Mountain View Care Center
1313 West Magee Road, Tucson, AZ 85704 · Pima County · 120 certified beds · avg 106 residents/day · certified since May 23, 1995
Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)
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 (23)
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 |
|---|---|---|
| Jun 6, 2025 | E · Potential for harm, repeated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. |
| Jun 6, 2025 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Jun 6, 2025 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. |
| Jun 6, 2025 | D · Potential for harm, one-off | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. |
| Jun 6, 2025 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| Jun 6, 2025 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Jun 6, 2025 | D · Potential for harm, one-off | 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. |
| Jan 19, 2024 | E · Potential for harm, repeated | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Jan 19, 2024 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jan 19, 2024 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Aug 28, 2023 | 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. · from a complaint |
| Jun 9, 2023 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jun 9, 2023 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Jun 9, 2023 | D · Potential for harm, one-off | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Jun 9, 2023 | D · Potential for harm, one-off | 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. |
| May 18, 2022 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| May 18, 2022 | E · Potential for harm, repeated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. |
| May 18, 2022 | 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. |
| May 18, 2022 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| May 18, 2022 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| May 18, 2022 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| May 18, 2022 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| May 18, 2022 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 8 | 0 | E |
| 2023 | 5 | 0 | E |
| 2024 | 3 | 0 | E |
| 2025 | 7 | 0 | 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) | 3.18 | 3.97 | 3.95 | bottom 15% in Arizona; bottom 20% in the U.S. |
| Registered Nurse hours | 0.45 | 0.69 | 0.69 | bottom 27% in Arizona; bottom 30% in the U.S. |
| Weekend total nurse staffing | 2.74 | 3.50 | 3.50 | bottom 14% in Arizona; bottom 18% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.19 | 0.49 | 0.48 | bottom 6% in Arizona; bottom 10% in the U.S. |
| Total nursing staff turnover (%) | 42.3 | 45.2 | 45.8 | top 38% in Arizona; top 42% in the U.S. |
| RN turnover (%) | 30.0 | 43.6 | 42.9 | top 20% in Arizona; top 29% 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 2.63, RN 0.37, weekend 2.27. Staffing rating: 2/5.
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: 4/5 · short-stay residents: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Burnam, Soon | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2015 |
| Ensign Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2015 |
| Jones, Christine | Individual | Corporate Officer | NOT APPLICABLE | 09/09/2024 |
| Keetch, Chad | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2011 |
| Montion, Maria | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2015 |
| Montion, Maria | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2015 |
| Montion, Maria | Individual | ADP of the SNF | NOT APPLICABLE | 06/23/2025 |
| MVCC, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2015 |
| Peterson, Forrest | Individual | Corporate Director | NOT APPLICABLE | 01/01/2019 |
| Port, Barry | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 06/23/2025 |
| Sato, Ami | Individual | Corporate Officer | NOT APPLICABLE | 09/09/2024 |
| Shah, Virag | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/08/2019 |
| Shah, Virag | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/08/2019 |
| Shah, Virag | Individual | ADP of the SNF | NOT APPLICABLE | 06/23/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "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 |
|---|---|---|---|---|---|
| La Canada Care Center | 0.6 mi | Tucson, AZ | ★★☆☆☆ | 1/5 | |
| Casas Adobes Post Acute Rehab Center | 2.1 mi | Tucson, AZ | ★★★☆☆ | 2/5 | abuse |
| Life Care Center of Tucson | 2.5 mi | Tucson, AZ | ★☆☆☆☆ | 1/5 | |
| Brookdale Santa Catalina | 3.5 mi | Tucson, AZ | ★★★★☆ | 3/5 | |
| Skilled Nursing Unit at Oro Valley Hospital | 5.4 mi | Oro Valley, AZ | ★★★★★ | 5/5 | |
| Splendido at Rancho Vistoso | 6.5 mi | Tucson, AZ | ★★★☆☆ | 3/5 | |
| Catalina Post Acute and Rehabilitation | 7.1 mi | Tucson, AZ | ★★★★☆ | 3/5 | |
| Park Avenue Health and Rehabilitation Center | 7.5 mi | Tucson, AZ | ★★★★☆ | 3/5 | |
| Haven of Tucson | 8.0 mi | Tucson, AZ | ★★☆☆☆ | 2/5 | |
| The Center at Tucson | 8.7 mi | Tucson, AZ | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 035232.