Splendido at Rancho Vistoso
13500 North Rancho Vistoso Blvd, Tucson, AZ 85755 · Pima County · 42 certified beds · avg 35 residents/day · certified since Sep 12, 2008
Part of chain: MATHER SENIOR LIVING COMMUNITIES (2 facilities, chain avg rating 4.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Sep 10, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
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: Oct 4, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (11)
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 9, 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 |
| Mar 28, 2025 | 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. |
| Mar 28, 2025 | 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. |
| Mar 28, 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. |
| Sep 10, 2024 | ▲ G · Actual 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 6, 2023 | 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 6, 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. |
| Aug 25, 2022 | E · Potential for harm, repeated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Aug 25, 2022 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Aug 25, 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. |
| Aug 25, 2022 | B · Minimal risk, repeated | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 4 | 0 | E |
| 2023 | 2 | 0 | D |
| 2024 | 1 | 1 | G ▲ |
| 2025 | 3 | 0 | E |
| 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)
1 fine totaling $8,018.
| Date | Type | Amount / length |
|---|---|---|
| Sep 10, 2024 | Fine | $8,018 |
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) | 5.93 | 3.97 | 3.95 | top 8% in Arizona; top 4% in the U.S. |
| Registered Nurse hours | 0.66 | 0.69 | 0.69 | top 37% in Arizona; top 41% in the U.S. |
| Weekend total nurse staffing | 5.18 | 3.50 | 3.50 | top 9% in Arizona; top 5% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.17 | 0.49 | 0.48 | bottom 2% in Arizona; bottom 8% in the U.S. |
| Total nursing staff turnover (%) | 18.2 | 45.2 | 45.8 | top 1% in Arizona; top 2% in the U.S. |
| RN turnover (%) | 37.5 | 43.6 | 42.9 | top 32% in Arizona; top 42% 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 4.97, RN 0.55, weekend 4.34. Staffing rating: 1/5.
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 |
|---|---|---|---|---|
| Tucson Mather LLC | Organization | 5% or Greater Indirect Ownership Interest | 50% | 03/26/2003 |
| Tucson Mather Plaza LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 03/26/2003 |
| Tucson Plaza LLC | Organization | 5% or Greater Indirect Ownership Interest | 50% | 03/26/2003 |
| Elster, Mary Beth | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/05/2003 |
| Manella, Christopher | Individual | Corporate Officer | NOT APPLICABLE | 12/11/2016 |
| Muhlbach, Peter | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/20/2023 |
| Parham, Maria | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/27/2023 |
| Parham, Maria | Individual | ADP of the SNF | NOT APPLICABLE | 03/31/2025 |
| Tucson Mather Plaza LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/26/2003 |
| Tucson Mather Plaza LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/26/2003 |
| Wadleigh, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2025 |
| Wadleigh, John | Individual | ADP of the SNF | NOT APPLICABLE | 07/28/2025 |
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 falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "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 |
|---|---|---|---|---|---|
| Skilled Nursing Unit at Oro Valley Hospital | 1.5 mi | Oro Valley, AZ | ★★★★★ | 5/5 | |
| Mountain View Care Center | 6.5 mi | Tucson, AZ | ★★★★☆ | 3/5 | |
| La Canada Care Center | 6.8 mi | Tucson, AZ | ★★☆☆☆ | 1/5 | |
| Brookdale Santa Catalina | 7.2 mi | Tucson, AZ | ★★★★☆ | 3/5 | |
| Casas Adobes Post Acute Rehab Center | 8.7 mi | Tucson, AZ | ★★★☆☆ | 2/5 | abuse |
| Life Care Center of Tucson | 9.0 mi | Tucson, AZ | ★☆☆☆☆ | 1/5 | |
| Haven of Tucson | 12.7 mi | Tucson, AZ | ★★☆☆☆ | 2/5 | |
| Catalina Post Acute and Rehabilitation | 13.2 mi | Tucson, AZ | ★★★★☆ | 3/5 | |
| The Center at Tucson | 13.7 mi | Tucson, AZ | ★★★★★ | 5/5 | |
| Park Avenue Health and Rehabilitation Center | 13.8 mi | Tucson, AZ | ★★★★☆ | 3/5 | |
| Villa Maria Post Acute and Rehabilitation | 14.0 mi | Tucson, AZ | ★★★☆☆ | 2/5 | |
| Foothills Rehabilitation Center | 14.5 mi | Tucson, AZ | ★★☆☆☆ | 1/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 035273.