Santa Rosa Care Center

Nursing Home · Tucson, AZ

CMS overall rating 3/5 Abuse citation For profit - Limited Liability company

CMS certification number035004
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

1650 North Santa Rosa Avenue
Tucson, AZ 85712
Pima County
Phone
(520) 795-1610
ZIP code
85712 – all care providers

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Facility details

Certified beds
144
Residents per day
119.7 (83% occupied)
Ownership
For profit - Limited Liability company
Legal name
Rillito River Healthcare, INC.
Chain
The Ensign Group (342 facilities, avg 3.2★)
Medicare certified since
April 1, 1980
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 3/5
State avg 3.3
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 2/5
State avg 2.9
Quality measures★★★★★ 5/5
State avg 4.5
Long-stay quality★★★★★ 5/5
Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.35 (state 3.97 · U.S. 3.86)
Registered nurses (RN)
0.31 (state 0.70 · U.S. 0.69)
Licensed practical nurses
0.97 (state 1.04 · U.S. 0.86)
Nurse aides
2.08 (state 2.23 · U.S. 2.32)
Weekend total
2.90 (state 3.50 · U.S. 3.42)
Nursing staff turnover
58.2 (state 45.1 · U.S. 45.8)%
RN turnover
84.6 (state 43.6 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
August 29, 2025
Health deficiencies (last cycle)
8.0 (state 6.4 · U.S. 9.3)
From complaints
2
Citations on record (3 years)
28 health · 22 fire safety · includes actual harm
DateCitationSeverityStatus
2026-02-20 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-24
2025-10-31 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-13
2025-08-29 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-08-30
2025-08-29 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-08-30
2025-08-29 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-07
2025-08-29 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-25
2025-08-29 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-25
2025-08-29 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-15
2025-06-13 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-14
2025-02-07 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-08
2024-12-18 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-12-19
2024-11-01 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-11-02
2024-11-01 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-02
2024-10-21 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-10-22
2024-09-23 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-10-25
2024-04-01 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-04-25
2023-10-27 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-12-06
2023-10-27 Honor the resident's right to organize and participate in resident/family groups in the facility.
F0565 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-08
2023-10-27 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-12-13
2023-10-27 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-12-08
2023-10-27 Dispose of garbage and refuse properly.
F0814 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-12-06
2023-10-27 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-12-08
2023-08-09 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2023-09-12
2022-09-01 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F0584 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2022-11-23
2022-09-01 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
F0758 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2022-11-23
2022-09-01 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-11-23
2022-09-01 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-11-23
2022-09-01 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-11-23

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Ensign Services INC (organization)Administrator · NOT APPLICABLE
Rowe, Christopher (individual)Administrator · NOT APPLICABLE
Santa Rosa Propco, LLC (organization)Administrator · NOT APPLICABLE
Singh, Harbir (individual)Administrator · NOT APPLICABLE
Peterson, Forrest (individual)Corporate Director · NOT APPLICABLE
Burnam, Soon (individual)Corporate Officer · NOT APPLICABLE
Jones, Christine (individual)Corporate Officer · NOT APPLICABLE
Sato, Ami (individual)Corporate Officer · NOT APPLICABLE
Keetch, Chad (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Port, Barry (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Rowe, Christopher (individual)Operational/managerial Control · NOT APPLICABLE
Singh, Harbir (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Santa Rosa Care Center?

Santa Rosa Care Center has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.3-star average in Arizona.

How many beds does Santa Rosa Care Center have?

It has 144 certified beds and cares for about 120 residents per day.

Has Santa Rosa Care Center been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Santa Rosa Care Center?

It is part of The Ensign Group and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Santa Rosa Care Center?

(520) 795-1610. The facility is located at 1650 North Santa Rosa Avenue, Tucson, AZ 85712.

Other nursing homes in Tucson

Compare all nursing homes in Tucson, AZ →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.