Catalina Post Acute and Rehabilitation

Name: Catalina Post Acute and Rehabilitation
Address: 2611 NORTH WARREN AVENUE, Tucson, AZ, 85719, US
Telephone: 5207959574

2611 North Warren Avenue, Tucson, AZ 85719 · Pima County · 102 certified beds · avg 97 residents/day · certified since Oct 20, 1988

Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.29

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (21)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Oct 29, 2025	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint
Sep 16, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Sep 16, 2025	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Sep 16, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Jun 23, 2025	D · Potential for harm, one-off	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint
Aug 8, 2024	D · Potential for harm, one-off	The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. · from a complaint
Jul 9, 2024	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Dec 27, 2023	D · Potential for harm, one-off	The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. · from a complaint
Jul 7, 2023	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jul 7, 2023	E · Potential for harm, repeated	The facility did not dispose of garbage and refuse properly.
Jul 7, 2023	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Jul 7, 2023	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Jul 7, 2023	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Jul 7, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Jul 7, 2023	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jul 21, 2022	E · Potential for harm, repeated	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Jul 21, 2022	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jul 21, 2022	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jul 21, 2022	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Jul 21, 2022	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Jul 21, 2022	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (7 → 3).

Year	Citations	Worst severity that year
2022	6	E
2023	8	E
2024	2	E
2025	5	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Arizona avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.29	3.97	3.95	bottom 23% in Arizona; bottom 26% in the U.S.
Registered Nurse hours	0.76	0.69	0.69	top 30% in Arizona; top 31% in the U.S.
Weekend total nurse staffing	2.94	3.50	3.50	bottom 26% in Arizona; bottom 28% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.81	0.49	0.48	top 13% in Arizona; top 11% in the U.S.
Total nursing staff turnover (%)	41.7	45.2	45.8	top 34% in Arizona; top 41% in the U.S.
RN turnover (%)	31.3	43.6	42.9	top 24% in Arizona; top 32% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.98, RN 0.92, weekend 3.56. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Caretrust Reit INC	Organization	5% or Greater Indirect Ownership Interest	100%	01/01/2022
Burnam, Soon	Individual	Managing Control - Governing Body	NOT APPLICABLE	10/01/2006
Burnam, Soon	Individual	Corporate Officer	NOT APPLICABLE	10/01/2006
Caretrust GP LLC	Organization	ADP of the SNF	NOT APPLICABLE	05/16/2003
Caretrust Reit INC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2022
Concentric Healthcare Solutions LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	05/16/2003
Concentric Healthcare Solutions LLC	Organization	ADP of the SNF	NOT APPLICABLE	07/24/2025
Ctr Partnership LP	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2022
Eagar, Robert	Individual	Managing Control - Governing Body	NOT APPLICABLE	02/10/2009
Eagar, Robert	Individual	Operational/Managerial Control	NOT APPLICABLE	02/10/2009
Eagar, Robert	Individual	ADP of the SNF	NOT APPLICABLE	02/10/2009
Ensign Services INC	Organization	ADP of the SNF	NOT APPLICABLE	05/16/2013
Favorite Healthcare Staffing LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	05/16/2003
Favorite Healthcare Staffing LLC	Organization	ADP of the SNF	NOT APPLICABLE	05/16/2003
Keetch, Chad	Individual	Corporate Officer	NOT APPLICABLE	03/01/2011
P20 Parent INC	Organization	Operational/Managerial Control	NOT APPLICABLE	05/16/2003
P20 Parent INC	Organization	ADP of the SNF	NOT APPLICABLE	07/24/2025
Peterson, Forrest	Individual	Corporate Officer	NOT APPLICABLE	01/01/2019
Port, Barry	Individual	Corporate Officer	NOT APPLICABLE	07/26/2018
Rillito Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2022

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Who completes resident assessments here, and how do you check them for accuracy?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
"How do you help residents maintain their daily living skills, and how do you measure whether it's working?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Park Avenue Health and Rehabilitation Center	0.8 mi	Tucson, AZ	★★★★☆	3/5
Villa Maria Post Acute and Rehabilitation	2.9 mi	Tucson, AZ	★★★☆☆	2/5
The Center at Tucson	3.5 mi	Tucson, AZ	★★★★★	5/5
Santa Rosa Care Center	3.6 mi	Tucson, AZ	★★★☆☆	2/5	abuse
Haven of Tucson	3.7 mi	Tucson, AZ	★★☆☆☆	2/5
Handmaker Home for the Aging	4.1 mi	Tucson, AZ	★★★☆☆	2/5	abuse
Foothills Rehabilitation Center	4.1 mi	Tucson, AZ	★★☆☆☆	1/5
Sabino Canyon Rehabilitation & Care Center	4.7 mi	Tucson, AZ	★★★★☆	3/5
Pueblo Springs Rehabilitation Center	4.8 mi	Tucson, AZ	★★☆☆☆	3/5
Devon Gables Rehabilitation Center	5.3 mi	Tucson, AZ	★★☆☆☆	2/5	abuse
Sandstone Estates Rehab Centre	5.3 mi	Tucson, AZ	★☆☆☆☆	1/5
Arizona State Veteran Home-Tucson	5.3 mi	Tucson, AZ	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Tucson →

Facility data as of CMS processing date 2026-08-01. CCN 035190.

The Care File

Visit checklist — Catalina Post Acute and Rehabilitation

2611 North Warren Avenue, Tucson, AZ 85719 · 5207959574

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
☐ "How do you help residents maintain their daily living skills, and how do you measure whether it's working?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 035190 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)