Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Splendido At Rancho Vistoso during CMS and state inspections, most recent first.
Surveyors found expired medications, nutritional supplements, syringes, and other supplies in medication rooms and carts. An RN prepared an expired aspirin tablet for a resident, and additional expired items such as Tums, yogurt, hand sanitizer, and syringes were discovered. Staff interviews revealed inconsistent knowledge and practices regarding the disposal and monitoring of expired medications and supplies, despite facility policies requiring regular review and proper disposal.
Surveyors found that food boxes were stacked too close to the ceiling in both the refrigerator and freezer, blocking the sprinkler system and not maintaining the required clearance. Additionally, a staff member was observed serving food with hair not fully covered by a bonnet, contrary to facility policy. Staff interviews confirmed these practices did not meet professional standards.
A resident with multiple medical conditions was found with several medications left unattended on her bedside table, without a documented self-administration assessment or physician order. Facility policy and staff interviews confirmed that medications should be secured and self-administration requires a written order, which was not present in this case.
A resident with dementia and a history of falls was injured after a CNA attempted a transfer without using the required Hoyer lift, as per the care plan. The CNA, unaware of the updated transfer requirements due to inadequate shift change communication, used an incorrect method, resulting in the resident sliding to the floor and sustaining a fracture.
Expired Medications and Supplies Found in Medication Storage and Carts
Penalty
Summary
Surveyors identified that the facility failed to ensure drugs, biologicals, and related supplies were not expired and were properly labeled and stored. During medication preparation for a resident, an RN prepared an aspirin tablet that was found to be expired since August 2023. The expired medication was provided by the resident and was not administered, but its presence on the medication cart indicated a lapse in monitoring expiration dates. Additional observations in the medication storage rooms revealed expired nutritional supplements, yogurt, hand sanitizer, COVID test kits, and multiple types of syringes, some of which had been expired for several months. Further review of medication carts uncovered loose, unidentified tablets and expired over-the-counter (OTC) medications, such as Tums, as well as prescription medications that were over a year old without clear expiration dates. Staff interviews revealed inconsistent knowledge and practices regarding the disposal of expired medications and supplies. Some staff were unsure of the correct procedures for disposing of OTC medications, and there was confusion about the storage and monitoring responsibilities for both prescription and OTC items. Audits and interviews with nursing and supply staff indicated that while there were expectations for regular review and removal of expired products, these expectations were not consistently met. Expired items were found in multiple locations, and staff acknowledged that expired products should not be present or used. Facility policies required disposal of OTC medications within one year of opening and outlined specific destruction procedures for non-controlled medications, but these policies were not always followed in practice.
Deficient Food Storage and Incomplete Hair Covering in Food Service
Penalty
Summary
Surveyors observed that food storage practices in the facility's refrigerator and freezer did not comply with professional standards and facility policy. Specifically, boxes of food items such as spinach, half & half, whipping cream, broccoli, cookies, fudge bars, wheat, and pastries were stacked on the top shelves, too close to the ceiling and blocking the sprinkler system. These observations were made on consecutive days, and staff interviews confirmed that the boxes were not maintaining the required 18-inch clearance from the ceiling, as outlined in both facility policy and fire safety requirements. A red line was present on the wall to indicate the maximum stacking height, but it was not being adhered to. Additionally, a staff member serving food was observed wearing a hair covering that did not fully contain their hair, with hair visible outside the covering in the front and on both sides. Interviews with the chef de cuisine and the administrator confirmed that the expectation is for all hair to be completely covered while in food production areas, as per facility policy. The failure to ensure proper hair coverage and correct food storage practices were directly observed and acknowledged by staff during interviews.
Unattended Medications Left at Bedside Without Self-Administration Assessment
Penalty
Summary
A deficiency was identified when a resident was found with multiple medications, including an Albuterol Sulfate inhaler, Brimonidine Tartrate ophthalmic solution, and a sample of Systane Ultra PF, left unattended on her bedside table. The resident, who had diagnoses including acute respiratory failure with hypoxia, paroxysmal atrial fibrillation, type 2 diabetes mellitus, and hypertension, had a BIMS score indicating intact cognition. There was no evidence in the clinical record of a medication self-administration assessment or a care plan focus or interventions regarding self-administration of medications. The resident stated she preferred to keep her inhaler nearby and reported that staff had not commented on the medications being at her bedside. Staff interviews confirmed that facility policy requires medications for self-administration to be secured in a locked container or drawer and that a written physician order is necessary for self-administration. The Director of Nursing acknowledged that there was no physician order for self-administration and that staff are trained to remove medications from the bedside and verify with providers. Policy review further confirmed that self-administration is only permitted with a written order from the primary healthcare provider.
Failure to Follow Transfer Protocols Leads to Resident Injury
Penalty
Summary
The facility failed to adhere to the comprehensive care plan for a resident, resulting in a fall with injury. The resident, who was admitted with diagnoses including unspecified dementia and repeated falls, was assessed to be entirely dependent on staff for transfers and required a two-person assist with a Hoyer lift. Despite this, a Certified Nursing Assistant (CNA) attempted to transfer the resident using a bear hug method, which was not in accordance with the care plan. This action led to the resident sliding to the floor, resulting in a fall. The incident occurred when the CNA, who had just returned from an extended absence, was not aware of the updated transfer requirements for the resident. The CNA attempted to transfer the resident without assistance, leading to the resident's legs giving out and the subsequent fall. The CNA had not received adequate information during the shift change and was unaware of the need for a Hoyer lift, despite the facility's policy and the resident's care plan indicating this requirement. Following the fall, the resident experienced significant pain and was later found to have a comminuted distal perihardware fracture as revealed by an x-ray. The facility's self-report and subsequent interviews highlighted a breakdown in communication and adherence to care protocols, as the CNA did not follow the prescribed transfer method, which was documented in the resident's records and communicated through the facility's systems such as the Kardex and shift change reports.
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Illustrative
What surveyors actually found near you
We read the 149 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Tucson
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Skilled Nursing Unit At Oro Valley Hospital | 1.5 mi | ★★★★★ | 3 | 0 |
| Mountain View Care Center | 6.5 mi | ★★★★★ | 0 | 0 |
| La Canada Care Center | 6.7 mi | ★★★★★ | 7 | 0 |
| Brookdale Santa Catalina | 7.2 mi | ★★★★★ | 4 | 0 |
| Casas Adobes Post Acute Rehab Center | 8.7 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.