Below average — CMS composite of the measures below.
The next survey window likely opens around June 2027
Estimate from public CMS data, current as of October 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.
Failure to Knock Before Entering Resident Rooms: Staff entered the rooms of four residents without knocking while delivering meds and performing hand hygiene. The residents had varied conditions, including COPD, DM, AFib, depression, Alzheimer’s disease, heart failure, and cognitive impairment. Interviews showed staff knew the expectation was to knock and introduce themselves before entering, and the facility policy stated team members will knock and request permission before entering a resident’s room.
Care plans were not kept current for three residents. One resident and family reported no recent care plan conference, another resident's care plan still showed Full Code despite a DNR order, and a third resident's care plan and Kardex still listed outdated oxygen settings even though the physician order had changed. Staff and the DON confirmed the records did not match the residents' current needs and orders.
The facility failed to provide RN coverage for required 24-hour periods, with staffing records and daily postings showing no RN assigned for either day or night shifts on two separate dates. Interviews with the Staffing Coordinator and DON confirmed the gaps in RN coverage, noted weekend staffing issues, and described reliance on the charge nurse, agency staff, and on-call rotations to meet staffing needs.
Expired supplements were found in the medication room refrigerator, and an antifungal ointment was repeatedly observed unsecured on a resident’s bedside table without an order or self-administration authorization. In another observation, an LPN left a medication cup unattended in a resident’s room during med pass before the resident was observed taking the meds. Staff interviews and facility policy confirmed that medications are to be centrally stored and that residents may self-administer only when assessed and ordered to do so.
Improper food storage, dating, and labeling were observed in the kitchen and freezer, with multiple items missing prep dates, use-by dates, or open dates, several foods found expired, and some products stored uncovered or not refrigerated per label instructions. Staff stated cooks, sous chefs, and the food service leader were responsible for checking dates on all food items, and the facility policy required ready-to-eat foods to be dated and discarded after 7 days or when beyond expiration/use-by dates.
Incomplete DNR Documentation: A resident with moderate cognitive impairment and a physician DNR order had an incomplete Pre-Hospital DNR form in the chart because it lacked a witness signature. The care plan still listed the resident as full code, and the administrator, RN, and DON all confirmed the form was incomplete and that the resident's wishes could be unclear without proper documentation.
A resident with diagnoses including nephritis, depression, and lack of coordination was discharged home with HHC after a short-stay plan. The NOMNC showed Medicare skilled services ending on discharge, but the signature, date, and additional comments were illegible, and the DON confirmed there was no documentation that the form was issued or who provided it.
Failure to Update Care Plan for Current Psychotropic Medications: A resident with dementia and anxiety had multiple psychotropic medication changes, including antidepressant, antianxiety, and antipsychotic orders, but the comprehensive care plan still reflected discontinued mirtazapine and did not address the current regimen. The care plan lacked individualized goals and interventions for Quetiapine, Sertraline, and Hydroxyzine, despite physician orders for behavior monitoring and side effect monitoring. An LPN and the DON confirmed the omissions.
A resident with pain after a fall had x-ray orders for the leg, pelvis, and lumbar spine, but the facility did not fax the order to the x-ray provider until several days later, and the fracture result was not received until after the delay. In a separate case, a resident with dysphagia and aspiration risk had an active no-straw order, but the care plan incorrectly stated he needed a straw, and staff observed him drinking from a cup with a straw despite the order.
Failure to protect a resident from physical abuse by another resident occurred during a group activity when a discussion about politics escalated into both residents swatting each other’s arms. The residents had intact cognition on MDS, and staff interviews confirmed the altercation, immediate separation, and no observed injuries. The Social Service Coordinator considered the event physical abuse, while the Administrator did not.
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.
Failure to Knock Before Entering Resident Rooms
Penalty
Summary
The facility failed to ensure that staff knocked before entering the rooms of four residents, affecting residents #11, #3, #13, and #29. During observations on July 22, 2026, staff #339 entered each of these residents’ rooms without knocking while preparing and administering medications. For resident #29, staff prepared medications, performed hand hygiene, and entered the room without knocking. For resident #3, staff prepared medications, performed hand hygiene, and entered the room without knocking. For resident #13, medications were prepared, hand hygiene was performed, and staff entered the room without knocking. For resident #11, staff prepared the medication cup, performed hand hygiene, and entered the room without knocking. The residents involved had varying cognitive and medical conditions. Resident #29 had diagnoses including COPD, hypertension, major depressive disorder, anxiety disorder, type 2 DM, shortness of breath, atrial fibrillation, anticoagulant use, unsteadiness, and muscle weakness, and had a BIMS score of 15 indicating cognitive intactness. Resident #3 had diagnoses including hypertension, insomnia, depression, polyneuropathy, muscle weakness, unsteadiness, gait abnormalities, lack of coordination, and osteoarthritis, with a BIMS score of 8 indicating moderate cognitive impairment. Resident #13 had Alzheimer’s disease, type 2 DM, anxiety disorder, chronic pain, hypertension, insomnia, difficulty walking, repeated falls, and osteoporosis, with memory problems noted on the MDS. Resident #11 had atrial fibrillation, hypertension, anxiety disorder, cerebral infarction without residual deficits, and heart failure, with a BIMS score of 13. Interviews confirmed that staff understood the expectation to knock before entering resident rooms. The LPN stated staff should sanitize hands and knock before entering, regardless of whether the door is open or shut, and should introduce themselves to preserve privacy. The CNA stated staff should always knock and introduce themselves, and noted that failing to do so could startle residents or trigger those with behavioral health diagnoses. Staff #339 stated she would knock only if the door was closed and acknowledged that she entered rooms without knocking when the door was open, stating she should have knocked and that privacy could be impacted. The interim DON stated staff should knock and introduce themselves before entering resident rooms, and the facility policy titled Resident Rights, Accommodations, and Responsibilities stated that team members will knock and request permission before entering a resident’s room.
Care Plans Not Kept Current for Resident Meetings, Code Status, and Oxygen Orders
Penalty
Summary
The facility failed to keep comprehensive care plans current for three sampled residents and did not ensure care plan conferences and revisions reflected their current needs. The report states that the comprehensive care plans were not updated, care plan conferences were not conducted as expected, and the plans were not revised to match current resident conditions. The deficiency was identified through clinical record review, staff interviews, resident/family interviews, and review of facility policy. For one resident, the record showed an admission care plan meeting and one quarterly care plan meeting, but the resident stated she could not recall being part of care plan meetings. Her daughter stated the facility had not had a care plan meeting this quarter and had not had one in a while, and that there had been no communication from the facility about why meetings were not held. The administrator and DON reviewed the record and confirmed only two care plan meetings were documented since admission, and the DON stated she expected care plan meetings to be held quarterly. For another resident, the physician had ordered DNR status, but the comprehensive care plan still listed the resident as Full Code. Staff reviewing the chart confirmed the DNR order and the completed DNR form in the Go Book, but also confirmed the care plan had not been updated. The DON acknowledged the care plan should have been revised to reflect the resident's current code status and that it had not been changed after the DNR order was entered. For the third resident, the physician orders changed the oxygen order to continuous oxygen at 4-8 liters per minute via nasal cannula, but the care plan and Kardex still listed 4-6 liters per minute. During observation, the resident was on 8 liters of oxygen. Staff interviews confirmed that the Kardex and care plan were not updated to match the current order, and the ADON stated both documents should have been current. The progress notes also showed an interdisciplinary care conference note stating the resident remained on 6 liters per minute with oxygen saturation dropping with activity, while the current order allowed a higher range.
No RN Coverage for Required 24-Hour Periods
Penalty
Summary
The facility failed to provide RN services for at least eight consecutive hours a day, seven days a week. The facility assessment completed on February 7, 2026 showed an average daily census of 28-35 for LTC and 2-7 for short stay residents, with a staffing plan that included one full-time DON, 1-3 licensed nurses providing direct care, and other nursing personnel with administrative duties. The assessment stated there should be at least one RN per 24-hour period, with nursing shifts scheduled for 12 hours. Review of punch details and daily staffing postings for February and March 2026 showed no RN coverage for a continuous 24-hour period on February 7, 2026 and March 14, 2026. Staff interviews confirmed there was no RN assigned for either the 6 a.m.-6 p.m. or 6 p.m.-6 a.m. shifts on those dates. The Staffing Coordinator stated the facility usually staffs with an RN and CNAs daily, may use registry staff, and acknowledged identified issues with weekend RN coverage. The DON stated she and the Staffing Coordinator review staffing daily, that the facility uses on-call rotation and agency staff when needed, and that the charge nurse typically fulfills the RN role; she also acknowledged that without an RN there may be no licensed professional available to perform comprehensive assessments or respond appropriately to emergencies.
Expired supplements and unsecured medications found during survey
Penalty
Summary
Drugs and biologicals were not consistently stored and handled in accordance with accepted principles. During observations in the medication room, surveyors found expired nutritional supplements in the bottom drawer of the refrigerator at the main nurses’ station, including unopened cartons of Boost, Ensure High Protein Shake, and Nepro with use-by dates ranging from July 2025 to May 2026. Staff identified some of the items as belonging to a resident in a specific room, and the nurse concierge stated that some supplements had been brought in by the resident’s family and were not checked for expiration dates. The Director of Nursing stated that staff routinely checked for expired items, but the expired supplements were still found available in the medication room area. Resident #1 had severe vascular dementia without behavioral disturbance, psychotic disturbance, mood disturbance, anxiety, dysphagia, cognitive communication deficit, and generalized muscle weakness, with a BIMS score of 9. The resident also had orders to monitor for hallucinations every shift and was receiving multiple psychotropic medications. During three separate observations, a tube of 2% miconazole nitrate ointment was found unsecured on the resident’s bedside table and within reach. The resident stated he did not know where the ointment came from and said he did not have a fungal infection. Staff later confirmed there were no physician orders, diagnoses, progress notes, or care plan interventions supporting use of the antifungal ointment, and there was no self-administration assessment or order allowing bedside storage. Resident #29 was cognitively intact with a BIMS score of 15 and had an active order allowing self-administration of creams and gels, but there was no order or assessment authorizing self-administration of oral medications. During medication administration, an LPN placed the resident’s morning medication cup on the tray table, took the glucometer and sharps out of the room, and left the medication cup unattended before returning. Staff interviews confirmed that nursing staff are expected to remain with the resident until medications are taken and that medication cups should not be left unattended. Facility policy also stated that medications are to be centrally stored and that only residents assessed and ordered to self-administer may do so.
Improper Food Storage, Dating, and Labeling
Penalty
Summary
Food was not properly stored, dated, or labeled in the kitchen and freezer areas during the initial tour on July 20, 2026. Observations with the Chef de Cuisine and Interim Food Service Director showed multiple items with missing prep dates, missing use-by dates, expired dates, or improper storage conditions, including arancini balls past the use-by date, bread pudding, biscotti, coffee cake, strawberry cake, chocolate cake, chocolate chunk cookies, carrot cake, muffins, cheese, tartar sauce, shredded beef, chicken wings without a defrost date, hummus, kalamata olives, cooked chicken breasts, cookie dough exposed to air, shredded cheddar cheese exposed and uncovered, salami slices without a use-by date, mozzarella cheese, chicken tenders, gluten-free bread, hot dog buns, and several dry goods without open dates. Some items were also found not refrigerated as required by the packaging instructions, including Yuzi flakes labeled to refrigerate after opening. During interviews, Staff #43 stated that cooks are responsible for ensuring food labels include both prep dates and use-by dates, and that the cooks, sous chefs, and he were responsible for checking dates on all food items. Staff #164 stated she oversaw the front and back of the life center, including the satellite kitchen, while all food items were prepared in the main kitchen. Staff #43 also stated that improper dating, labeling, and storing of food items can impact the health of residents, team members, and visitors, leading to food poisoning or stomach issues. The facility policy required food to be dated with receiving and use-by dates, ready-to-eat foods to be discarded seven days after preparation or opening, and items beyond expiration or use-by dates to be discarded.
Incomplete DNR Documentation
Penalty
Summary
Advance directives were not completed and maintained for one resident with a physician order for DNR without a hold or end date. The resident was admitted with diagnoses including wedge compression fractures of the second and third lumbar vertebrae and repeated falls. An admission MDS assessment showed a BIMS score of 12, indicating moderate cognitive impairment. The care plan, revised June 29, 2026, listed the resident as full code and included interventions stating that advanced directives were located in the medical record and that nursing staff would initiate BLS and call an ambulance as needed. On July 20, 2026, review of the resident's chart showed a Pre-Hospital DNR form with no witness signature. During interviews on July 22, 2026, the administrator, RN, and DON each reviewed the form and confirmed it was incomplete because it lacked a witness signature. The administrator stated the facility's process was to complete the orange DNR form on admission with the doctor and resident's information and a witness signature, and that audits of code status should identify missing information. The RN stated the incomplete form created uncertainty about the resident's wishes, and the DON stated the incomplete DNR form meant the resident's wishes could possibly not be honored in an emergent situation.
Illegible NOMNC Signature and Date
Penalty
Summary
The facility failed to ensure that the resident’s signature and date on the Notice of Medicare Non-Coverage (NOMNC) form were legibly signed and dated for one sampled resident. The resident was admitted with diagnoses including tubulo-interstitial nephritis, depression, and lack of coordination, and had a care plan focused on discharge with a projected short stay and social services involvement for community resources to support resident safety. A physician’s order directed discharge to home with home health services, and the discharge summary documented that the resident was discharged to a private residence in the community. The NOMNC form showed that Medicare skilled services would end on the discharge date, but the additional comments, signature line, and date line were illegible. During interview, the DON confirmed there was no documentation that the resident was issued the NOMNC, no documentation of who provided the form, and that the date on the form appeared incorrect and could not be read clearly.
Failure to Update Care Plan for Current Psychotropic Medications
Penalty
Summary
The facility failed to develop and implement a comprehensive care plan that addressed a resident's current psychotropic medication regimen, including individualized interventions and monitoring. The resident was admitted with diagnoses including severe vascular dementia without behavioral disturbance, paroxysmal atrial fibrillation, hypertension, pneumonia, cognitive communication deficit, dysphagia, history of falling, generalized muscle weakness, and anxiety. A baseline MDS showed a BIMS score of 8, indicating moderate cognitive impairment, and the resident was receiving antidepressant medications. The clinical record showed multiple medication changes over time. A physician progress note documented Remeron (mirtazapine) for decreased appetite, with the dose reduced at the daughter's request. A psychiatric note later documented the resident was receiving Remeron 15 mg at bedtime for depression and recommended continuing it without changes. Subsequent physician orders directed staff to monitor for anxiolytic side effects every shift and to complete behavior monitoring every shift for target behaviors such as agitation and calling out, including documentation of non-pharmacological interventions used to redirect the resident. Later orders discontinued Remeron and added Hydroxyzine HCl for anxiety and agitation related to confusion and calling out, Sertraline HCl for depression, and Quetiapine Fumarate for dementia-related behavioral symptoms. The resident's comprehensive care plan, however, still contained a focus for Remeron related to appetite stimulation and insomnia, with interventions to administer the medication as ordered, monitor food intake, and observe for antidepressant side effects. The care plan did not include a focus, goals, or interventions for the resident's current psychotropic medications, including Quetiapine, Sertraline, or Hydroxyzine, and it had not been revised to reflect discontinuation of mirtazapine or initiation of the current medications. Staff interviews confirmed the omission: an LPN stated the current medications were not reflected in the care plan and that the discontinued mirtazapine remained listed, and the Interim DON stated all three psychotropic medications should have been reflected in the care plan.
Delayed X-ray Order Transmission and Conflicting Straw Use Instructions
Penalty
Summary
The facility failed to ensure that an x-ray order for a resident with Parkinson's disease, severe cognitive impairment, pain, and a recent fall was faxed to the x-ray provider in a timely manner. The resident had physician orders on May 1, 2026 for x-rays of the left leg, pelvis, and lumbar spine due to left leg pain. Progress notes show the x-ray company was called on May 2, 2026, but the record documented that there was no time given for when the exam would be completed. On May 3, 2026, the resident stated he was supposed to have the x-rays, and staff documented that they were waiting to hear back from the x-ray company. The x-ray results were not reported to the provider until May 4, 2026, and the interim DON reviewed the interpretive report showing an acute left hip fracture. The x-ray provider later confirmed that the facility had the order on May 1, 2026, but it was not faxed until May 4, 2026, the same day the service was completed. Interviews with nursing leadership and the ordering NP showed that staff expected routine x-rays to be completed much sooner than occurred in this case. Staff stated that if an x-ray was ordered for pain, they would normally follow up with the provider and expect the exam to be completed by the next day or within a few hours depending on the circumstances. The NP stated he expected the facility to send the written order to the x-ray provider timely and said that a 2-3 day wait on a routine x-ray was generally not okay. The interim DON stated the turnaround time was not acceptable and that staff should have notified leadership and explored sending the resident to the hospital. The facility also could not retrieve the fax confirmation for the order. The facility also failed to implement resident-directed care consistent with physician orders for a resident with severe vascular dementia, oropharyngeal dysphagia, cognitive communication deficit, and generalized weakness. Speech therapy documented swallowing difficulty, coughing with intake, and the need to focus therapy on preventing aspiration. Nursing notes and a dietitian note documented use of small cups and no straws, and a physician order later directed a regular diet with thin liquids, small cups, and no straws. However, the care plan stated the resident needed a straw, which conflicted with the physician order. During observation, the resident was seen drinking from a Styrofoam cup using a straw while leaning over the cup, and the straw and cup were left at the table after the meal tray was removed. Staff interviews confirmed that the resident had an active no-straw order, that the care plan conflicted with that order, and that the resident had recently been observed receiving a cup with a straw.
Failure to Protect Resident from Resident-to-Resident Physical Abuse
Penalty
Summary
The facility failed to protect one resident from physical abuse by another resident during a group activity. Resident #6 had diagnoses including depression with psychotic symptoms, anxiety, and insomnia, and a quarterly MDS showed a BIMS score of 15, indicating intact cognition. Resident #10 also had a BIMS score of 15 and no behaviors noted on the annual MDS. During the activity, a discussion about politics and whom Resident #6 had voted for escalated into a physical altercation between the two residents. According to the incident documentation and staff interviews, Resident #6 objected to Resident #10’s comments, and the residents exchanged swats to each other’s arms. One report stated that Resident #6 swatted Resident #10 first, while another stated that Resident #10 swatted back after being hit. The activity aide/program coordinator intervened, separated the residents, and redirected them to their rooms. Skin checks were completed and no injuries, redness, edema, or discoloration were observed on either resident. Interviews with Resident #6, Resident #10, the Program Coordinator, the Social Service Coordinator, the Administrator, and the ADON confirmed that the incident involved slapping or swatting between the two residents during the activity. The Social Service Coordinator stated she would consider the altercation physical abuse because the residents were slapping each other, while the Administrator stated she did not consider it abuse because it was unintentional and both residents were safe. The facility policy stated that residents are not to be subjected to abuse, neglect, or exploitation, and that facilities strive to prevent abuse of all residents.
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.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 129 citations issued within 25 miles in the last 12 months — 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
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
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 | ★★★★★ | 5 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Splendido At Rancho Vistoso.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release October 2026) and official state health department websites.