Sandstone Estates Rehab Centre

Name: Sandstone Estates Rehab Centre
Address: 2040 NORTH WILMOT ROAD, Tucson, AZ, 85712, US
Telephone: 5203006115

2040 North Wilmot Road, Tucson, AZ 85712 · Pima County · 103 certified beds · avg 61 residents/day · certified since Feb 21, 2017

Part of chain: SANDSTONE HEALTHCARE GROUP (3 facilities, chain avg rating 1.7★)

1/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.69

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5

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 (30)

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 5, 2026	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. · from a complaint
Jun 5, 2026	D · Potential for harm, one-off	The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults. · from a complaint
Mar 20, 2026	F · Potential for harm, facility-wide	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.
Mar 20, 2026	F · Potential for harm, facility-wide	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.
Mar 20, 2026	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.
Mar 20, 2026	D · Potential for harm, one-off	The facility did not provide appropriate treatment and services to residents with a mental health condition, difficulty adjusting emotionally, or a history of trauma or post-traumatic stress disorder (PTSD).
Mar 20, 2026	D · Potential for harm, one-off	The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them.
May 9, 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
Oct 25, 2024	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Oct 25, 2024	E · Potential for harm, repeated	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Oct 25, 2024	E · Potential for harm, repeated	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.
Oct 25, 2024	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.
Oct 25, 2024	E · Potential for harm, repeated	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.
Oct 25, 2024	D · Potential for harm, one-off	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint
Oct 25, 2024	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Oct 25, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Oct 25, 2024	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 25, 2024	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Oct 25, 2024	D · Potential for harm, one-off	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Oct 25, 2024	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 26, 2023	E · Potential for harm, repeated	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Jan 26, 2023	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jan 26, 2023	E · Potential for harm, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jan 26, 2023	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.
Jan 26, 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.
Jan 26, 2023	E · Potential for harm, repeated	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Jan 26, 2023	E · Potential for harm, repeated	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.
Jan 26, 2023	E · Potential for harm, repeated	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.
Jan 26, 2023	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jan 26, 2023	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 (12 → 5).

Year	Citations	Worst severity that year
2023	10	E
2024	12	E
2025	1	D
2026	7	F

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)	4.69	3.97	3.95	top 18% in Arizona; top 19% in the U.S.
Registered Nurse hours	0.40	0.69	0.69	bottom 15% in Arizona; bottom 23% in the U.S.
Weekend total nurse staffing	4.22	3.50	3.50	top 18% in Arizona; top 17% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.35	0.49	0.48	bottom 36% in Arizona; bottom 43% in the U.S.
Total nursing staff turnover (%)	48.6	45.2	45.8	bottom 38% in Arizona; bottom 40% in the U.S.
RN turnover (%)	42.9	43.6	42.9	top 47% in Arizona; bottom 49% 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 4.26, RN 0.37, weekend 3.83. 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: 4/5 · long-stay residents: 4/5 · short-stay residents: 5/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Nicho Family Trust	Organization	5% or Greater Direct Ownership Interest	13%	07/01/2022
Sunny Trust	Organization	5% or Greater Direct Ownership Interest	13%	07/01/2022
Whitte Trust	Organization	5% or Greater Direct Ownership Interest	13%	07/01/2022
Bejar, Nissim	Individual	Corporate Officer	NOT APPLICABLE	07/01/2022
Bejar, Nissim	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2022
Bejar, Nissim	Individual	ADP of the SNF	NOT APPLICABLE	07/01/2022
Berkowitz, David	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	04/09/2025
Cohen, Elliot	Individual	Corporate Officer	NOT APPLICABLE	07/01/2022
Cohen, Elliot	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2022
Cohen, Elliot	Individual	ADP of the SNF	NOT APPLICABLE	07/01/2022
Cohen, Michael	Individual	Managing Control - Governing Body	NOT APPLICABLE	07/01/2022
Cohen, Michael	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2022
Cohen, Michael	Individual	ADP of the SNF	NOT APPLICABLE	07/01/2022
Curis Services LLC	Organization	ADP of the SNF	NOT APPLICABLE	07/01/2022
Hunt, Steven	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2022
Hunt, Steven	Individual	ADP of the SNF	NOT APPLICABLE	07/01/2022
Meystel, Meir	Individual	Managing Control - Governing Body	NOT APPLICABLE	07/01/2022
Meystel, Meir	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2022
Meystel, Meir	Individual	ADP of the SNF	NOT APPLICABLE	07/01/2022
Meystel, Yosef	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	04/09/2025

Questions to ask on your visit

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

"Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
"How is routine foot care handled here, and does a podiatrist visit regularly?"
"How many hours a day is a registered nurse physically in the building, including weekends?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
"What mental health services do you offer on-site, and how do you care for residents with depression, anxiety, or a history of trauma?"
"How are therapy services provided here, and how quickly does therapy start after a doctor orders it?"
"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
Devon Gables Rehabilitation Center	0.2 mi	Tucson, AZ	★★☆☆☆	2/5	abuse
Sabino Canyon Rehabilitation & Care Center	0.7 mi	Tucson, AZ	★★★★☆	3/5
Pueblo Springs Rehabilitation Center	0.7 mi	Tucson, AZ	★★☆☆☆	3/5
Handmaker Home for the Aging	1.2 mi	Tucson, AZ	★★★☆☆	2/5	abuse
Foothills Rehabilitation Center	1.2 mi	Tucson, AZ	★★☆☆☆	1/5
Haven of Saguaro Valley	1.7 mi	Tucson, AZ	★★★★★	4/5
Santa Rosa Care Center	1.8 mi	Tucson, AZ	★★★☆☆	2/5	abuse
The Center at Tucson	1.9 mi	Tucson, AZ	★★★★★	5/5
Villa Maria Post Acute and Rehabilitation	2.3 mi	Tucson, AZ	★★★☆☆	2/5
Haven of Tucson	2.5 mi	Tucson, AZ	★★☆☆☆	2/5
Catalina Post Acute and Rehabilitation	5.3 mi	Tucson, AZ	★★★★☆	3/5
Park Avenue Health and Rehabilitation Center	5.8 mi	Tucson, AZ	★★★★☆	3/5

Compare this facility with the 3 closest →

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Facility data as of CMS processing date 2026-08-01. CCN 035292.

The Care File

Visit checklist — Sandstone Estates Rehab Centre

2040 North Wilmot Road, Tucson, AZ 85712 · 5203006115

Health inspection rating 1/5 · CMS overall 1/5· Fines (3y): $0

Questions for the administrator:

☐ "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
☐ "How is routine foot care handled here, and does a podiatrist visit regularly?"
☐ "How many hours a day is a registered nurse physically in the building, including weekends?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
☐ "What mental health services do you offer on-site, and how do you care for residents with depression, anxiety, or a history of trauma?"
☐ "How are therapy services provided here, and how quickly does therapy start after a doctor orders it?"
☐ "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?"

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 035292 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)