Santa Rosa Care Center
Santa Rosa Care Center is a 144-bed nursing home in TUCSON, Arizona. CMS has certified it for Medicare and Medicaid since 1980-04-01. It averages 119.7 residents a day.
What harm was found in the violations cited at Santa Rosa Care Center?
CMS lists 28 health-inspection deficiencies for Santa Rosa Care Center since 2022-09-01, 23 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-02-20.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-02-20 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2025-10-31 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2025-08-29 | F0812, F0880 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | E |
| 2025-08-29 | F0645, F0658, F0698, F0761 | PASARR screening for Mental disorders or Intellectual Disabilities / Ensure services provided by the nursing facility meet professional standards of quality. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / 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. | D |
| 2025-06-13 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E |
| 2025-02-07 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2024-12-18 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E |
| 2024-11-01 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E |
| 2024-11-01 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2024-10-21 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2024-09-23 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2024-04-01 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2023-10-27 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2023-10-27 | F0565, F0645, F0759, F0814, F0880 | Honor the resident's right to organize and participate in resident/family groups in the facility. / PASARR screening for Mental disorders or Intellectual Disabilities / Ensure medication error rates are not 5 percent or greater. / Dispose of garbage and refuse properly. / Provide and implement an infection prevention and control program. | D |
| 2023-08-09 | F0760 | Ensure that residents are free from significant medication errors. | G |
| 2022-09-01 | F0584, F0758 | 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. / 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. | E |
| 2022-09-01 | F0600, F0604, F0610 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Respond appropriately to all alleged violations. | D |
How is Santa Rosa Care Center staffed relative to the AZ average?
| Measure | This facility | AZ average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.35473 | 3.97147 |
| Total nursing staff turnover (%) | 58.2 | 45.1 |
| Average number of residents per day | 119.7 | 88.1 |
Who owns Santa Rosa Care Center, and what chain is it in?
Santa Rosa Care Center is registered with CMS as For profit - Limited Liability company, operates under the legal business name RILLITO RIVER HEALTHCARE, INC. and belongs to the THE ENSIGN GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| CORPORATE DIRECTOR | PETERSON, FORREST | since 05/09/2025 |
| CORPORATE OFFICER | BURNAM, SOON, JONES, CHRISTINE, SATO, AMI | since 05/09/2025 |
| OPERATIONAL/MANAGERIAL CONTROL | ROWE, CHRISTOPHER, SINGH, HARBIR | since 12/01/2025 |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | KEETCH, CHAD, PORT, BARRY | since 02/03/2026 |
| ADP OF THE SNF | ENSIGN SERVICES INC, SANTA ROSA PROPCO, LLC, ROWE, CHRISTOPHER, SINGH, HARBIR | since 05/09/2025 |
Were you or a family member harmed at Santa Rosa Care Center?