Sandstone of Tucson Rehab Centre

Name: Sandstone of Tucson Rehab Centre
Address: 2900 EAST MILBER STREET, Tucson, AZ, 85714, US
Telephone: 5202940005

2900 East Milber Street, Tucson, AZ 85714 · Pima County · 240 certified beds · avg 118 residents/day · certified since Feb 5, 1985

Abuse citation flag (CMS)

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

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.

1/5

Health inspection rating (on-site)

Serious findings on record

$43,134

Fines, last 3 years

4.72

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: 2/5

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Apr 3, 2026 · F-0600 · triggered by a complaint

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.

Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Apr 28, 2026 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Apr 22, 2025 · F-0600 · triggered by a complaint

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.

Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: May 23, 2025 (Deficient, Provider has plan of correction)

All citations in the current public record (63)

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 7, 2026	D · Potential for harm, one-off	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. · from a complaint
May 7, 2026	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. · from a complaint
May 7, 2026	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. · from a complaint
Apr 3, 2026	▲ G · Actual 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
Apr 3, 2026	D · Potential for harm, one-off	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. · from a complaint
Apr 3, 2026	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.
Feb 11, 2026	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
Feb 11, 2026	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. · from a complaint
Feb 11, 2026	D · Potential for harm, one-off	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. · from a complaint
Jan 28, 2026	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
Jan 28, 2026	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
Jan 28, 2026	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
Jan 28, 2026	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
Jan 28, 2026	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint
Jan 28, 2026	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. · from a complaint
Jan 28, 2026	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
Jan 5, 2026	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
Dec 11, 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
Nov 20, 2025	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
Nov 20, 2025	D · Potential for harm, one-off	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. · from a complaint
Nov 19, 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
Nov 13, 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
Aug 25, 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
Aug 25, 2025	D · Potential for harm, one-off	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. · from a complaint
Aug 25, 2025	D · Potential for harm, one-off	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. · from a complaint
Jul 16, 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
Jul 16, 2025	D · Potential for harm, one-off	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. · from a complaint
Apr 22, 2025	▲ G · Actual 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 13, 2025	D · Potential for harm, one-off	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. · from a complaint
Dec 17, 2024	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. · from a complaint
Dec 17, 2024	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. · from a complaint
Dec 2, 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
Oct 29, 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
Sep 26, 2024	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
Nov 3, 2023	E · Potential for harm, repeated	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council.
Nov 3, 2023	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.
Nov 3, 2023	D · Potential for harm, one-off	The facility did not give residents the required written notice of their rights, the facility's rules, the services offered, and what those services cost.
Nov 3, 2023	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.
Nov 3, 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.
Nov 3, 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.
Nov 3, 2023	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.
Nov 3, 2023	D · Potential for harm, one-off	The facility's activities program was not run by a qualified professional. The person directing recreation and social activities must have proper training or credentials.
Nov 3, 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.
Nov 3, 2023	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.
Nov 3, 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.
Nov 3, 2023	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.
Nov 3, 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.
Sep 15, 2022	E · Potential for harm, repeated	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.
Sep 15, 2022	E · Potential for harm, repeated	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Sep 15, 2022	E · Potential for harm, repeated	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.
Sep 15, 2022	D · Potential for harm, one-off	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.
Sep 15, 2022	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.
Sep 15, 2022	D · Potential for harm, one-off	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.
Sep 15, 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.
Sep 15, 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.
Sep 15, 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.
Sep 15, 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.
Sep 15, 2022	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Sep 15, 2022	D · Potential for harm, one-off	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives.
Sep 15, 2022	D · Potential for harm, one-off	The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program.
Sep 15, 2022	D · Potential for harm, one-off	The facility did not report COVID-19 data to residents and their families as required. Facilities must keep residents and families informed about COVID-19 cases.
Sep 15, 2022	D · Potential for harm, one-off	The facility did not make sure its staff were vaccinated for COVID-19 in accordance with the federal requirements in effect at the time.
Sep 15, 2022	D · Potential for harm, one-off	The facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (13 → 2).

Year	Citations	Serious (G–L)	Worst severity that year
2022	16	0	E
2023	13	0	E
2024	5	0	E
2025	12	1	G ▲
2026	17	1	G ▲

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)

2 fines totaling $43,134.

Date	Type	Amount / length
Apr 3, 2026	Fine	$22,204
Apr 22, 2025	Fine	$20,930

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)	4.72	3.97	3.95	top 18% in Arizona; top 18% in the U.S.
Registered Nurse hours	0.67	0.69	0.69	top 35% in Arizona; top 39% in the U.S.
Weekend total nurse staffing	4.39	3.50	3.50	top 13% in Arizona; top 14% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.44	0.49	0.48	top 46% in Arizona; top 42% in the U.S.
Total nursing staff turnover (%)	46.4	45.2	45.8	bottom 48% in Arizona; bottom 46% in the U.S.
RN turnover (%)	50.0	43.6	42.9	bottom 39% in Arizona; bottom 39% 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 3.76, RN 0.53, weekend 3.50. 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: 4/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Nicho Family Trust	Organization	5% or Greater Direct Ownership Interest	13%	11/01/2021
Sunny Trust	Organization	5% or Greater Direct Ownership Interest	13%	11/01/2021
Whitte Trust	Organization	5% or Greater Direct Ownership Interest	13%	11/01/2021
Bejar, Nissim	Individual	Corporate Officer	NOT APPLICABLE	11/01/2021
Bejar, Nissim	Individual	Operational/Managerial Control	NOT APPLICABLE	11/01/2021
Bejar, Nissim	Individual	ADP of the SNF	NOT APPLICABLE	11/01/2021
Berkowitz, David	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	05/16/2025
Cohen, Elliot	Individual	Corporate Officer	NOT APPLICABLE	11/01/2021
Cohen, Elliot	Individual	Operational/Managerial Control	NOT APPLICABLE	11/01/2021
Cohen, Elliot	Individual	ADP of the SNF	NOT APPLICABLE	11/01/2021
Cohen, Michael	Individual	Managing Control - Governing Body	NOT APPLICABLE	11/01/2021
Cohen, Michael	Individual	Operational/Managerial Control	NOT APPLICABLE	11/01/2021
Cohen, Michael	Individual	ADP of the SNF	NOT APPLICABLE	11/01/2021
Curis Services LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/01/2021
Irwin, Christiana	Individual	Operational/Managerial Control	NOT APPLICABLE	11/01/2021
Irwin, Christiana	Individual	ADP of the SNF	NOT APPLICABLE	11/01/2021
Meystel, Meir	Individual	Managing Control - Governing Body	NOT APPLICABLE	11/01/2021
Meystel, Meir	Individual	Operational/Managerial Control	NOT APPLICABLE	11/01/2021
Meystel, Meir	Individual	ADP of the SNF	NOT APPLICABLE	11/01/2021
Meystel, Yosef	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	04/10/2025

Questions to ask on your visit

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

"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you keep residents' medical records accurate, complete, and secure?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
"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
Arizona State Veteran Home-Tucson	1.8 mi	Tucson, AZ	★★★☆☆	3/5
Park Avenue Health and Rehabilitation Center	5.3 mi	Tucson, AZ	★★★★☆	3/5
Santa Rosa Care Center	5.4 mi	Tucson, AZ	★★★☆☆	2/5	abuse
Villa Maria Post Acute and Rehabilitation	5.7 mi	Tucson, AZ	★★★☆☆	2/5
Catalina Post Acute and Rehabilitation	5.8 mi	Tucson, AZ	★★★★☆	3/5
Pueblo Springs Rehabilitation Center	5.9 mi	Tucson, AZ	★★☆☆☆	3/5
Haven of Saguaro Valley	5.9 mi	Tucson, AZ	★★★★★	4/5
Handmaker Home for the Aging	6.0 mi	Tucson, AZ	★★★☆☆	2/5	abuse
Sabino Canyon Rehabilitation & Care Center	6.0 mi	Tucson, AZ	★★★★☆	3/5
Foothills Rehabilitation Center	6.0 mi	Tucson, AZ	★★☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Tucson →

Facility data as of CMS processing date 2026-08-01. CCN 035099.

The Care File

Visit checklist — Sandstone of Tucson Rehab Centre

2900 East Milber Street, Tucson, AZ 85714 · 5202940005

Health inspection rating 1/5 · CMS overall 2/5 · ▲ FEDERAL ABUSE CITATION FLAG· Fines (3y): $43,134

Most serious findings on record:

▲ Apr 3, 2026 (F-0600, Actual 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.
▲ Apr 22, 2025 (F-0600, Actual 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.

Questions for the administrator:

☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
☐ "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 035099 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)