CATALINA POST ACUTE AND REHABILITATION

TUCSON, AZ

CMS provider ID 035190CMS source updated July 29, 2026

Build questions for this facility →

Compare Save to shortlist

CMS overview

CMS overall

Health inspection

Staffing

Quality-measure

No proprietary TrustHub score. These ratings are published separately by CMS.

How CMS describes these ratings

CMS overall rating: The CMS overall rating summarizes health inspections, staffing, and quality measures within Medicare's Five-Star system.
Health inspection rating: The CMS health inspection rating reflects findings from standard and complaint inspections used in Medicare's Five-Star system.
Staffing rating: The CMS staffing rating reflects staffing levels and related measures used in Medicare's Five-Star system.
Quality-measure rating: The CMS quality-measure rating summarizes selected resident assessment and claims-based measures used in Medicare's Five-Star system.

CMS certified beds: 102
Ownership descriptor: For profit - Limited Liability company
Medicare participation: Yes
Medicaid participation: Yes

Facility information

Contact

CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.

Phone: 5207959574Verified public information · checked Aug 2026

Decision guide

What to review

Factual evidence to examine before you decide. These summaries are not a score or recommendation.

Staffing

CMS publishes a 3-star staffing rating for this facility.

RN staffing was 0.92 hours per resident day in 2026Q1, calculated from CMS PBJ records.

View staffing evidence

Inspections

The latest standard inspection on Sep 16, 2025 cited 3 deficiencies.

View inspection evidence

Ownership

CMS-published records list 26 ownership or control parties.

View ownership evidence

Ownership & operation

Ownership & Operation

Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.

Ownership type: For profit - Limited Liability companyCMS

Who is behind this facility?

SeniorTrustHub found evidence connecting this facility to:

1 CMS-reported ownership organization
CMS reports 11 individual ownership interests

Ownership

Who CMS records show is connected to this facility

These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.

Reported party records: 26
Organizations shown: 15
Individuals shown: 11
Latest ownership source update: Jul 27, 2026

CMS-published ownership and control parties

CARETRUST REIT INC
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jan 1, 2022
Other facilities connected through this exact CMS organization identity: 0 across AZ.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
CARETRUST GP LLC
Organization · ADP OF THE SNF
Association date reported to CMS: May 16, 2003
Other facilities connected through this exact CMS organization identity: 0 across AZ.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
CARETRUST REIT INC
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2022
Other facilities connected through this exact CMS organization identity: 0 across AZ.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
CONCENTRIC HEALTHCARE SOLUTIONS LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 24, 2025
Other facilities connected through this exact CMS organization identity: 0 across AZ.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
CTR PARTNERSHIP LP
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2022
Other facilities connected through this exact CMS organization identity: 0 across AZ.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
EAGAR, ROBERT
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 10, 2009
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
ENSIGN SERVICES INC
Organization · ADP OF THE SNF
Association date reported to CMS: May 16, 2013
Other facilities connected through this exact CMS organization identity: 0 across AZ.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
FAVORITE HEALTHCARE STAFFING LLC
Organization · ADP OF THE SNF
Association date reported to CMS: May 16, 2003
Other facilities connected through this exact CMS organization identity: 0 across AZ.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
P20 PARENT INC
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 24, 2025
Other facilities connected through this exact CMS organization identity: 0 across AZ.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
RILLITO HOLDINGS LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2022
Other facilities connected through this exact CMS organization identity: 0 across AZ.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
SINGH, JASPREET
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
SOUTHERN ARIZONA HEALTH SERVICES LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 25, 2026
Other facilities connected through this exact CMS organization identity: 0 across AZ.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
BURNAM, SOON
Individual · CORPORATE OFFICER
Association date reported to CMS: Oct 1, 2006
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
KEETCH, CHAD
Individual · CORPORATE OFFICER
Association date reported to CMS: Mar 1, 2011
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
PETERSON, FORREST
Individual · CORPORATE OFFICER
Association date reported to CMS: Jan 1, 2019
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
PORT, BARRY
Individual · CORPORATE OFFICER
Association date reported to CMS: Jul 26, 2018
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
BURNAM, SOON
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Oct 1, 2006
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
EAGAR, ROBERT
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Feb 10, 2009
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
SINGH, JASPREET
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Aug 1, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
CONCENTRIC HEALTHCARE SOLUTIONS LLC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 16, 2003
Other facilities connected through this exact CMS organization identity: 0 across AZ.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
EAGAR, ROBERT
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 10, 2009
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
FAVORITE HEALTHCARE STAFFING LLC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 16, 2003
Other facilities connected through this exact CMS organization identity: 0 across AZ.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
P20 PARENT INC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 16, 2003
Other facilities connected through this exact CMS organization identity: 0 across AZ.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
SINGH, JASPREET
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 1, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
SOUTHERN ARIZONA HEALTH SERVICES LLC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 16, 2003
Other facilities connected through this exact CMS organization identity: 0 across AZ.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
PRESIDIO HEALTH ASSOCIATES LLC
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across AZ.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility Enrollments
CMS dataset identifier
5f2c306f-3b1c-42cd-b037-187b2ce22126
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source

What this means

Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.

Questions to ask

CMS records list several organizations with ownership or control roles. Which entity is responsible for day-to-day operations at this facility?

Inspections & deficiencies

What CMS inspection records show

Scope and severity terms below are CMS classifications. They are not a TrustHub score.

Latest recorded inspection

Date: Oct 29, 2025
Survey type: Health Complaint
Linked findings: 1
Highest linked CMS classification: D — Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy

View source details

Dataset: Inspection Dates
CMS dataset ID: svdt-c123
CMS source updated: Jul 1, 2026
CMS provider ID: 035190
Source record locator: csv-row:2463:ccn:035190

View official CMS source

Oct 29, 2025 — Health Complaint — 1 linked finding

F0641 — Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 20, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
035190
Source record locator
csv-row:4551:ccn:035190
View official CMS source

Sep 16, 2025 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Sep 16, 2025 — Health Standard — 3 linked findings

F0658 — Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 26, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
035190
Source record locator
csv-row:4553:ccn:035190
View official CMS source
F0695 — Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 26, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
035190
Source record locator
csv-row:4554:ccn:035190
View official CMS source
F0812 — Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 26, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
035190
Source record locator
csv-row:4552:ccn:035190
View official CMS source

Jun 23, 2025 — Health Complaint — 1 linked finding

F0726 — Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 14, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
035190
Source record locator
csv-row:4555:ccn:035190
View official CMS source

Aug 8, 2024 — Health Complaint — 1 linked finding

F0676 — Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 15, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
035190
Source record locator
csv-row:4556:ccn:035190
View official CMS source

Jul 9, 2024 — Health Complaint — 1 linked finding

F0584 — Resident Rights Deficiencies
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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 13, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
035190
Source record locator
csv-row:4557:ccn:035190
View official CMS source

Dec 27, 2023 — Health Complaint — 1 linked finding

F0678 — Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 16, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
035190
Source record locator
csv-row:4565:ccn:035190
View official CMS source

Jul 7, 2023 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Jul 7, 2023 — Health Complaint — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Jul 7, 2023 — Health Standard — 5 linked findings

F0693 — Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 28, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
035190
Source record locator
csv-row:4562:ccn:035190
View official CMS source
F0695 — Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 28, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
035190
Source record locator
csv-row:4563:ccn:035190
View official CMS source
F0761 — Pharmacy Service Deficiencies
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 28, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
035190
Source record locator
csv-row:4564:ccn:035190
View official CMS source
F0812 — Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 28, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
035190
Source record locator
csv-row:4558:ccn:035190
View official CMS source
F0814 — Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 28, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
035190
Source record locator
csv-row:4559:ccn:035190
View official CMS source

Jul 21, 2022 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Jul 21, 2022 — Health Standard — 6 linked findings

F0684 — Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 2, 2022)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
035190
Source record locator
csv-row:4568:ccn:035190
View official CMS source
F0686 — Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 2, 2022)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
035190
Source record locator
csv-row:4569:ccn:035190
View official CMS source
F0688 — Quality of Life and Care Deficiencies
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 2, 2022)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
035190
Source record locator
csv-row:4570:ccn:035190
View official CMS source
F0689 — Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 2, 2022)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
035190
Source record locator
csv-row:4571:ccn:035190
View official CMS source
F0757 — Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 2, 2022)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
035190
Source record locator
csv-row:4566:ccn:035190
View official CMS source
F0880 — Infection Control Deficiencies
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 2, 2022)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
035190
Source record locator
csv-row:4567:ccn:035190
View official CMS source

Tags appearing across inspections

F0695 appears in 2 linked inspections.
F0812 appears in 2 linked inspections.

Penalties & enforcement

CMS penalty records in the loaded three-year dataset

No penalty records were found for this provider in the currently loaded CMS Penalties dataset.

Questions to ask

Questions generated from the evidence above

CMS records show F0695 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0812 in 2 inspections in the available record. What changes has the facility made to address this issue?

Facility history

Facility History

11 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.

What changed recently?

RN staffing increasedRN staffing increased from 0.81 to 0.92 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.
Complaint inspection recorded1 deficiency was recorded.

2026

Mar 2026
RN staffing increased
RN staffing increased from 0.81 to 0.92 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.
0.81 → 0.92
CMS · Reported in a source release · View related evidence

2025

Oct 29
Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
Sep 2025
RN staffing increased
RN staffing increased from 0.71 to 0.82 hours per resident day between 2025Q2 and 2025Q3. Staffing improved across those reported periods.
0.71 → 0.82
CMS · Reported in a source release · View related evidence
Sep 16
Health inspection completed
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Jun 23
Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence

2024

Aug 8
Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
Jul 9
Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence

2023

Dec 27
Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
Jul 7
Complaint inspection recorded
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
Jul 7
Health inspection completed
5 deficiencies were recorded.
CMS · Recorded event date · View related evidence

2022

Jul 21
Health inspection completed
6 deficiencies were recorded.
CMS · Recorded event date · View related evidence

Staffing

Reported nursing staffing at a glance

CMS staffing rating: 3 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).

Inspect a PBJ quarter

Total nursing: 3.976
RN categories: 0.919
LPN/LVN categories: 0.845
CNA: 2.212

Weekday and weekend calculations

2026Q1 reported hours per resident day
Measure	Monday–Friday	Saturday–Sunday
Total nursing	4.145	3.56
RN categories	0.964	0.808

Contract staff accounted for 2.3% of reported nursing hours included in this quarter calculation.

Reported RN-category hours per resident day were 0.112 higher than the prior loaded quarter.

Staffing over time

Solid bar: Total nursing · Outlined bar: RN categories

Calculated reported hours per resident day by PBJ quarter
Quarter	Total nursing	RN categories	LPN/LVN	CNA	Contract share	Days
2025Q2	4.193	0.709	1.168	2.315	2.7%	91
2025Q3	4.132	0.823	1.011	2.297	0.9%	92
2025Q4	3.956	0.806	0.989	2.161	0%	92
2026Q1	3.976	0.919	0.845	2.212	2.3%	90

Questions to ask

PBJ records show lower calculated RN-category hours per resident day on weekends this quarter. How does the facility plan RN coverage on Saturdays and Sundays?
PBJ records show that some reported nursing hours were contract hours. How does the facility orient and integrate contract staff?

Staffing source and calculation details

Source: Centers for Medicare & Medicaid Services (CMS)
Dataset: Payroll Based Journal Daily Nurse Staffing
CMS dataset ID: 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Quarter: 2026Q1
Coverage: Jan 1, 2026–Mar 31, 2026
Days represented: 90 (90 with positive MDS census)
CMS source updated: Jul 29, 2026
Calculation version: pbj-quarter-ratio-of-sums-v1

Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.

View official CMS PBJ source

What we can verify today

Current Provider Information facts

These measures come from the current successfully ingested CMS Nursing Home Provider Information release.

CMS reports a 4-star overall rating.
CMS reports a 3-star health inspection rating.
CMS reports a 3-star staffing rating.
CMS reports a 5-star quality-measure rating.

Planned evidence layers

Additional public-source research

These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.

Chain / portfolio intelligence

Trust participation

See something that needs correction?

Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.

Suggest a correction Report a source-data concern Represent this facility? Submit a profile claim

How corrections work

Source register

See where this record came from

Provider Information

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 4pq5-n9py
Source updated: Jul 29, 2026
Retrieved: Aug 14, 2026
Supports: Overview, facility facts, and CMS ratings

View official CMS source

Inspection Dates

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: svdt-c123
Source updated: Jul 1, 2026
Retrieved: Aug 14, 2026
Supports: Inspections and facility history

View official CMS source

Health Deficiencies

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: r5ix-sfxw
Source updated: Jul 1, 2026
Retrieved: Aug 14, 2026
Supports: Health deficiencies and facility history

View official CMS source

Payroll Based Journal Daily Nurse Staffing

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Coverage: Apr 1, 2025–Mar 31, 2026
Source updated: Jul 29, 2026
Retrieved: Aug 15, 2026
Supports: PBJ staffing cards, history, and transparent calculations

View official CMS source

Ownership

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: y2hd-n93e
Source updated: Jul 1, 2026
Retrieved: Aug 15, 2026
Supports: Ownership parties, organization connections, and ownership history

View official CMS source

Skilled Nursing Facility Enrollments

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 5f2c306f-3b1c-42cd-b037-187b2ce22126
Source updated: Jul 27, 2026
Retrieved: Aug 15, 2026
Supports: Ownership parties, organization connections, and ownership history

View official CMS source

Verified public facility information

Source organization: Public facility listing
Dataset identifier: commercial-corroboration:public-listing
Source updated: Aug 18, 2026
Retrieved: Aug 18, 2026
Supports: Independently verified public website, phone, or publicly used name. Not a CMS rating or regulatory status.

How sources work

No paid placements. Facilities cannot pay to rank higher. We cite. You decide.

CMS rating overview

CMS overall

Health inspection

Staffing

Quality-measure

Contact

What to review

Staffing

Inspections

Ownership

Ownership & Operation

Who is behind this facility?

Who CMS records show is connected to this facility

CMS-published ownership and control parties

CARETRUST REIT INC

CARETRUST GP LLC

CARETRUST REIT INC

CONCENTRIC HEALTHCARE SOLUTIONS LLC

CTR PARTNERSHIP LP

EAGAR, ROBERT

ENSIGN SERVICES INC

FAVORITE HEALTHCARE STAFFING LLC

P20 PARENT INC

RILLITO HOLDINGS LLC

SINGH, JASPREET

SOUTHERN ARIZONA HEALTH SERVICES LLC

BURNAM, SOON

KEETCH, CHAD

PETERSON, FORREST

PORT, BARRY

BURNAM, SOON

EAGAR, ROBERT

SINGH, JASPREET

CONCENTRIC HEALTHCARE SOLUTIONS LLC

EAGAR, ROBERT

FAVORITE HEALTHCARE STAFFING LLC

P20 PARENT INC

SINGH, JASPREET

SOUTHERN ARIZONA HEALTH SERVICES LLC

PRESIDIO HEALTH ASSOCIATES LLC

What this means

Questions to ask

What CMS inspection records show

Latest recorded inspection

F0641 — Resident Assessment and Care Planning Deficiencies

F0658 — Resident Assessment and Care Planning Deficiencies

F0695 — Quality of Life and Care Deficiencies

F0812 — Nutrition and Dietary Deficiencies

F0726 — Nursing and Physician Services Deficiencies

F0676 — Quality of Life and Care Deficiencies

F0584 — Resident Rights Deficiencies

F0678 — Quality of Life and Care Deficiencies

F0693 — Quality of Life and Care Deficiencies

F0695 — Quality of Life and Care Deficiencies

F0761 — Pharmacy Service Deficiencies

F0812 — Nutrition and Dietary Deficiencies

F0814 — Nutrition and Dietary Deficiencies

F0684 — Quality of Life and Care Deficiencies

F0686 — Quality of Life and Care Deficiencies

F0688 — Quality of Life and Care Deficiencies

F0689 — Quality of Life and Care Deficiencies

F0757 — Pharmacy Service Deficiencies

F0880 — Infection Control Deficiencies

Tags appearing across inspections

CMS penalty records in the loaded three-year dataset

Questions generated from the evidence above

Facility History

What changed recently?

2026

2025

2024

2023

2022

Reported nursing staffing at a glance

Weekday and weekend calculations

Staffing over time

Questions to ask

Current Provider Information facts

Additional public-source research

See something that needs correction?