
Potential for more than minimal harm, pattern
Jan 23, 2026Provide 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, 2026Provide 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, 2026Safeguard 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, 2024Protect 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, 2024Provide 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, 2024Provide 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, 2024Provide 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, 2023Honor 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, 2023Not 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 Oct 1, 2026.

Fines and payment denials

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

Apr 12, 2024Fine: $8,018

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

Staffing

Total nurse staffing per resident per day
3.54 hours
Registered nurse (RN) time per resident per day
0.22 hours
Nurse aide time per resident per day
1.98 hours
Total nurse staffing on weekends
2.88 hours
Nursing staff turnover (yearly)
36%
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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