Above average — CMS composite of the measures below.
The next survey window likely opens around April 2027
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 Skilled Nursing Unit At Oro Valley Hospital during CMS and state inspections, most recent first.
Medication Left at Bedside Without Authorization A resident with intact cognition and occasional pain had a tube of diclofenac gel found on the bedside table while the resident was out of the room. There were no physician orders, care plan entries, IDT notes, or EHR assessments authorizing or assessing self-administration. The Activities Director removed the medication, and the DON confirmed there was no evidence the resident was approved to self-administer medications.
Unlabeled and uncovered food items were found in multiple kitchen refrigerators, including chopped cilantro, scallions, red onion, raw sausages, prepped salads and desserts, cut fruit, and an open spinach bag without an open date. The Dietary Supervisor stated that opened or unused items should be covered, labeled, and dated, and that spoiled oranges and improperly stored items should not have been present.
The facility failed to maintain proper food hygiene practices and ensure kitchen equipment was in good repair, potentially leading to foodborne illness. Staff were observed without hair restraints, and the dishwashing equipment had malfunctioning temperature gauges, with staff relying on portable thermometers. Despite awareness of hygiene protocols and equipment issues, these deficiencies persisted.
Medication Left at Bedside Without Self-Administration Authorization
Penalty
Summary
Medication storage and labeling requirements were not followed when a boxed tube of Diclofenac Sodium 1% gel was found on the bedside table of Resident #32, who was not in the room at the time of the observation. Resident #32 had been admitted with diagnoses including fracture of the neck and right femur, orthopedic aftercare, and chronic kidney disease. An MDS assessment documented a BIMS score of 14, indicating intact cognition, and further assessment noted occasional pain. Physician orders from April 29, 2026 through May 13, 2026 showed no orders for medication self-administration, and the care plan, IDT notes, and electronic assessments also showed no evidence that the resident was authorized or assessed to self-administer medications. During the room observation, the medication box on the bedside table was opened and found to contain Diclofenac Sodium 1% gel with about 50% of the contents remaining. The Activities Director responded to the call light and removed the medication from the bedside table. In interviews, the Activities Director, CNA, and DON all stated that medications should not be left at a resident’s bedside and that this did not meet facility expectations. The DON also reviewed the record and stated there was no evidence of physician orders for the resident to self-administer medications. The facility policy stated that drugs and biologicals must be stored in locked compartments and that residents’ medications should be stored in assigned areas to prevent mixing.
Unlabeled and Uncovered Food Items in Kitchen Refrigeration
Penalty
Summary
Food items in the kitchen were found stored without proper dating, labeling, or coverage during observations with the Dietary Supervisor. In refrigerator 7, a styrofoam cup of chopped cilantro and two stainless steel bins containing scallions and red onion were observed without an open or use-by date. The Dietary Supervisor stated that extra or unused food items should be covered and dated, and said the items had just been used for the breakfast tray line but should still have been covered and dated. In the meat refrigerator, a stainless-steel bin on the bottom shelf contained 15 raw sausages that were not fully covered with saran wrap and were exposed to air. A sheet pan rack in the same refrigerator contained 11 blueberry crisp desserts, 40 peeled and cut mandarin oranges, and 35 salads in individual cups, and these items were not covered. The Dietary Supervisor stated that meat stored in the refrigerator should be fully covered and that the identified sausages and the items in the sheet pan rack should have been covered. She also stated the dietary aid had just prepped the salads and desserts before placing them in the refrigerator. In the fruit and vegetable refrigerator, whole unpeeled oranges were observed with fuzzy blue-green patches on the outside peels and were soft and mushy to the touch, and some of these oranges were touching other oranges with similar fuzz patches. Cut mixed fruits were also found in a stainless-steel container with no date or label sticker, and an open three-pound spinach bag had a received date sticker but no open date. The Dietary Supervisor stated that the oranges should have been disposed of, that the bins should have been labeled and dated with an expiration date, and that the spinach bag should have had an open date sticker. The facility policy stated that foods stored in the cooler are covered and all opened food supplies are labeled and dated.
Deficient Food Hygiene Practices and Equipment Maintenance
Penalty
Summary
The facility failed to maintain proper food hygiene practices and ensure kitchen equipment was in good repair, which could potentially lead to foodborne illness. During an initial kitchen observation, it was noted that a female staff member and a dietician were not wearing hair restraints while in the kitchen. Additionally, a driver nutrition services staff member entered the kitchen without a hair restraint and only put one on after being observed. These lapses in hygiene practices were contrary to the facility's policy, which requires hair covers in all food preparation areas to prevent contamination. The facility's dishwashing equipment was also found to be malfunctioning. During observations, the temperature gauge for the dishwasher's final rinse was not functioning correctly, with readings below the required minimum temperature. Staff members had to use portable thermometers to check the temperature, which varied and did not consistently meet the necessary standards. The Executive Chef and other staff acknowledged the issue, stating that the equipment was in the process of being replaced and that work orders had been placed to address the malfunctioning temperature gauge. Interviews with the nutritional supervisor and dietary director revealed that staff were expected to follow hand hygiene practices and wear hair restraints to prevent cross-contamination and foodborne illness. However, observations showed that these practices were not consistently followed. The nutritional supervisor confirmed that staff were aware of the procedure to report equipment issues and place work orders, but the dishwashing machine's temperature gauge remained unfixed, and staff continued to rely on alternative methods to check temperatures. The facility's documentation indicated that the wash tank was reset, but the temperature gauge issue persisted due to a faulty final rinse solenoid.
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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 Oro Valley
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Splendido At Rancho Vistoso | 1.5 mi | ★★★★★ | 0 | 0 |
| Mountain View Care Center | 5.4 mi | ★★★★★ | 0 | 0 |
| La Canada Care Center | 5.7 mi | ★★★★★ | 7 | 0 |
| Brookdale Santa Catalina | 5.7 mi | ★★★★★ | 4 | 0 |
| Casas Adobes Post Acute Rehab Center | 7.5 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.