Villa Maria Post Acute and Rehabilitation

Nursing Home · Tucson, AZ

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

CMS certification number035147

Contact & location

4310 East Grant Road
Tucson, AZ 85712
Pima County
Phone
(520) 323-9351
ZIP code
85712 – all care providers

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Facility details

Certified beds
83
Residents per day
57.0 (69% occupied)
Ownership
For profit - Limited Liability company
Legal name
Mount Lemmon Healthcare LLC
Chain
The Ensign Group (342 facilities, avg 3.2★)
Medicare certified since
August 17, 1987
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
3.51 (state 3.97 · U.S. 3.86)
Registered nurses (RN)
0.23 (state 0.70 · U.S. 0.69)
Licensed practical nurses
1.30 (state 1.04 · U.S. 0.86)
Nurse aides
1.98 (state 2.23 · U.S. 2.32)
Weekend total
2.85 (state 3.50 · U.S. 3.42)
Nursing staff turnover
41.8 (state 45.1 · U.S. 45.8)%
RN turnover
—
Administrators who left
0 in the last year

Inspections

Last standard inspection
January 23, 2026
Health deficiencies (last cycle)
6.0 (state 6.4 · U.S. 9.3)
From complaints
1
Citations on record (3 years)
26 health · 9 fire safety · includes actual harm
DateCitationSeverityStatus
2026-06-19 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		 Deficient, Provider has no plan of correction
2026-01-23 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 2026-02-18
2026-01-23 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-02-18
2026-01-23 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 2026-02-18
2026-01-23 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 2026-02-18
2026-01-23 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-18
2024-10-03 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		 G
Actual harm		 Corrected 2024-10-02
2024-07-24 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-29
2024-04-12 Provide for the safe, appropriate administration of IV fluids for a resident when needed.
F0694 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2024-04-18
2024-02-16 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-03-31
2023-09-15 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
F0578 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-18
2023-09-15 Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
F0622 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-18
2023-09-15 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
F0636 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-18
2023-09-15 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 2023-11-18
2023-09-15 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 2023-11-18
2023-09-15 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 2023-11-18
2023-09-15 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-18
2023-09-15 Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F0727 · Nursing and Physician Services Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-18
2023-09-15 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-18
2022-08-11 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2022-09-30
2022-08-11 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2022-09-30
2022-08-11 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 2022-09-30
2022-08-11 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 2022-09-30
2022-08-11 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-09-30
2022-08-11 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-09-30
2022-08-11 Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
F0773 · Administration Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-09-30

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

1 penalty in the last three years, including $8,018 in fines.

DateTypeAmount
2024-04-12Fine$8,018

Ownership & management

NameRoleSince
Bostwick, Michael (individual)Administrator · NOT APPLICABLE
Rad, Kiyan (individual)Administrator · NOT APPLICABLE
Standard Bearer Healthcare Op, LP (organization)Administrator · NOT APPLICABLE
The Ensign Group INC (organization)Administrator · NOT APPLICABLE
Peterson, Forrest (individual)Corporate Director · NOT APPLICABLE
Burnam, Soon (individual)Corporate Officer · NOT APPLICABLE
Keetch, Chad (individual)Corporate Officer · NOT APPLICABLE
Port, Barry (individual)Corporate Officer · NOT APPLICABLE
Bostwick, Michael (individual)Managing Control - Governing Body · NOT APPLICABLE
Burnam, Soon (individual)Managing Control - Governing Body · NOT APPLICABLE
Rad, Kiyan (individual)Managing Control - Governing Body · NOT APPLICABLE
Bostwick, Michael (individual)Operational/managerial Control · NOT APPLICABLE
Rad, Kiyan (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Villa Maria Post Acute and Rehabilitation?

Villa Maria Post Acute and Rehabilitation 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 Villa Maria Post Acute and Rehabilitation have?

It has 83 certified beds and cares for about 57 residents per day.

Has Villa Maria Post Acute and Rehabilitation been fined?

Yes. CMS lists 1 penalty totaling $8,018 in the last three years.

Who owns Villa Maria Post Acute and Rehabilitation?

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 Villa Maria Post Acute and Rehabilitation?

(520) 323-9351. The facility is located at 4310 East Grant Road, Tucson, AZ 85712.

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