Villa Maria Post Acute and Rehabilitation

Name: Villa Maria Post Acute and Rehabilitation
Address: 4310 EAST GRANT ROAD, Tucson, AZ, 85712, US
Telephone: 5203239351

4310 East Grant Road, Tucson, AZ 85712 · Pima County · 83 certified beds · avg 57 residents/day · certified since Aug 17, 1987

Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)

2/5

Health inspection rating (on-site)

Serious findings on record

$8,018

Fines, last 3 years

3.78

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Oct 3, 2024 · 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: Oct 2, 2024 (Past Non-Compliance)

▲ Actual harm, one-off · Apr 12, 2024 · F-0694 · triggered by a complaint

The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them.

Why it matters: Improper IV care can cause infections, dehydration, or dangerous fluid imbalances.

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 18, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (26)

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 19, 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 23, 2026	E · Potential for harm, repeated	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.
Jan 23, 2026	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 23, 2026	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jan 23, 2026	E · Potential for harm, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Jan 23, 2026	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 3, 2024	▲ 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
Jul 24, 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
Apr 12, 2024	▲ G · Actual harm, one-off	The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. · from a complaint
Feb 16, 2024	E · Potential for harm, repeated	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. · from a complaint
Sep 15, 2023	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Sep 15, 2023	D · Potential for harm, one-off	The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out.
Sep 15, 2023	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Sep 15, 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.
Sep 15, 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.
Sep 15, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Sep 15, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Sep 15, 2023	D · Potential for harm, one-off	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.
Sep 15, 2023	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.
Aug 11, 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.
Aug 11, 2022	E · Potential for harm, repeated	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care.
Aug 11, 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.
Aug 11, 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 11, 2022	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.
Aug 11, 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.
Aug 11, 2022	D · Potential for harm, one-off	The facility did not provide or obtain laboratory tests when a doctor ordered them, or did not promptly report the results back to the doctor who ordered them.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (9 → 5).

Year	Citations	Serious (G–L)	Worst severity that year
2022	7	0	E
2023	9	0	D
2024	4	2	G ▲
2026	6	0	E

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
Apr 12, 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)	3.78	3.97	3.95	top 45% in Arizona; top 49% in the U.S.
Registered Nurse hours	0.25	0.69	0.69	bottom 4% in Arizona; bottom 5% in the U.S.
Weekend total nurse staffing	3.07	3.50	3.50	bottom 35% in Arizona; bottom 35% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.17	0.49	0.48	bottom 3% in Arizona; bottom 8% in the U.S.
Total nursing staff turnover (%)	41.8	45.2	45.8	top 36% in Arizona; top 41% in the U.S.
RN turnover (%)	0.0	43.6	42.9	—

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 3.51, RN 0.23, weekend 2.85. Staffing rating: 2/5.

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

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Bostwick, Michael	Individual	Managing Control - Governing Body	NOT APPLICABLE	07/01/2022
Bostwick, Michael	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2022
Bostwick, Michael	Individual	ADP of the SNF	NOT APPLICABLE	07/01/2022
Burnam, Soon	Individual	Managing Control - Governing Body	NOT APPLICABLE	07/01/2022
Burnam, Soon	Individual	Corporate Officer	NOT APPLICABLE	05/01/2022
Keetch, Chad	Individual	Corporate Officer	NOT APPLICABLE	03/01/2011
Peterson, Forrest	Individual	Corporate Director	NOT APPLICABLE	05/01/2022
Port, Barry	Individual	Corporate Officer	NOT APPLICABLE	07/26/2018
Rad, Kiyan	Individual	Managing Control - Governing Body	NOT APPLICABLE	06/16/2024
Rad, Kiyan	Individual	Operational/Managerial Control	NOT APPLICABLE	06/16/2024
Rad, Kiyan	Individual	ADP of the SNF	NOT APPLICABLE	06/16/2024
Standard Bearer Healthcare Op, LP	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2022
The Ensign Group INC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2022

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?"
"Who on your staff manages IV therapy, and what training and monitoring is in place?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"How do you keep residents' medical records accurate, complete, and secure?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"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
The Center at Tucson	0.8 mi	Tucson, AZ	★★★★★	5/5
Santa Rosa Care Center	0.8 mi	Tucson, AZ	★★★☆☆	2/5	abuse
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 Tucson	1.7 mi	Tucson, AZ	★★☆☆☆	2/5
Sabino Canyon Rehabilitation & Care Center	1.8 mi	Tucson, AZ	★★★★☆	3/5
Pueblo Springs Rehabilitation Center	1.9 mi	Tucson, AZ	★★☆☆☆	3/5
Devon Gables Rehabilitation Center	2.3 mi	Tucson, AZ	★★☆☆☆	2/5	abuse
Sandstone Estates Rehab Centre	2.3 mi	Tucson, AZ	★☆☆☆☆	1/5
Catalina Post Acute and Rehabilitation	2.9 mi	Tucson, AZ	★★★★☆	3/5
Haven of Saguaro Valley	3.4 mi	Tucson, AZ	★★★★★	4/5
Park Avenue Health and Rehabilitation Center	3.5 mi	Tucson, AZ	★★★★☆	3/5

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Facility data as of CMS processing date 2026-08-01. CCN 035147.

The Care File

Visit checklist — Villa Maria Post Acute and Rehabilitation

4310 East Grant Road, Tucson, AZ 85712 · 5203239351

Health inspection rating 2/5 · CMS overall 3/5· Fines (3y): $8,018

Most serious findings on record:

▲ Oct 3, 2024 (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 12, 2024 (F-0694, Actual harm, one-off): The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them.

Questions for the administrator:

☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "Who on your staff manages IV therapy, and what training and monitoring is in place?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "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 035147 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)