Quiburi Mission Nursing & Rehabilitation

Name: Quiburi Mission Nursing & Rehabilitation
Address: 850 SOUTH HIGHWAY 80, Benson, AZ, 85602, US
Telephone: 5205862372

850 South Highway 80, Benson, AZ 85602 · Cochise County · 60 certified beds · avg 53 residents/day · certified since Nov 20, 1992

Abuse citation flag (CMS)

Part of chain: OPCO SKILLED MANAGEMENT (66 facilities, chain avg rating 2.3★)

The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.72

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5

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 (13)

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
May 1, 2026	D · Potential for harm, one-off	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Dec 5, 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. · from a complaint
May 23, 2024	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. · from a complaint
Mar 8, 2024	E · Potential for harm, repeated	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Mar 8, 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.
Mar 8, 2024	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. · from a complaint
Mar 8, 2024	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Mar 8, 2024	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Oct 27, 2022	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Oct 27, 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.
Oct 27, 2022	D · Potential for harm, one-off	When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care.
Oct 27, 2022	D · Potential for harm, one-off	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.
Oct 27, 2022	D · Potential for harm, one-off	The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (5 → 1).

Year	Citations	Worst severity that year
2022	5	D
2024	6	E
2025	1	D
2026	1	D

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)	3.72	3.97	3.95	top 49% in Arizona; bottom 48% in the U.S.
Registered Nurse hours	0.90	0.69	0.69	top 18% in Arizona; top 20% in the U.S.
Weekend total nurse staffing	3.30	3.50	3.50	top 44% in Arizona; bottom 47% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.48	0.49	0.48	top 37% in Arizona; top 35% in the U.S.
Total nursing staff turnover (%)	29.8	45.2	45.8	top 13% in Arizona; top 14% in the U.S.
RN turnover (%)	16.7	43.6	42.9	top 10% in Arizona; top 9% 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 3.63, RN 0.88, weekend 3.22. Staffing rating: 4/5.

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
Amethyst Az Trust	Organization	5% or Greater Indirect Ownership Interest	31%	11/18/2024
Az Healthcare LLC	Organization	5% or Greater Direct Ownership Interest	100%	11/18/2024
First Sweetzer Holdings LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	11/18/2024
Garetz, David	Individual	Indirect Ownership Interest	NOT APPLICABLE	11/18/2024
Hatteras Investments, LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	11/18/2024
Indigo Az Trust	Organization	5% or Greater Indirect Ownership Interest	61%	11/18/2024
Kaplan, Esther	Individual	Indirect Ownership Interest	NOT APPLICABLE	11/18/2024
Kaplan, Mosha	Individual	Indirect Ownership Interest	NOT APPLICABLE	11/18/2024
Sasem Investments LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	11/18/2024
850 S State Hwy 80az LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/01/2024
Az Realty Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/06/2025
Continuum Rehab Group LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/18/2024
Garetz, David	Individual	Corporate Officer	NOT APPLICABLE	11/18/2024
Garetz, David	Individual	Operational/Managerial Control	NOT APPLICABLE	11/18/2024
Gurwitz, Solomon	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	05/22/2025
Hansen Hunter LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/01/2024
Mindle, Adam	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	05/22/2025
Opco Az Skilled Management LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/18/2024
Opco Ca Skilled Mgmt INC.	Organization	ADP of the SNF	NOT APPLICABLE	11/18/2024
Opco Texas Skilled Mgmt LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/18/2024

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 written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"What alternatives do you try before using bed rails, and how do you involve families in that decision?"
"Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
"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
Life Care Center of Sierra Vista	27.0 mi	Sierra Vista, AZ	★☆☆☆☆	1/5	abuse
Haven of Sierra Vista, LLC	27.3 mi	Sierra Vista, AZ	★★☆☆☆	2/5	abuse
Haven of Saguaro Valley	38.2 mi	Tucson, AZ	★★★★★	4/5
Sandstone Estates Rehab Centre	39.5 mi	Tucson, AZ	★☆☆☆☆	1/5
Devon Gables Rehabilitation Center	39.6 mi	Tucson, AZ	★★☆☆☆	2/5	abuse
Pueblo Springs Rehabilitation Center	39.7 mi	Tucson, AZ	★★☆☆☆	3/5
Sabino Canyon Rehabilitation & Care Center	39.8 mi	Tucson, AZ	★★★★☆	3/5

Compare this facility with the 3 closest →

All facilities in Benson →

Facility data as of CMS processing date 2026-08-01. CCN 035214.

The Care File

Visit checklist — Quiburi Mission Nursing & Rehabilitation

850 South Highway 80, Benson, AZ 85602 · 5205862372

Health inspection rating 2/5 · CMS overall 3/5 · ▲ FEDERAL ABUSE CITATION FLAG· Fines (3y): $0

Questions for the administrator:

☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
☐ "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
☐ "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 035214 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)