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Complaint Investigation

Sandstone Of Tucson Rehab Centre

November 19, 2025 · Tucson, AZ · 2900 East Milber Street
Citations 1
CMS Rating 2/5
Beds 240
Provider ID 035099
Healthcare Facility
Sandstone Of Tucson Rehab Centre
Tucson, AZ  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

SANDSTONE OF TUCSON REHAB CENTRE in TUCSON, AZ — inspection on November 19, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0600
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Potential for More Than Minimal Harm

interview was conducted with a Certified Nursing Assistant (CNA/staff #15) on October 22, 2025 at 9:54 a.m.

The CNA stated that when staff #2 would help feed residents including resident #400 she would rush them and shovel the food too fast.

The CNA stated he talked to staff #2 about the behavior and that she had no reaction.

The CNA stated that other residents had also stated that staff #2 was rough with them.

The CNA concluded that when staff #2 was there, she was always yelling and angry with the residents. An interview with the Director of Nursing (DON/staff #50) was conducted on October 22, 2025 at 10:08 a.m.

The DON stated that staff #2 had been removed from the schedule and terminated.

The DON stated that they also reported staff #2 to the board of nursing for the abuse.

The DON stated that they had substantiated internally that staff #2 was abusive, physically and verbally, and confirmed that staff #2 had stepped on the foot of resident #400.

The DON stated that staff #2 had attended lots of abuse trainings, and that actual abuse was happening which is why they reported her to the board.

The DON concluded that of course it does not meet her expectations and that they are working on the culture problem that is present in the facility. A review of facility policy titled ‘Policy / Procedure - Nursing Administration' under the section ‘Resident Rights' revealed it is the policy of this facility to provide professional care and services in an environment that is free from any type of abuse, corporal punishment, involuntary seclusion, misappropriation of property, exploitation, neglect, or mistreatment.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in TUCSON, AZ, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from SANDSTONE OF TUCSON REHAB CENTRE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.