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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D23 | E10 | F· |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jun 19, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 23, 2026 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Oct 3, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Jul 24, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 12, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Feb 16, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 15, 2023 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Sep 15, 2023 | Health | Health Standard | 9 | Potential harm | — | Open → |
| Aug 11, 2022 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Aug 11, 2022 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Oct 30, 2020 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Apr 12, 2024 | Civil money penalty (fine) | $8,018 | — | 035147|Fine|133248 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D23 | E10 | F· |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 19, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 22, 2026 | Complaint |
| Jan 23, 2026 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 18, 2026 | |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
347 facilities in 17 states. CMS chain ID 507.
Chain average overall rating (CMS): 3.3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Michael Bostwick | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 1, 2022 |
| Soon Burnam | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 1, 2022 |
| Kiyan Rad | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 16, 2024 |
| Michael Bostwick | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2022 |
| Kiyan Rad | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 16, 2024 |
| Forrest Peterson | Individual |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Santa Rosa Care Center 1650 North Santa Rosa Avenue, Tucson, AZ 85712 CCN 035004Abuse icon | 144 | Feb 20, 2026 | 49 | — | |
| Desert Terrace Healthcare Center 2509 North 24th Street, Phoenix, AZ 85008 CCN 035014 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| The Center at Tucson 5020 East Glenn Street, Tucson, AZ 85712 CCN 035295 | 1.2 km | 96 | Aug 16, 2024 | 23 | — | |
| Santa Rosa Care Center 1650 North Santa Rosa Avenue, Tucson, AZ 85712 CCN 035004Abuse icon | 1.3 km | 144 | Feb 20, 2026 | 49 | — | |
| Foothills Rehabilitation Center 2250 North Craycroft Road, Tucson, AZ 85712 CCN 035064 | 1.9 km | 149 | Mar 28, 2026 | 622 harm | — | |
| Handmaker Home for the Aging 2221 North Rosemont Boulevard, Tucson, AZ 85712 CCN 035016Abuse icon | 1.9 km | 94 | Apr 15, 2026 | 61 | — | |
| Haven of Tucson 3705 North Swan Road, Tucson, AZ 85718 CCN 035165 | 2.7 km | 118 | Apr 21, 2026 | 212 harm | — | |
| Sabino Canyon Rehabilitation & Care Center 5830 East Pima Street, Tucson, AZ 85712 CCN 035151 | 2.9 km | 112 | Jun 26, 2026 | 20 | — | |
| Pueblo Springs Rehabilitation Center 5545 East Lee Street, Tucson, AZ 85712 CCN 035068 | 3 km | 129 | Aug 24, 2026 | 262 open | — | |
| Devon Gables Rehabilitation Center 6150 East Grant Road, Tucson, AZ 85712 CCN 035145Abuse icon | 3.8 km | 312 | Jun 26, 2026 | 271 harm | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 035147 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 035147 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| F-0684 |
| Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care |
| E · Potential harm Pattern |
| Corrected Feb 18, 2026 |
| Jan 23, 2026 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Feb 18, 2026 |
| Jan 23, 2026 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 18, 2026 |
| Jan 23, 2026 | F-0842 | 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 Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 18, 2026 |
| Oct 3, 2024 | F-0600 | 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 Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Past non-compliance Oct 2, 2024 | Complaint |
| Jul 24, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 29, 2024 | Complaint |
| Apr 12, 2024 | F-0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Apr 18, 2024 | Complaint |
| Feb 16, 2024 | F-0690 | 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 Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 31, 2024 | Complaint |
| Sep 15, 2023 | K-0233 | Install resident room doors of proper design and width. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 16, 2023 |
| Sep 15, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 16, 2023 |
| Sep 15, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 16, 2023 |
| Sep 15, 2023 | K-0921 | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 16, 2023 |
| Sep 15, 2023 | F-0578 | 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 directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 18, 2023 |
| Sep 15, 2023 | F-0622 | 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 Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 18, 2023 |
| Sep 15, 2023 | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 18, 2023 |
| Sep 15, 2023 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 18, 2023 |
| Sep 15, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 18, 2023 |
| Sep 15, 2023 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 18, 2023 |
| Sep 15, 2023 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 18, 2023 |
| Sep 15, 2023 | F-0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Nov 18, 2023 |
| Sep 15, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Nov 18, 2023 |
| Aug 11, 2022 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 26, 2022 |
| Aug 11, 2022 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 26, 2022 |
| Aug 11, 2022 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 26, 2022 |
| Aug 11, 2022 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 30, 2022 |
| Aug 11, 2022 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 30, 2022 |
| Aug 11, 2022 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Sep 30, 2022 |
| Aug 11, 2022 | F-0690 | 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 Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 30, 2022 |
| Aug 11, 2022 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Sep 30, 2022 |
| Aug 11, 2022 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 30, 2022 |
| Aug 11, 2022 | F-0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Sep 30, 2022 |
| Oct 30, 2020 | E-0037 | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness | E · Potential harm Pattern | Corrected Dec 8, 2020 |
| Oct 30, 2020 | K-0926 | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 8, 2020 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.96 (case-mix index 1.25).
| Corporate officer / director |
| CORPORATE DIRECTOR |
| not provided |
| May 1, 2022 |
| Soon Burnam | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 1, 2022 |
| Chad Keetch | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 1, 2011 |
| Barry Port | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 26, 2018 |
| Standard Bearer Healthcare Op, LP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2022 |
| The Ensign Group Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2022 |
| Michael Bostwick | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2022 |
| Kiyan Rad | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 16, 2024 |
| 108 |
| Jun 25, 2026 |
29 |
| — |
| Pueblo Springs Rehabilitation Center 5545 East Lee Street, Tucson, AZ 85712 CCN 035068 | 129 | Aug 24, 2026 | 262 open | — |
| Casas Adobes Post Acute Rehab Center 1919 West Medical Street, Tucson, AZ 85704 CCN 035070Abuse icon | 230 | May 22, 2026 | 251 open | — |
| Mission Palms Post Acute 6461 East Baywood Avenue, Mesa, AZ 85206 CCN 035071 | 160 | Aug 20, 2026 | 24 | — |
| Phoenix Mountain Post Acute 13232 North Tatum Blvd, Phoenix, AZ 85032 CCN 035072 | 130 | Nov 19, 2025 | 311 harm | $8,018 |
| Osborn Health and Rehabilitation 3333 North Civic Center Plaza, Scottsdale, AZ 85251 CCN 035076 | 130 | Jan 16, 2026 | 10 | — |
| Heritage Court Post Acute of Scottsdale 3339 North Drinkwater Boulevard, Scottsdale, AZ 85251 CCN 035083Abuse icon | 108 | Jun 5, 2026 | 22 | — |