Pueblo Springs Rehabilitation Center
5545 East Lee Street · Tucson, AZ · 85712 · 5202962306
129 certified beds For profit - Limited Liability company Chain: The Ensign Group
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.01 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.30 | 0.55–0.75 |
| Weekend hours / resident-day | 2.54 | ≈ weekday level |
| Nursing turnover / year | 57% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (20 in the current record)
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Potential for harm · E June 6, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 7, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 6, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected July 7, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E June 6, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected July 7, 2025 · Infection Control
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Potential for harm · D June 6, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected July 7, 2025 · Quality of Life and Care
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Potential for harm · E June 6, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 7, 2025 · Nutrition and Dietary
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Potential for harm · E June 6, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected July 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 6, 2025 · found via complaint
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected July 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 7, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 26, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 7, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 26, 2024 · Quality of Life and Care
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Potential for harm · E April 25, 2023
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected June 16, 2023 · Resident Assessment and Care Planning
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Potential for harm · E April 25, 2023
Provide safe, appropriate pain management for a resident who requires such services.
Corrected June 16, 2023 · Quality of Life and Care
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Potential for harm · D April 25, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 16, 2023 · Pharmacy Service
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Potential for harm · D March 24, 2022
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected April 15, 2022 · Resident Rights
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Potential for harm · D March 24, 2022
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 15, 2022 · Resident Rights
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Potential for harm · D March 24, 2022
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.
Corrected April 15, 2022 · Resident Rights
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Potential for harm · D March 24, 2022
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 15, 2022 · Resident Assessment and Care Planning
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Potential for harm · D March 24, 2022
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 15, 2022 · Quality of Life and Care
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Potential for harm · D March 24, 2022
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.
Corrected April 15, 2022 · Quality of Life and Care
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Potential for harm · D March 24, 2022
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 15, 2022 · Quality of Life and Care
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Potential for harm · E March 24, 2022
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 15, 2022 · Pharmacy Service
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 035068 · certified since January 16, 1981. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.