FOOTHILLS REHABILITATION CENTER Inspection Report, Violations & Safety Grade (TUCSON, Arizona)

2250 NORTH CRAYCROFT ROAD, TUCSON, Arizona 85712

Phone: 5207338700

CMS Overall:2/5

Overview & Bed Count

Certified Beds

149

Avg Residents/Day

118.1

Ownership

For profit - Limited Liability company

Provider Type

Medicare and Medicaid

County

Pima

Sprinkler Systems

Yes

Special Focus

None

Abuse Icon

CMS Star Ratings

Overall2/5

Health1/5

Staffing3/5

Quality5/5

Nurse Staffing Check

Metric	This Facility	Arizona Avg	Difference
RN Hours per Resident per Day	0.71	0.74	-0.02
Total Nurse Hours per Resident per Day	4.19	4.08	+0.11
CMS Staffing Rating	3/5	3/5	-
Nursing Staff Turnover	20.0%	44.8%	-

Health Citation History

22 health citations on record

Date	Category	Description	Severity
2026-03-28	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	E – Moderate Harm Potential
2026-03-28	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	E – Moderate Harm Potential
2026-03-28	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	E – Moderate Harm Potential
2026-03-28	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E – Moderate Harm Potential
2026-03-28	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E – Moderate Harm Potential
2026-03-28	Resident Rights Deficiencies	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	D – Moderate Harm Potential
2026-03-28	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	D – Moderate Harm Potential
2026-03-28	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D – Moderate Harm Potential
2026-03-28	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D – Moderate Harm Potential
2026-03-28	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D – Moderate Harm Potential
2026-03-28	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D – Moderate Harm Potential
2025-08-01	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D – Moderate Harm Potential
2025-07-21	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.	D – Moderate Harm Potential
2025-06-25	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D – Moderate Harm Potential
2025-05-01	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D – Moderate Harm Potential
2025-03-07	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	D – Moderate Harm Potential
2024-12-04	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D – Moderate Harm Potential
2024-11-25	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	G – Actual Harm
2023-02-16	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	G – Actual Harm
2023-02-16	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	E – Moderate Harm Potential
2023-02-16	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E – Moderate Harm Potential
2023-02-16	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D – Moderate Harm Potential

Fire Safety Citation History

40 fire safety citations on record

Date	Category	Description	Severity
2026-03-28	Smoke Deficiencies	Install a fire alarm system that can be heard throughout the facility.	F – Moderate Harm Potential
2026-03-28	Gas, Vacuum, and Electrical Systems Deficiencies	Have generator or other power source capable of supplying service within 10 seconds.	F – Moderate Harm Potential
2026-03-28	Emergency Preparedness Deficiencies	Develop and maintain an Emergency Preparedness Program (EP).	E – Moderate Harm Potential
2026-03-28	Emergency Preparedness Deficiencies	Establish procedures for tracking staff and patients during an emergency.	E – Moderate Harm Potential
2026-03-28	Emergency Preparedness Deficiencies	Establish policies and procedures including evacuation.	E – Moderate Harm Potential
2026-03-28	Emergency Preparedness Deficiencies	Establish policies and procedures for medical documentation.	E – Moderate Harm Potential
2026-03-28	Emergency Preparedness Deficiencies	List the names and contact information of those in the facility.	E – Moderate Harm Potential
2026-03-28	Emergency Preparedness Deficiencies	Provide a means of sharing information on occupancy/needs.	E – Moderate Harm Potential
2026-03-28	Emergency Preparedness Deficiencies	Conduct testing and exercise requirements.	E – Moderate Harm Potential
2026-03-28	Smoke Deficiencies	Provide properly protected cooking facilities.	E – Moderate Harm Potential
2026-03-28	Smoke Deficiencies	Follow proper procedures when the fire alarm was out of service for more than 4 hours.	E – Moderate Harm Potential
2026-03-28	Smoke Deficiencies	Install corridor and hallway doors that block smoke.	E – Moderate Harm Potential
2026-03-28	Smoke Deficiencies	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	E – Moderate Harm Potential
2026-03-28	Gas, Vacuum, and Electrical Systems Deficiencies	Have proper medical gas storage and administration areas.	E – Moderate Harm Potential
2025-03-07	Emergency Preparedness Deficiencies	Develop and maintain an Emergency Preparedness Program (EP).	E – Moderate Harm Potential
2025-03-07	Emergency Preparedness Deficiencies	Include a process for Emergency Preparedness collaboration.	E – Moderate Harm Potential
2025-03-07	Emergency Preparedness Deficiencies	Establish procedures for tracking staff and patients during an emergency.	E – Moderate Harm Potential
2025-03-07	Emergency Preparedness Deficiencies	Establish policies and procedures for sheltering.	E – Moderate Harm Potential
2025-03-07	Emergency Preparedness Deficiencies	Establish policies and procedures for medical documentation.	E – Moderate Harm Potential
2025-03-07	Emergency Preparedness Deficiencies	Establish policies and procedures for volunteers.	E – Moderate Harm Potential
2025-03-07	Emergency Preparedness Deficiencies	Establish roles under a Waiver declared by secretary.	E – Moderate Harm Potential
2025-03-07	Emergency Preparedness Deficiencies	Develop a communication plan.	E – Moderate Harm Potential
2025-03-07	Emergency Preparedness Deficiencies	Establish methods for sharing information.	E – Moderate Harm Potential
2025-03-07	Emergency Preparedness Deficiencies	Provide a means of sharing information on occupancy/needs.	E – Moderate Harm Potential
2025-03-07	Smoke Deficiencies	Have approved installation, maintenance and testing program for fire alarm systems.	E – Moderate Harm Potential
2025-03-07	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	E – Moderate Harm Potential
2025-03-07	Smoke Deficiencies	Install corridor and hallway doors that block smoke.	E – Moderate Harm Potential
2025-03-07	Smoke Deficiencies	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	E – Moderate Harm Potential
2025-03-07	Miscellaneous Deficiencies	Provide a written emergency evacuation plan.	E – Moderate Harm Potential
2025-03-07	Miscellaneous Deficiencies	Have simulated fire drills held at unexpected times.	E – Moderate Harm Potential
2025-03-07	Miscellaneous Deficiencies	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	E – Moderate Harm Potential
2025-03-07	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	E – Moderate Harm Potential
2025-03-07	Gas, Vacuum, and Electrical Systems Deficiencies	Have generator or other power source capable of supplying service within 10 seconds.	E – Moderate Harm Potential
2025-03-07	Smoke Deficiencies	Install a fire alarm system that can be heard throughout the facility.	D – Moderate Harm Potential
2025-03-07	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure proper usage of power strips and extension cords.	D – Moderate Harm Potential
2023-02-16	Smoke Deficiencies	Properly select, install, inspect, or maintain portable fire extinguishes.	D – Moderate Harm Potential
2023-02-16	Smoke Deficiencies	Install corridor and hallway doors that block smoke.	D – Moderate Harm Potential
2023-02-16	Services Deficiencies	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	D – Moderate Harm Potential
2023-02-16	Miscellaneous Deficiencies	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	D – Moderate Harm Potential
2023-02-16	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure proper usage of power strips and extension cords.	D – Moderate Harm Potential

Total Penalties & Fines

Total Fine Amount (CMS)

Number of Fines

Total Penalties

No penalty records found.

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3-Year Complete Report ($19)

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