Sabino Canyon Rehabilitation & Care Center
5830 East Pima Street, Tucson, AZ 85712 · Pima County · 112 certified beds · avg 100 residents/day · certified since Oct 7, 1987
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 most recent standard health inspection was more than 2 years ago — conditions may have changed.
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 |
|---|---|---|
| Feb 4, 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). · from a complaint |
| Oct 22, 2025 | 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). · from a complaint |
| Sep 26, 2025 | 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 |
| Jul 11, 2025 | 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). · from a complaint |
| Aug 25, 2023 | 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. |
| Aug 25, 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. |
| Aug 25, 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. |
| Jul 28, 2022 | E · Potential for harm, repeated | 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 28, 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 28, 2022 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Jul 28, 2022 | 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. |
| Jul 28, 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. |
| Jul 28, 2022 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (6 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 6 | 0 | E |
| 2023 | 3 | 0 | E |
| 2025 | 3 | 0 | D |
| 2026 | 1 | 0 | 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) | 3.32 | 3.97 | 3.95 | bottom 25% in Arizona; bottom 28% in the U.S. |
| Registered Nurse hours | 0.58 | 0.69 | 0.69 | bottom 46% in Arizona; bottom 50% in the U.S. |
| Weekend total nurse staffing | 2.86 | 3.50 | 3.50 | bottom 22% in Arizona; bottom 24% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.28 | 0.49 | 0.48 | bottom 18% in Arizona; bottom 28% in the U.S. |
| Total nursing staff turnover (%) | 46.3 | 45.2 | 45.8 | top 50% in Arizona; bottom 46% in the U.S. |
| RN turnover (%) | 38.9 | 43.6 | 42.9 | top 38% in Arizona; top 45% 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 3.15, RN 0.55, weekend 2.71. 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 |
|---|---|---|---|---|
| Bandera Healthcare LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 11/16/2006 |
| The Ensign Group INC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 11/16/2000 |
| Burnam, Soon | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2006 |
| Caretrust GP LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/16/2000 |
| Caretrust Reit INC | Organization | ADP of the SNF | NOT APPLICABLE | 11/16/2000 |
| Ctr Partnership LP | Organization | ADP of the SNF | NOT APPLICABLE | 11/16/2000 |
| Ensign Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2002 |
| Jones, Christine | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/04/2009 |
| Jones, Christine | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/04/2009 |
| Jones, Christine | Individual | ADP of the SNF | NOT APPLICABLE | 07/10/2025 |
| Keetch, Chad | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2011 |
| Meadowbrook Health Associates LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/16/2000 |
| Milani, Ramin | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/08/2018 |
| Milani, Ramin | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/08/2018 |
| Milani, Ramin | Individual | ADP of the SNF | NOT APPLICABLE | 07/10/2025 |
| Peterson, Forrest | Individual | Corporate Director | NOT APPLICABLE | 09/09/2024 |
| Port, Barry | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/10/2025 |
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 written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "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 |
|---|---|---|---|---|---|
| Pueblo Springs Rehabilitation Center | 0.1 mi | Tucson, AZ | ★★☆☆☆ | 3/5 | |
| Handmaker Home for the Aging | 0.7 mi | Tucson, AZ | ★★★☆☆ | 2/5 | abuse |
| Sandstone Estates Rehab Centre | 0.7 mi | Tucson, AZ | ★☆☆☆☆ | 1/5 | |
| Foothills Rehabilitation Center | 0.7 mi | Tucson, AZ | ★★☆☆☆ | 1/5 | |
| Devon Gables Rehabilitation Center | 0.8 mi | Tucson, AZ | ★★☆☆☆ | 2/5 | abuse |
| Santa Rosa Care Center | 1.2 mi | Tucson, AZ | ★★★☆☆ | 2/5 | abuse |
| The Center at Tucson | 1.5 mi | Tucson, AZ | ★★★★★ | 5/5 | |
| Haven of Saguaro Valley | 1.7 mi | Tucson, AZ | ★★★★★ | 4/5 | |
| Villa Maria Post Acute and Rehabilitation | 1.8 mi | Tucson, AZ | ★★★☆☆ | 2/5 | |
| Haven of Tucson | 2.4 mi | Tucson, AZ | ★★☆☆☆ | 2/5 | |
| Catalina Post Acute and Rehabilitation | 4.7 mi | Tucson, AZ | ★★★★☆ | 3/5 | |
| Park Avenue Health and Rehabilitation Center | 5.3 mi | Tucson, AZ | ★★★★☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 035151.