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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 →
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.

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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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