VILLA MARIA POST ACUTE AND REHABILITATION

CCN 035147 · MOUNT LEMMON HEALTHCARE LLC · For profit - Limited Liability company · THE ENSIGN GROUP chain · 83 certified beds · Pima · AZ


VILLA MARIA POST ACUTE AND REHABILITATION is a 83-bed nursing home in TUCSON, Arizona. CMS has certified it for Medicare and Medicaid since 1987-08-17. It averages 57.0 residents a day.

What harm was found in the violations cited at VILLA MARIA POST ACUTE AND REHABILITATION?

CMS lists 26 health-inspection deficiencies for VILLA MARIA POST ACUTE AND REHABILITATION since 2022-08-11, 19 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 2026-06-19.

Survey dateTagDeficiencySeverity
2026-06-19F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2026-01-23F0645, F0684, F0755, F0842PASARR screening for Mental disorders or Intellectual Disabilities / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E
2026-01-23F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D
2024-10-03F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2024-07-24F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2024-04-12F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.G
2024-02-16F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.E
2023-09-15F0578, F0622, F0636, F0645, F0689, F0695, F0697, F0727, F0880Honor 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. / 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. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / PASARR screening for Mental disorders or Intellectual Disabilities / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. / 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. / Provide and implement an infection prevention and control program.D
2022-08-11F0686, F0725Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E
2022-08-11F0645, F0658, F0690, F0757, F0773PASARR screening for Mental disorders or Intellectual Disabilities / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.D

Why was VILLA MARIA POST ACUTE AND REHABILITATION fined?

DateTypeAmount
2024-04-12Fine$8,018

How is VILLA MARIA POST ACUTE AND REHABILITATION staffed relative to the AZ average?

MeasureThis facilityAZ average
Total nurse staffing hours per resident per day3.513743.97147
Total nursing staff turnover (%)41.845.1
Average number of residents per day57.088.1

Who owns VILLA MARIA POST ACUTE AND REHABILITATION, and what chain is it in?

VILLA MARIA POST ACUTE AND REHABILITATION is registered with CMS as For profit - Limited Liability company, operates under the legal business name MOUNT LEMMON HEALTHCARE LLC and belongs to the THE ENSIGN GROUP chain.

RoleOwnerAssociation date
MANAGING CONTROL - GOVERNING BODYBOSTWICK, MICHAEL, BURNAM, SOON, RAD, KIYANsince 06/16/2024
CORPORATE DIRECTORPETERSON, FORRESTsince 05/01/2022
CORPORATE OFFICERBURNAM, SOON, KEETCH, CHAD, PORT, BARRYsince 03/01/2011
OPERATIONAL/MANAGERIAL CONTROLBOSTWICK, MICHAEL, RAD, KIYANsince 06/16/2024
ADP OF THE SNFSTANDARD BEARER HEALTHCARE OP, LP, THE ENSIGN GROUP INC, BOSTWICK, MICHAEL, RAD, KIYANsince 01/01/2022

Were you or a family member harmed at VILLA MARIA POST ACUTE AND REHABILITATION?