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Medicare shows an abuse citation on record. Review the linked inspection sources and ask the facility about corrective action before deciding.
based on 255 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
No Medicare penalties on record · 3 findings in latest survey
Medicare shows an abuse citation on record. Read the linked source details, ask the administrator what corrective action was taken, and independently verify the facility’s current status before deciding.
Casas Adobes Post Acute Rehab Center receives high praise for its dedicated physical and occupational therapy teams, with many patients successfully recovering mobility. However, the facility faces significant criticism regarding communication, inconsistent nursing care, and poor food quality. While many families report positive experiences with specific staff members, others describe serious neglect, including issues with hygiene, medication management, and responsiveness.
Quality Themes
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Concerns
Rating Trends
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Distribution · 218 analyzed
This facility responds to some reviews.
Personalized based on this facility's data
Key Review Excerpts
“The nurses, I don’t have enough words to tell you how nice they are. They are angels. Tracy, Alex, and Tekeary are very polite, efficient and caring CNAS.”
“The physical therapists helped me where others were not even a close second.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
10
measures
5
measures
2
measures
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
Families have filed multiple reports prompting complaint investigations, with recurring deficiencies in abuse and neglect protection, care assessment and planning, and medication management. The facility has faced six separate abuse/neglect citations between 2021-2025, indicating persistent problems in protecting residents from harm. While most issues show correction dates, the pattern of repeated violations in critical safety areas, especially the ongoing abuse protection failures, raises serious concerns about resident wellbeing and care quality.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Smoke Deficiencies
Provide properly protected cooking facilities.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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.
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
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.
Source: AZ State Licensing Agency
An onsite complaint survey was conducted on February 9, 2026 for the investigation of intake #00156965. No citations.
Based on observation, the facility failed to maintain proper maintenance of patient room corridor doors. Failure a cause harm to the residents.Â
Violation cited
An onsite complaint survey was conducted on January 7, 2026 for the investigation of intakes #2703088, #2699684, #2692878, #2626007, #2624925, #2618706, and #2617097. There are no deficiencies cited.
The onsite complaint survey was conducted on October 15, 2025 and investigated complaints #00144695 and 00146219There were no deficiencies noted.
The investigation of complaints 2602755 and 00142454 was conducted on August 29, 2025, There were no deficiencies cited.
The complaint survey was conducted on August 22, 2025, with the investigation of intake #s:00141042, 00140931, 00224963, 00215931, 00215929. There were no deficiencies cited.
AMENDED September 9, 2025: The investigation of Complaints AZ00201744, AZ00201740, AZ00195202, AZ00195993, AZ00195445, AZ00195514, AZ00193123, AZ00192742, AZ00192844, AZ00192634, AZ00192588, AZ00195417, AZ00195250, AZ00191747, AZ00190303, AZ00190187, AZ00190229, AZ00190142, AZ00187466, AZ00192122, AZ00192191, AZ00193542, AZ00195261, AZ00194757, AZ00194184, AZ00194138, AZ00194194, AZ00193968, AZ00194050, AZ00194030, AZ00194006, AZ00193864, AZ00193934, AZ00195641, AZ00200653, AZ00199792, AZ00197111, AZ00197115, AZ00204017, AZ00197196, AZ00198803, AZ00196309, AZ00195635, AZ00202316, AZ00202336, AZ00201064, AZ00201742, AZ00201723, AZ00201706, AZ00200828, AZ00200593, AZ00200776, AZ00204811, AZ00205789, AZ00209113, AZ00209459, AZ00209754, AZ00208366, AZ00209935, AZ00210210, AZ00210222, AZ00210296, AZ00211172, AZ00212341, AZ00214302, AZ00215931, AZ00203899, AZ00201029, AZ00201945, AZ00203456, AZ00196015, AZ00195538 was conducted on June 17, 2025 through June 21, 2025. The following deficiencies were cited:
Based on review of clinical records, policy review, staff interviews the facility failed to ensure that residents were not abused.
Based on clinical record reviews, facility documentation, interviews, and facility policies, the facility failed to ensure that medications were administered as ordered by the physician for one resident (#10). The deficient practice could result medication errors and uncontrolled pain for the residents
Based on clinical record review, staff interviews, and policy review, the facility failed to ensure that two residents did not abuse other residents. The deficient practice could result in residents being physically harmed.
Based on record reveiw, staff interviews and policy review, the facility failed to ensure physician orders were followed as written.
A complaint survey was conducted on May 06, 2025 for the investigation of intakes #'s: AZ00220230, AZ00191036, AZ00190998, AZ00189966, AZ00189948, 00127006. There were no deficiencies cited.
Casas Adobes Post Acute Rehab Center
for profit
The Ensign Group
342 facilities nationwide
Chain avg rating: 3.2/5 · Rank 169 of 328
Owners
Bandera Healthcare LLC
Owner · Organization
The Ensign Group INC
Owner (parent company) · Organization
Port, Barry
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
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