PUEBLO SPRINGS REHABILITATION CENTER
5545 EAST LEE STREET, TUCSON, AZ 85712 · CCN 035068
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★★ 5
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 129
- Avg residents/day
- 83.3
- Phone
- 5202962306
Inspection history vs Arizona & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Arizona avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2023-04-25 | 7 | 7.7 | 9.5 | -0.7 better |
| 2 | 2022-03-24 | 8 | 7.2 | 9.8 | +0.8 worse |
| 3 | 2019-10-24 | 13 | 8.6 | 9.3 | +4.4 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 1 |
| Resident assessment and care planning | 2 |
| Pharmacy service | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 2.99 | 52.3% |
| RN staffing (reported) | 0.29 | 42.9% |
| Total nurse staffing (adjusted) | 3.35 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- THE ENSIGN GROUP
- Facilities in chain
- 329
- Chain avg overall
- 3.20 / 5
Inspection citations (28)
- EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-06-06 · Health · corrected 2025-07-07
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-06-06 · Health · corrected 2025-07-07
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-06-06 · Health · corrected 2025-07-07
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-06-06 · Health · corrected 2025-07-07
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-12-07 · Health · corrected 2024-01-26
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-12-07 · Health · corrected 2024-01-26
Potential for more than minimal harm
- EF0645PASARR screening for Mental disorders or Intellectual Disabilities2023-04-25 · Health · corrected 2023-06-16
Potential for more than minimal harm
- EF0697Provide safe, appropriate pain management for a resident who requires such services.2023-04-25 · Health · corrected 2023-06-16
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-04-25 · Health · corrected 2023-06-16
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-03-30 · Health · corrected 2023-05-26
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-03-30 · Health · corrected 2023-05-26
Potential for more than minimal harm
- DF0727Have 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.2023-03-30 · Health · corrected 2023-05-26
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2022-03-24 · Health · corrected 2022-04-15
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2022-03-24 · Health · corrected 2022-04-15
Potential for more than minimal harm
- DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2022-03-24 · Health · corrected 2022-04-15
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-03-24 · Health · corrected 2022-04-15
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-03-24 · Health · corrected 2022-04-15
Potential for more than minimal harm
- DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2022-03-24 · Health · corrected 2022-04-15
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-03-24 · Health · corrected 2022-04-15
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-03-24 · Health · corrected 2022-04-15
Potential for more than minimal harm
- DF0578Honor 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.2019-10-24 · Health · corrected 2019-12-13
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2019-10-24 · Health · corrected 2019-12-13
Potential for more than minimal harm
- DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2019-10-24 · Health · corrected 2019-12-13
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2019-10-24 · Health · corrected 2019-12-13
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2019-10-24 · Health · corrected 2019-12-13
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2019-10-24 · Health · corrected 2019-12-13
Potential for more than minimal harm
- DF0791Provide or obtain dental services for each resident.2019-10-24 · Health · corrected 2019-12-13
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-10-24 · Health · corrected 2019-12-13
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| BANDERA HEALTHCARE LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-01-01 |
| BARNES, JACOB | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2026-01-09 |
| KEETCH, CHAD | Individual | CORPORATE DIRECTOR | — | 2011-03-01 |
| BURNAM, SOON | Individual | CORPORATE OFFICER | — | 2017-06-23 |
Other facilities in TUCSON
| Name | Overall | Beds |
|---|---|---|
| THE CENTER AT TUCSON | ★★★★★ | 96 |
| ARIZONA STATE VETERAN HOME-TUCSON | ★★★★★ | 120 |
| SPLENDIDO AT RANCHO VISTOSO | ★★★★★ | 42 |
| CATALINA POST ACUTE AND REHABILITATION | ★★★★☆ | 102 |
| PARK AVENUE HEALTH AND REHABILITATION CENTER | ★★★★☆ | 200 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.