Casas Adobes Post Acute Rehab Center

Nursing Home · Tucson, AZ

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

CMS certification number035070
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

1919 West Medical Street
Tucson, AZ 85704
Pima County
Phone
(520) 297-8311
ZIP code
85704 – all care providers

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Facility details

Certified beds
230
Residents per day
186.7 (81% occupied)
Ownership
For profit - Limited Liability company
Legal name
Sentinel Peak Healthcare LLC
Chain
The Ensign Group (342 facilities, avg 3.2★)
Medicare certified since
April 17, 1979
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★★★★★ 3/5
State avg 2.9
Quality measures★★★★★ 5/5
State avg 4.5
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 5/5

Staffing

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

Total nurse staffing
3.97 (state 3.97 · U.S. 3.86)
Registered nurses (RN)
0.46 (state 0.70 · U.S. 0.69)
Licensed practical nurses
1.04 (state 1.04 · U.S. 0.86)
Nurse aides
2.46 (state 2.23 · U.S. 2.32)
Weekend total
3.46 (state 3.50 · U.S. 3.42)
Nursing staff turnover
50.5 (state 45.1 · U.S. 45.8)%
RN turnover
76.0 (state 43.6 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
May 22, 2026
Health deficiencies (last cycle)
3.0 (state 6.4 · U.S. 9.3)
From complaints
2
Citations on record (3 years)
19 health · 6 fire safety
DateCitationSeverityStatus
2026-05-22 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-25
2026-05-22 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 2026-05-25
2026-04-14 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 2026-04-15
2025-06-21 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 2025-03-24
2025-06-21 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 2025-06-22
2024-06-14 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 2024-04-13
2024-04-12 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 2024-04-13
2024-03-28 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-03-29
2024-03-28 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 2024-03-29
2024-03-28 Assure that each resident’s assessment is updated at least once every 3 months.
F0638 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-29
2024-03-28 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-29
2024-03-28 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 2024-03-29
2024-02-14 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 2024-02-15
2023-11-22 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 2024-01-15
2022-12-08 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-01-29
2022-12-08 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-01-29
2022-12-08 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 2023-01-29
2022-12-08 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-01-29
2022-12-08 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
F0676 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-01-29

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
Eagar, Robert (individual)Administrator · NOT APPLICABLE
Ensign Services INC (organization)Administrator · NOT APPLICABLE
Frefer, Mosab (individual)Administrator · NOT APPLICABLE
Montebella Health Holdings LLC (organization)Administrator · NOT APPLICABLE
Standard Bearer Healthcare Op, LP (organization)Administrator · NOT APPLICABLE
The Ensign Group INC (organization)Administrator · NOT APPLICABLE
Bandera Healthcare LLC (organization)Direct Ownership Interest · NOT APPLICABLE
The Ensign Group INC (organization)Indirect Ownership Interest · NOT APPLICABLE
Port, Barry (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Eagar, Robert (individual)Managing Control - Governing Body · NOT APPLICABLE
Frefer, Mosab (individual)Managing Control - Governing Body · NOT APPLICABLE
Burnam, Soon (individual)Operational/managerial Control · NOT APPLICABLE
Eagar, Robert (individual)Operational/managerial Control · NOT APPLICABLE
Favorite Healthcare Staffing LLC (organization)Operational/managerial Control · NOT APPLICABLE
Frefer, Mosab (individual)Operational/managerial Control · NOT APPLICABLE
Keetch, Chad (individual)Operational/managerial Control · NOT APPLICABLE
Nursa INC (organization)Operational/managerial Control · NOT APPLICABLE
Onshift INC (organization)Operational/managerial Control · NOT APPLICABLE
Peterson, Forrest (individual)Operational/managerial Control · NOT APPLICABLE
Prestige Health Staffing LLC (organization)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Casas Adobes Post Acute Rehab Center?

Casas Adobes Post Acute Rehab 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 Casas Adobes Post Acute Rehab Center have?

It has 230 certified beds and cares for about 187 residents per day.

Has Casas Adobes Post Acute Rehab Center been fined?

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

Who owns Casas Adobes Post Acute Rehab 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 Casas Adobes Post Acute Rehab Center?

(520) 297-8311. The facility is located at 1919 West Medical Street, Tucson, AZ 85704.

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