Above average — CMS composite of the measures below.
A standard survey is most likely before around September 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Mountain View Care Center during CMS and state inspections, most recent first.
The facility failed to prevent multiple incidents of abuse involving residents and a visitor. Residents with cognitive impairments were involved in physical altercations, and a visitor scratched a resident while attempting to redirect them. The facility's inadequate supervision and documentation contributed to these deficiencies.
The facility failed to provide adequate supervision to prevent residents from wandering into other residents' rooms and to prevent elopement. One resident with severe cognitive impairment wandered into another resident's room, resulting in a fall and injury. Another high-risk resident was able to leave the building without staff knowledge due to an unalarmed front door.
A resident with cognitive impairments was found with a bruise around her left eye, and the facility failed to conduct a thorough investigation. The resident reported that her cousin caused the injury, but there was no detailed assessment of the bruise or evidence of recent family visits. The facility did not interview the resident, family members, or staff, and the visitor logs were inadequate.
Failure to Prevent Resident and Visitor Abuse
Penalty
Summary
The facility failed to ensure that residents were free from abuse and neglect, resulting in multiple incidents involving resident-to-resident and visitor-to-resident abuse. Resident #116, who had severe cognitive impairment, was physically assaulted by another resident (#117) who placed his hands on Resident #116's neck. Despite the immediate separation of the residents, the incident highlighted a failure in monitoring and preventing such interactions. Resident #117, who was cognitively intact, exhibited further aggressive behavior and was subsequently sent to the emergency room. The care plan for Resident #117 did not document any prior behaviors, indicating a lack of proactive measures to address potential aggression. Resident #57, who had dementia and other cognitive impairments, wandered into another resident's room and was scratched by a visitor attempting to redirect them. The visitor was asked to leave the facility pending further investigation. This incident underscores the facility's failure to adequately supervise residents with wandering behaviors and to ensure visitors are properly educated on how to handle such situations. Additionally, Resident #118, who had multiple cognitive and physical impairments, was found with bruising around her left eye. The resident claimed her cousin caused the injury, but no family members had recently visited, and the facility's visitor logs were inadequate for verification. The facility was unable to determine the cause of the injury, indicating a lapse in monitoring and documentation. Further incidents involved resident-to-resident altercations, such as Resident #109 hitting Resident #59, resulting in swelling under Resident #59's eye. Another incident involved Resident #127 hitting Resident #126 with a chair, causing a laceration and bruising. Both residents involved in these altercations had severe cognitive impairments, and the facility's documentation revealed a lack of effective interventions to prevent such conflicts. Additionally, Resident #112 was slapped by Resident #114, and Resident #134 was scratched by Resident #135 during a physical altercation. These incidents collectively demonstrate the facility's failure to implement adequate measures to prevent abuse and ensure the safety of all residents, particularly those with cognitive impairments and behavioral issues.
Inadequate Supervision Leading to Wandering and Elopement
Penalty
Summary
The facility failed to ensure adequate supervision to prevent residents from wandering into other residents' rooms and to prevent elopement. Resident #57, diagnosed with dementia, schizophrenia, major depressive disorder, and anxiety disorder, was noted to wander into other residents' rooms. Despite being identified as a wanderer with impaired safety awareness, there was no evidence of adequate supervision to prevent this behavior. Similarly, Resident #116, with severe cognitive impairment and a history of wandering, was found to have wandered into another resident's room, resulting in a fall and injury. The facility's documentation did not show adequate supervision to prevent this incident. Resident #129, diagnosed with epilepsy, dementia, anxiety disorder, dysphagia, and fibromyalgia, was assessed as a high risk for elopement. Despite this, the resident was able to leave the building without staff knowledge, as the front door was not alarmed. The facility's investigative report confirmed that the resident was found outside the building, and there was no documentation of any alarms going off. Interviews with staff revealed that the care plan interventions for high-risk residents were not implemented in a timely manner. The facility's policy on abuse prevention and prohibition against neglect was not followed, as it required identifying, correcting, and intervening in situations where abuse or neglect might occur. This included ensuring adequate supervision for residents with behaviors such as wandering. The lack of adequate supervision and failure to implement care plan interventions led to incidents of wandering and elopement, posing a risk of harm to the residents involved.
Incomplete Investigation of Resident Injury
Penalty
Summary
The facility failed to complete a thorough investigation regarding an injury of unknown origin for a resident with multiple diagnoses, including cognitive impairments. The resident was found with bruising around her left eye and reported that her cousin caused the injury. However, there was no documentation of a detailed assessment of the bruise, including its color or size, and no evidence that family members had recently visited the resident. The care plans indicated the resident was at risk for falls and wandering, but there was no documentation of any falls or incidents that could explain the injury. The facility's investigation was insufficient, as it did not include interviews with the resident, family members, or staff who might have information about the incident. The administrator acknowledged that the facility's visitor logs were inadequate and that the family was not contacted during the investigation. The facility's policy on abuse prevention required interviews with all relevant parties, but this was not followed in this case, leading to an incomplete investigation of the resident's injury.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Tucson
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| La Canada Care Center | 0.6 mi | ★★★★★ | 7 | 0 |
| Casas Adobes Post Acute Rehab Center | 2.1 mi | ★★★★★ | 3 | 0 |
| Life Care Center Of Tucson | 2.5 mi | ★★★★★ | 5 | 0 |
| Brookdale Santa Catalina | 3.5 mi | ★★★★★ | 4 | 0 |
| Skilled Nursing Unit At Oro Valley Hospital | 5.4 mi | ★★★★★ | 3 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.