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Complaint Investigation

Sandstone Of Tucson Rehab Centre

Inspection Date: November 19, 2025
Total Violations 1
Facility ID 035099
Location TUCSON, AZ
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Inspection Findings

F-Tag F0600

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

F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

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 β€˜Policy / Procedure - Nursing Administration' under the section β€˜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.

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πŸ“‹ Inspection Summary

SANDSTONE OF TUCSON REHAB CENTRE in TUCSON, AZ inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

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

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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