Sabino Canyon Rehabilitation & Care Center

    5830 East Pima Street, Tucson, AZ, 85712
    2.7 · 23 reviews
    • Assisted living
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Inconsistent care, understaffed, proceed cautiously

    I placed my loved one here and the care was wildly inconsistent. Staff were often unresponsive, slow to answer call lights (30-40 minutes), and disorganized, with poor communication and delayed callbacks. Medication lists were incorrect, doses mishandled/overmedication occurred, and pain was frequently untreated. Basic care and hygiene suffered - long gaps without showers, delayed bandage changes, and toileting needs ignored. At the same time a few nurses and CNAs were genuinely caring, therapy was excellent, and the dining room, courtyard and activities were pleasant. The facility feels old and understaffed, management seemed ineffective, and I was worried about prolonged stays. Proceed with caution - good rehab and some kind staff, but serious safety and staffing problems.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (medical)
    • Transportation arrangement (non-medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    2.65 · 23 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.7
    • Staff

      2.6
    • Meals

      1.7
    • Amenities

      2.6
    • Value

      2.5

    Pros

    • Many staff described as caring, compassionate, and attentive
    • Therapy department often praised as effective and professional
    • Active activities program (bingo, movie nights, games, social times)
    • Onsite amenities: beauty salon, pleasant patio/courtyard, dining room
    • Doctors reportedly visit daily in some accounts
    • Bilingual staff available
    • Some reviewers noted family-like community and positive energy
    • Well-equipped therapy room and good rehabilitation outcomes for some
    • Some visits reported clean, well-maintained common areas
    • Transportation to shops and offsite outings offered
    • Supportive kitchen staff noted by several reviewers
    • Perceived good value for cost by some families

    Cons

    • Facility repeatedly described as old, dark, or run-down
    • Understaffing and staff shortages reported frequently
    • Slow or inconsistent response to call lights (long wait times)
    • Reports of medication errors, incorrect dosages, and poor med verification
    • Inadequate pain management and delayed administration of medications
    • Hygiene problems: long intervals without showers and poor toileting assistance
    • Poor communication from administration and social work (unreturned calls)
    • Instances of neglect leading to weight loss, infections, or hospital readmissions
    • Inconsistent quality of care — some staff helpful, others rude/untrained
    • Concerns about cleanliness, room odors, and grimy conditions in some rooms
    • Small/shared rooms and bathrooms; some two-bed rooms cramped
    • No central air in rooms; reliance on portable AC units
    • Limited one-on-one physical therapy; group therapy with minimal therapist time
    • Reports of overmedication or incorrect medication lists and billing surprises
    • Allegations that facility may prioritize extended Medicare stays
    • Poor management/administration responsiveness and rude interactions
    • Inadequate documentation and unclear medical records
    • Mixed reports on dining quality: bland/cold meals and limited menu choices

    Summary review

    Overall sentiment in the reviews for Sabino Canyon Rehabilitation & Care Center is highly mixed, with a clear pattern: many reviewers praise the compassion and competence of individual staff members—especially therapists, some nurses, CNAs, and kitchen or activities staff—while other reviews document serious, sometimes dangerous lapses in clinical care, facility maintenance, and management. Multiple reviewers emphasize that outcomes and experiences appear to depend heavily on which staff are on duty and the timing of a stay, leading to a wide range of reported experiences from “highly recommended” rehabilitation success to descriptions of neglect and avoid-at-all-costs warnings.

    Care quality and clinical safety: Reviews show two divergent themes. On the positive side, numerous families credit the therapy department and certain clinical staff with strong rehabilitation outcomes, dedicated attention, and meaningful recovery for residents. Conversely, many reviews report troubling clinical problems: medication errors (incorrect dosages or lack of medication verification), inadequate pain control (long delays or missed doses), delayed wound care or bandage changes, hygiene neglect (some residents going many days without showers), toileting neglect (no assistance during meals), falls, weight loss, and at least one report of an infection leading to hospitalization. These safety-related issues are serious and recur across multiple reviews, suggesting systemic gaps in clinical processes, medication management, and basic care routines for some shifts or units.

    Staffing, staff behavior, and communication: A large group of reviews praise individual staff members as kind, compassionate, professional, and engaged—nurses and CNAs who know residents by name and activities staff who create a family-like atmosphere. Bilingual staff and accessible therapists are called out positively. At the same time, many reviews describe understaffing, disorganized or undertrained personnel, slow response to call lights (reports of 30–40 minute waits), refusal by staff to assist with restroom needs, and rude or unprofessional interactions from certain nursing or administrative employees. Communication from management and social work is often criticized: unreturned calls, unclear/absent medical records, surprise billing, and poor coordination around COVID testing or vaccinations are commonly mentioned. These mixed reports indicate variability in staff competence and managerial oversight, with some teams functioning well and others failing to meet basic expectations.

    Facility and environment: The building is frequently described as older and in many areas outdated or dark. Positive comments include a pleasant courtyard, attractive dining room, a well-laid-out and well-equipped therapy room, and comfortable activity areas. Negatives include dark, gloomy rooms, small shared bathrooms (two-bed rooms), odors in some rooms, and lack of central air conditioning (use of portable units). Cleanliness impressions vary—some reviewers call the facility clean and well-maintained, while others report grime and poor room conditions. The split suggests that environmental conditions may vary by wing, unit, or period of operation.

    Dining and activities: Activities are consistently noted as a strength—bingo, movies, group games, social times, salon services, and transportation to shops are repeatedly cited as meaningful resident engagement offerings. Dining receives mixed feedback: several reviewers appreciate the dining room atmosphere and kind kitchen staff, while others complain of cold, bland meals with little menu choice. For bedridden residents or those with higher care needs, reviewers indicate limited options and inadequate assistance during meals, which ties back to staffing and attentiveness concerns.

    Rehabilitation services and representation: Many reviewers endorse the rehab program, calling therapy “state of the art” and crediting staff for strong recovery outcomes. However, some reviews claim the facility misrepresented the intensity of therapy available (e.g., limited one-on-one therapy, primarily group sessions, limited therapist time). This inconsistency suggests that the advertised level of rehabilitation may not always match the care delivered, dependent on staffing, scheduling, and patient census.

    Management, billing, and regulatory concerns: Several reviewers raise concerns about management responsiveness, rude administrative interactions, unexpected charges (such as an unexplained $2,000 doctor bill), and poor handling of medical records. A few reviewers allege motivations tied to maximizing Medicare length of stay. There are also reports of refused or delayed COVID testing and vaccination-related challenges. These comments point to problems in administrative transparency and discharge/financial communication.

    Patterns and practical recommendations: The reviews reveal a facility with real strengths—compassionate individuals, an active activities program, a strong therapy department (for many), and pleasant communal spaces—offset by serious and recurrent weaknesses around staffing consistency, medication and clinical safety, basic hygiene care, environmental upkeep in some units, and administrative communication. Experiences at Sabino Canyon appear to be highly variable: some families repeatedly return and report consistent, positive care; others report acute safety incidents and neglect.

    If considering Sabino Canyon, prospective residents and families should (1) ask specifically about current staffing ratios, call bell response times, and wound care protocols; (2) review medication administration and verification procedures; (3) inspect the actual room/unit to assess lighting, odors, and air conditioning; (4) ask for documented therapy schedules (one-on-one vs group) and expected daily therapy minutes; (5) request clarity on billing and physician charges before admission; and (6) inquire about recent state inspection results and how the facility addressed any cited deficiencies. In short, this facility may be a very good fit when the right staff are on duty and therapy needs are the priority, but the documented lapses in basic care and communication are significant enough that families should perform careful, targeted due diligence before entrusting a loved one to their care.

    Location

    Map showing location of Sabino Canyon Rehabilitation & Care Center

    About Sabino Canyon Rehabilitation & Care Center

    Sabino Canyon Rehabilitation & Care Center sits in Pima County and has 112 certified skilled nursing beds, with no assisted living beds or assisted living services at all, so folks looking for help here usually come for short-term or long-term rehab or skilled nursing care. The center's part of The Ensign Group and Bandera Healthcare LLC, working as a for-profit limited liability company, and Christine Jones has overseen management since May 2009, though Tom Welker is listed as the administrator now, and that's who you'll see running things most days. The nurses and staff offer different types of specialized care, including intravenous therapy, wound care, enteral feeding, restorative nursing, and hospice services, and the in-house therapy does use some state-of-the-art and hands-on treatments. Residents and their families work together with the care team on a complete care and treatment plan, so there's lots of focus on individual needs.

    The place offers housekeeping, sporadic showers, and meals tailored for people on different diets, but all the rooms have hospital curtains between beds since there aren't any private rooms. Amenities aim to keep people safe and comfortable, and the monthly activities include exercise programs, creative workshops, shopping trips, and other group outings, so folks do have ways to stay busy and social. There's also a continuum of care that tries to meet emotional, spiritual, physical, and mental health needs, and the staff works with residents and families on discharge planning if someone's heading home.

    The nurse staffing level stands at 3.52 hours per resident each day, which is a bit below the Arizona state average, and some think that's left staff feeling stretched. Nurse turnover sits at 50.6 percent, higher than the state's average of 46.9 percent. The facility has had 12 documented deficiencies, 2 of them infection-related, and has been cited for issues related to resident rights, quality of life and care, and nutrition and dietary standards. You'll find various amenities to help with daily life and therapy services designed to help people regain strength and mobility after illness or injury, but everything gets checked with inspection reports that record the good and the bad. Sabino Canyon Rehabilitation & Care Center offers care for those needing more medical help than most senior apartments or assisted living communities can give, and it's built to handle both short-term recovery and long-term needs, though private space is limited and staffing challenges exist.

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