Pueblo Springs Rehabilitation Center

Nursing Home · Tucson, AZ

CMS overall rating 2/5 For profit - Limited Liability company

CMS certification number035068

Contact & location

5545 East Lee Street
Tucson, AZ 85712
Pima County
Phone
(520) 296-2306
ZIP code
85712 – all care providers

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Facility details

Certified beds
129
Residents per day
92.5 (72% occupied)
Ownership
For profit - Limited Liability company
Legal name
Willow Canyon Healthcare LLC
Chain
The Ensign Group (342 facilities, avg 3.2★)
Medicare certified since
January 16, 1981
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 3.3
Health inspections★★★★★ 3/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 2.9
Quality measures★★★★★ 4/5
State avg 4.5
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 3/5

Staffing

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

Total nurse staffing
3.03 (state 3.97 · U.S. 3.86)
Registered nurses (RN)
0.21 (state 0.70 · U.S. 0.69)
Licensed practical nurses
0.93 (state 1.04 · U.S. 0.86)
Nurse aides
1.89 (state 2.23 · U.S. 2.32)
Weekend total
2.64 (state 3.50 · U.S. 3.42)
Nursing staff turnover
58.3 (state 45.1 · U.S. 45.8)%
RN turnover
75.0 (state 43.6 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
June 6, 2025
Health deficiencies (last cycle)
5.0 (state 6.4 · U.S. 9.3)
From complaints
2
Citations on record (3 years)
21 health · 4 fire safety
DateCitationSeverityStatus
2026-06-12 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-07-08
2025-06-06 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 2025-07-07
2025-06-06 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-07
2025-06-06 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-07
2025-06-06 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-07
2025-06-06 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 2025-07-07
2025-06-06 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-07
2025-06-06 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-07
2023-12-07 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 2024-01-26
2023-12-07 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-26
2023-04-25 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-06-16
2023-04-25 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-06-16
2023-04-25 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-06-16
2022-03-24 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2022-04-15
2022-03-24 Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-04-15
2022-03-24 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-04-15
2022-03-24 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-04-15
2022-03-24 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 2022-04-15
2022-03-24 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-04-15
2022-03-24 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
F0688 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-04-15
2022-03-24 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-04-15

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
Barnes, Jacob (individual)Administrator · NOT APPLICABLE
Ensign Services INC (organization)Administrator · NOT APPLICABLE
Harlan Heights Health Holdings LLC (organization)Administrator · NOT APPLICABLE
Singh, Jaspreet (individual)Administrator · NOT APPLICABLE
Standard Bearer Healthcare Op, LP (organization)Administrator · NOT APPLICABLE
The Ensign Group INC (organization)Administrator · NOT APPLICABLE
Keetch, Chad (individual)Corporate Director · NOT APPLICABLE
Burnam, Soon (individual)Corporate Officer · NOT APPLICABLE
Singh, Jaspreet (individual)Indirect Ownership Interest · NOT APPLICABLE
The Ensign Group INC (organization)Indirect Ownership Interest · NOT APPLICABLE
Barnes, Jacob (individual)Managing Control - Governing Body · NOT APPLICABLE
Burnam, Soon (individual)Managing Control - Governing Body · NOT APPLICABLE
Peterson, Forrest (individual)Managing Control - Governing Body · NOT APPLICABLE
Port, Barry (individual)Managing Control - Governing Body · NOT APPLICABLE
Singh, Jaspreet (individual)Managing Control - Governing Body · NOT APPLICABLE
Barnes, Jacob (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Pueblo Springs Rehabilitation Center?

Pueblo Springs Rehabilitation Center has a 2-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 Pueblo Springs Rehabilitation Center have?

It has 129 certified beds and cares for about 93 residents per day.

Has Pueblo Springs Rehabilitation Center been fined?

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

Who owns Pueblo Springs Rehabilitation 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 Pueblo Springs Rehabilitation Center?

(520) 296-2306. The facility is located at 5545 East Lee Street, 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.