2001 NORTH PARK AVENUE, TUCSON, AZ 85719
200 beds · For profit - Limited Liability company
CMS Provider #035174
Data updated: March 1, 2026
Overall Rating
★★★★★
Health Rating
★★★★★
Staffing Rating
★★★★★
Quality Rating
★★★★★
Daily nursing care
3.2 hrs/resident
Getting worse
Inspection findings
7
More issues
Ownership changes
0
Operated by Bandera Healthcare LLC, part of The Ensign Group, a large chain.
Complaint trend
More complaints
9 recent findings related to complaints were identified in inspection records.
Overall Rating
Health Inspection
Staffing Rating
Quality Rating
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Records reflect a high-performing clinical environment tempered by nursing staffing hours that fall significantly below state averages and a recent history of federal fines.
The data indicates a facility with high performance in tracked clinical outcomes but significant limitations in staffing volume and consistency. According to Centers for Medicare and Medicaid Services records, the facility maintains the highest possible rating for quality measures, which tracks clinical results such as fall prevention and pressure ulcer management. However, these outcomes occur alongside staffing levels that are lower than both local and national benchmarks. Registered nurse care was reported at 0.28 hours per resident per day, which is notably lower than the Arizona state average of 0.72 hours. Furthermore, staffing levels fluctuate by roughly 12% on weekends compared to weekdays, which may impact the consistency of care delivery.
Inspection history shows a trend of increasing findings, with seven health-related citations in the most recent cycle compared to six in the previous period. These findings include one high-severity citation (category G) and multiple issues related to infection control and the reporting of suspected abuse or neglect. While total nursing staff turnover is 39.3%—which is lower than the Arizona state average of 47.7%—registered nurse turnover is higher at 50%. Notably, the facility reports zero reliance on contract or agency staffing, suggesting that all nursing care is provided by permanent employees, a factor that typically supports continuity of care despite the lower overall hours.
The facility reported 3.16 total hours of nursing care per resident per day, which is approximately 23% lower than the Arizona state average of 4.12 hours.
Clinical quality measures were rated at the highest level (5 out of 5 stars), indicating high performance on health outcomes.
Federal records documented 7 health inspection findings and a $25,116 fine resulting from an August 2024 citation.
This shows how the facility's federal ratings have changed over the past 24 months. Consistent high ratings suggest stable quality, while declining trends may warrant further investigation.
| Category | Apr 24 | Jun 24 | Aug 24 | Oct 24 | Dec 24 | Mar 25 | May 25 | Jul 25 | Nov 25 | Jan 26 | Mar 26 | Trend |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall | 3★ | 3★ | 3★ | 2★ | 2★ | 3★ | 3★ | 3★ | 2★ | 2★ | 4★ | |
| Staffing | 2★ | 2★ | 2★ | 3★ | 3★ | 3★ | 3★ | 2★ | 1★ | 1★ | 2★ | |
| Health | 2★ | 2★ | 2★ | 1★ | 1★ | 2★ | 2★ | 2★ | 2★ | 2★ | 3★ |
Staffing depth is the strongest predictor of care quality. Facilities routinely cut staff on evenings and weekends — the shifts when falls happen and call lights go unanswered.
RN Hours Specifically
State avg total staffing: 4.1 hrs/resident/day
1
administrator departed in past year
Some change39.3%
State avg: 47.7%
50.0%
State avg: 44.6%
0.0%
of nursing hours from contract/agency staff
Low — good continuitySource: PBJ data, 2025Q3
A facility's location matters — nearby hospitals, pharmacies, and public transit can make visits easier and ensure quick access to emergency care.
Walk Score
61
Somewhat Walkable
Transit Score
48
Some Transit
Median Income
$39,144
Median Home Value
$264,400
Poverty Rate
32.1%
Age 65+
9.5%
Median Age
23
Pop. Density
48,947/mi²
Median Rent
$973
Google reviews provide firsthand accounts from residents' families and visitors.
Federal and state inspectors conduct regular surveys of every nursing home. Deficiencies listed here are problems found during those inspections.
| Date | Tag | Category | Description | Severity | Corrected | Type | IC |
|---|---|---|---|---|---|---|---|
| 10/24/2025 | 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Minimal harm | 11/1/2025 | Complaint | |
| 8/22/2025 | 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Minimal harm | 8/25/2025 | Standard | |
| 8/22/2025 | 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | Actual harm | 8/25/2025 | Standard | |
| 8/1/2025 | 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Minimal harm | 9/15/2025 | Complaint | |
| 8/1/2025 | 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Minimal harm | 9/15/2025 | Complaint | |
| 6/11/2025 | 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | Minimal harm | 7/7/2025 | Complaint | |
| 6/11/2025 | 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Minimal harm | 7/7/2025 | Complaint | |
| 8/1/2024 | 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Actual harm | 9/12/2024 | Complaint | |
| 5/19/2023 | 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Minimal harm | 7/10/2023 | Complaint | |
| 5/19/2023 | 0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Minimal harm | 7/10/2023 | Standard |
When inspection deficiencies are serious enough, the government may impose financial penalties or deny Medicare/Medicaid payments.
Total Penalties
1
Total Fines
$25,116
| Date | Type | Fine Amount | Payment Denial |
|---|---|---|---|
| 8/1/2024 | Fine | $25,116 | — |
Ownership structure and changes can affect facility quality.
Facilities in Chain
329
Chain Avg Rating
3.2 ★
Years Operating
37
| Owner Name | Type | Role | Ownership % | Association Date |
|---|---|---|---|---|
| BANDERA HEALTHCARE LLC | Organization | — | 100% | 1/30/2006 |
| THE ENSIGN GROUP INC | Organization | — | 100% | 9/1/2003 |
| COTE, ELLEN | Individual | — | — | 11/12/2008 |
| PETERSON, FORREST | Individual | — | — | 1/1/2019 |
| BURNAM, SOON | Individual | — | — | 10/18/2006 |
| COTE, ELLEN | Individual | — | — | 11/12/2008 |
Recent news articles, lawsuits, and media coverage mentioning this facility.
No recent news coverage found for this facility.
Data updated: March 1, 2026 · CMS, OSCAR, state inspection records
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