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Nursing HomeMedicaid

Casas Adobes Post Acute Rehab Center

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

1919 West Medical Street, Tucson, AZ 85704230 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 245 Google reviews

5
4
3
2
1
Casas Adobes Post Acute Rehab Center Nursing Home in Tucson, AZ — Street View
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What this means for your family

This facility is highly regarded for its physical and occupational therapy programs, which have helped many patients regain independence. However, families must be prepared to be highly involved advocates; communication with the administrative and social services teams is frequently cited as a major weakness. We strongly recommend visiting frequently to monitor hygiene and medication schedules, as these are recurring areas of concern.

Google Reviews

Google Reviews

245 reviews analyzed
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

Tap a score for details
Food3.0Staff7.0Clean6.0Activities7.0Meds2.0Memory3.0Comms2.0ValueN/A

Strengths

  • Highly effective physical and occupational therapy
  • Many compassionate and attentive individual nurses and CNAs
  • Clean and well-maintained facility environment
  • Successful discharge planning and recovery outcomes

Concerns

  • Poor communication and difficulty reaching staff/management (mentioned by 12 reviewers)
  • Inconsistent or cold food quality (mentioned by 8 reviewers)
  • Neglect regarding hygiene, trash removal, and basic patient needs (mentioned by 7 reviewers)
  • Medication management errors or delays (mentioned by 5 reviewers)
  • Fall risks and lack of adequate supervision (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

2343.6'19(14)1.73.4'21(5)3.04.4'23(24)4.24.4'25(54)4.3'26(27)

Distribution

5
143
4
16
3
1
2
1
1
39
12 reviews posted between Nov 4, 2024Nov 9, 2024 · 11 were 5-star

How They Respond to Reviews

47%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1Given the facility's focus on physical and occupational therapy, how do you coordinate those sessions with daily activities to ensure residents stay engaged throughout the day?
  • 2I noticed some families have expressed difficulty reaching staff; what is the best way for us to stay in consistent communication with the care team regarding our loved one's progress?
  • 3With the current staffing ratings, what specific protocols are in place to ensure residents receive timely assistance with hygiene and room maintenance?
  • 4How does the nursing team manage medication administration to ensure accuracy and avoid delays for residents?
  • 5We understand that dining can be a challenge; are there options for residents to provide feedback on meal quality or request adjustments to their daily menu?
  • 6In light of the recent health inspection reports, what specific steps has the facility taken to improve supervision and reduce fall risks for residents?

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.

Rehab patient · 2022★★★★★

I am very disappointed with the communication at Casas Adobes. I am POA for an incapacitated individual... unless I hunted people down physically, I did not receive information. Phone calls and emails were not returned.

Memory care family member · 2025☆☆☆☆

My mother was sent to this place to get a treatment she hung out there for 10 days before they ever got her the treatment... If she wasn't as strong as she is I'm sure she would have died waiting for ever.

Long-term resident's family · 2022☆☆☆☆
Source: 245 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.45hrs
59%
Registered nurses for medical care
Total Nursing
4.01hrs
98%
All nurses + aides combined
Staff Turnover
54%
Lower is better (< 30% = good)
RN Turnover
64%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

10

measures

Worse Than Avg

5

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility40.1%
Worse than Avg
Here
40.1%
US
15.4%
AZ
11.2%
Pima
13.0%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility32.2%
Worse than Avg
Here
32.2%
US
19.5%
AZ
20.6%
Pima
18.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
AZ
4.0%
Pima
4.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility7.0%
Better than Avg
Here
7.0%
US
14.4%
AZ
10.6%
Pima
12.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility24.2%
Worse than Avg
Here
24.2%
US
19.4%
AZ
20.5%
Pima
18.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.4%
Better than Avg
Here
98.4%
US
93.4%
AZ
97.0%
Pima
97.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility96.9%
Better than Avg
Here
96.9%
US
81.8%
AZ
91.3%
Pima
91.5%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility90.2%
Mixed vs Avgs
Here
90.2%
US
79.7%
AZ
87.3%
Pima
91.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.9%
Worse than Avg
Here
1.9%
US
1.6%
AZ
1.1%
Pima
0.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
Near state avg (7.6)
9 complaint-triggered

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.

Jun 21, 2025Complaint
2
0600Minor

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.

0755MinorCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Jun 14, 2024Complaint
1
0600Minor

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.

Apr 12, 2024Complaint
2
0600ModerateCorrected

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.

0600ModerateCorrected

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.

Mar 28, 2024Routine
7
0521ModerateCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0006MinorCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0222MinorCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0363MinorCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0638MinorCorrected

Resident Assessment and Care Planning Deficiencies

Assure that each resident’s assessment is updated at least once every 3 months.

0689MinorCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0698MinorCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Mar 28, 2024Complaint
2
0658ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0600MinorCorrected

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.

Feb 14, 2024Complaint
1
0600ModerateCorrected

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.

State Inspection History

State Inspections

Source: AZ State Licensing Agency

23total
28deficiencies
Feb 9, 2026Complaint
CleanReport

An onsite complaint survey was conducted on February 9, 2026 for the investigation of intake #00156965. No citations.

Jan 15, 2026Other
NFPA 101 FederalCorrected Mar 9, 2026

Based on observation, the facility failed to maintain proper maintenance of patient room corridor doors. Failure a cause harm to the residents.Â

NFPA 101 FederalCorrected Mar 9, 2026

Violation cited

Jan 7, 2026Complaint
CleanReport

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.

Oct 1, 2025Complaint
CleanReport

The onsite complaint survey was conducted on October 15, 2025 and investigated complaints #00144695 and 00146219There were no deficiencies noted.

Aug 29, 2025Complaint
CleanReport

The investigation of complaints 2602755 and 00142454 was conducted on August 29, 2025, There were no deficiencies cited.

Aug 22, 2025Complaint
CleanReport

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.

Jun 17, 2025Complaint

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:

An administrator shall ensure that: R9-10-403.C.2. Policies and procedures for physical health services and behavioral health services are established, documented, and implemented to protect the heaR9-10-403.C.2.d.Corrected Jun 22, 2025

Based on record reveiw, staff interviews and policy review, the facility failed to ensure physician orders were followed as written.

12 Freedom from Abuse, Neglect, and Exploitation The resident has the right to be free from abuse, neglect, misappropriation of resident property, and exploitation as defined in this subpart. This inFree from Abuse and Neglect - 0600 FederalCorrected Mar 24, 2025

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.

45 Pharmacy Services The facility must provide routine and emergency drugs and biologicals to its residents, or obtain them under an agreement described in §483.70(f). The facility may permit unlicenPharmacy Srvcs/Procedures/Pharmacist/Records - 0755 Federal

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

An administrator shall ensure that: R9-10-410.B.3. A resident is not subjected to: R9-10-410.B.3.a. Abuse;R9-10-410.B.3.a.Corrected Jun 22, 2025

Based on review of clinical records, policy review, staff interviews the facility failed to ensure that residents were not abused.

May 6, 2025Complaint
CleanReport

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.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Casas Adobes Post Acute Rehab Center

Organization Type

for profit

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

329 facilities nationwide

Chain avg rating: 3.2/5 · Rank 169 of 328

Ownership & Management

Key personnel

Burnam, SoonW-2 Managing EmployeeEagar, RobertW-2 Managing EmployeeGuschl, JamesOfficer / DirectorBurnam, SoonOfficer / DirectorFitch, CraigOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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