Quiburi Mission Nursing & Rehabilitation
850 South Highway 80, Benson, AZ 85602 · Cochise County · (520) 586-2372
60 certified beds, about 53 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1992
CMS Care Compare ratings, data as of September 1, 2026 · CCN 035214 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 1, 2026, inspectors cited 1 health deficiency (the Arizona average is 6.4, the national average 9.2).
None of its 13 health citations since October 2022 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.63 hours per resident per day, against 3.98 across Arizona and 3.86 nationally. Registered nurses accounted for 0.88 of those hours.
29.8% of nursing staff left within the year CMS measured (Arizona average 45.1%).
CMS links it to Opco Skilled Management, an affiliated group of 68 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 13 health citations on file.
May 1, 2026Standard inspection · 1 citation
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on record review, staff interviews, and review of facility documents and policy, the facility failed to send a notice of discharge to the State Ombudsman for one resident (#59). The deficient practice could result in the residents not being followed up for transfer or discharges concerns.
December 5, 2025Complaint inspection · 1 citation
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on clinical record reviews, facility documentation, resident and staff interviews, and policy review, the facility failed to protect the rights of one resident (#100) to be free from abuse by another resident (#200). This deficient practice could result in further instances of resident to resident abuse.
May 23, 2024Complaint inspection · 1 citation
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on review of the clinical record, facility documentation, review of the State Agency Database and interviews the facility failed to ensure one resident was treated with respect and dignity. The deficient practice could result in residents not feeling safe.
March 8, 2024Standard inspection, Complaint inspection · 5 citations
- E Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on record review, staff interviews, and review of policy, the facility failed to notifiy the Ombudsman of transfer/discharge for two residents (#23, #2).
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on review of clinical records and policy, observations, and staff interviews the facility failed to ensure the environment remained free of accident hazards existing from unattended medications. The deficient practice of unattended medications does not align with accepted professional standards of practice and may result in undesirable medication-induced harm.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on staff interviews, clinical record review, facility documents and facility policy, the facility failed to ensure that a resident (#52) was free from abuse from another resident (#53). Failure to ensure the resident was free from abuse resulted in an trochantric hip fracture.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on clinical records, staff interviews, and the facility policy and procedures, the facility failed to follow the catheter care in accordance with professional standards for one resident #18. The deficient practice could increase the risk for resident discomfort, injury and infection.
- D Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Inspectors wroteBased on observations, staff and resident interviews, and policy review, the facility failed to ensure one resident #18 was assessed for the safe use of enabler bars prior to installation and informed of the risks and benefits of their use. The sample size was 16. The deficient practice could impact the residents knowledge of the risks and benefits of enabler bars and cause potential injury if the resident was not an appropriate candidate for enabler bars.
October 27, 2022Standard inspection · 5 citations
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on clinical record review and staff interviews, the facility failed to ensure that one resident (#45) received the Notice of Medicare Non-Coverage (NOMNC) and the Skilled Nursing Facility Advanced Beneficiary Notice (SNFABN) prior to the service end date. The sample size was 3. The deficient practice could result in unforeseen charges to the resident.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on review of the clinical record and staff interviews, the facility failed to ensure that a Level 2 PASARR (pre-admission screening and resident review screening tool) was completed for one sampled resident (#15). The deficient practice could result in necessary specialized services not being provided for residents who need it.
- D Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Inspectors wroteBased on clinical record review and staff interviews, the facility failed to ensure a complete discharge summary was completed regarding one resident (#49). The sample size was 2. The deficient practice could result in an ineffective transition to post-discharge care and increases the risk factors leading to preventable readmission.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on clinical record review and staff interview, the facility failed to ensure two residents (#26 and #39) did not receive unnecessary medications. The sample size was 5. The deficient practice increases the risk for residents to receive medications unnecessarily.
- D Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Inspectors wroteBased on review of the Facility Assessment, staff interview, and review of policy and procedure, the facility failed to ensure that the facility-wide assessment was thoroughly completed, by failing to ensure the Facility Assessment included an evaluation of the overall number of facility staff needed to ensure sufficient number of qualified staff were available to meet each resident's need. The deficient practice could result in inadequate staffing levels.
Fire safety inspections
16 fire safety citations on file: 6 on May 1, 2026, 4 on March 8, 2024, 6 on October 27, 2022.
Every fire safety citation16 citations
- F Install a fire alarm system that can be heard throughout the facility.
- F Have simulated fire drills held at unexpected times.
- E Create arrangements with other facilities to receive patients.
- E List the names and contact information of those in the facility.
- E Establish staff and initial training requirements.
- E Install corridor and hallway doors that block smoke.
- E Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E Have approved installation, maintenance and testing program for fire alarm systems.
- E Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Install a two-hour-resistant firewall separation.
- E Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E Have simulated fire drills held at unexpected times.
- D Address subsistence needs for staff and patients.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Install corridor and hallway doors that block smoke.
- D Ensure proper usage of power strips and extension cords.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Arizona | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.63 | 3.98 | 3.86 |
| Registered nurses | 0.88 | 0.70 | 0.69 |
| All nursing staff on weekends | 3.22 | 3.51 | 3.42 |
| Nurse aides | 1.89 | ||
| Licensed practical nurses | 0.86 | ||
| Nursing staff turnover (share who left in a year) | 29.8% | 45.1% | 45.8% |
| Registered nurse turnover | 16.7% | 43.6% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.74 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.80 on weekdays and 3.22 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.85 in April to June 2025 to 3.63 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.63 | 0.88 | 3.80 | 3.22 | 0.0% | 0 of 90 | 53 |
| Oct to Dec 2025 | 3.46 | 0.95 | 3.60 | 3.12 | 0.4% | 0 of 92 | 55 |
| Jul to Sep 2025 | 3.46 | 0.94 | 3.66 | 2.96 | 0.0% | 0 of 92 | 54 |
| Apr to Jun 2025 | 3.85 | 0.99 | 4.02 | 3.41 | 1.7% | 0 of 91 | 49 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Arizona, Jan to Mar 2026 | 3.87 | 0.63 | 4.05 | 3.43 | 3.3% | 0.5% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Arizona | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 16.8 | 10.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.7 | 1.2 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.1 | 2.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.6 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.8 | 12.8 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.3 | 4.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 4.1 | 10.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 23.4 | 23.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 15.3 | 10.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 1.4 | 1.8 |
Owners and operators
Legal business name: QUIBURI MISSION NURSING & REHABILITATION LLC. CMS links this home to Opco Skilled Management, a group of 68 nursing homes averaging 2.3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Az Healthcare LLC | 5% or greater direct ownership interest | Organization | 100% | 11/18/2024 |
| Amethyst Az Trust | 5% or greater indirect ownership interest | Organization | 31% | 11/18/2024 |
| Indigo Az Trust | 5% or greater indirect ownership interest | Organization | 61% | 11/18/2024 |
| First Sweetzer Holdings LLC | Indirect ownership interest | Organization | 11/18/2024 | |
| Hatteras Investments, LLC | Indirect ownership interest | Organization | 11/18/2024 | |
| Sasem Investments LLC | Indirect ownership interest | Organization | 11/18/2024 | |
| Garetz, David | Indirect ownership interest | Individual | 11/18/2024 | |
| Kaplan, Esther | Indirect ownership interest | Individual | 11/18/2024 | |
| Kaplan, Mosha | Indirect ownership interest | Individual | 11/18/2024 | |
| Garetz, David | Corporate officer | Individual | 11/18/2024 | |
| Garetz, David | Operational/managerial control | Individual | 11/18/2024 | |
| Peterson, Danielle | Operational/managerial control | Individual | 11/18/2024 | |
| Vandivort, Monica | Operational/managerial control | Individual | 11/18/2024 | |
| Gurwitz, Solomon | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 05/22/2025 | |
| Mindle, Adam | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 05/22/2025 | |
| Sternshein, Jennifer | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 05/21/2025 | |
| Unger, Jeffrey | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 05/22/2025 | |
| Zimmerman, Caroline | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 05/21/2025 | |
| 850 S State Hwy 80az LLC | Adp of the SNF | Organization | 11/01/2024 | |
| Az Realty Holdings LLC | Adp of the SNF | Organization | 01/06/2025 | |
| Continuum Rehab Group LLC | Adp of the SNF | Organization | 11/18/2024 | |
| Hansen Hunter LLC | Adp of the SNF | Organization | 04/01/2024 | |
| Opco Az Skilled Management LLC | Adp of the SNF | Organization | 11/18/2024 | |
| Opco Ca Skilled Mgmt Inc. | Adp of the SNF | Organization | 11/18/2024 | |
| Opco Texas Skilled Mgmt LLC | Adp of the SNF | Organization | 11/18/2024 | |
| Orchid Az Trust | Adp of the SNF | Organization | 01/06/2025 | |
| Peacock Az Trust | Adp of the SNF | Organization | 01/06/2025 | |
| Peterson, Danielle | Adp of the SNF | Individual | 11/18/2024 | |
| Vandivort, Monica | Adp of the SNF | Individual | 11/18/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on May 1, 2026: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on March 8, 2024: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on December 5, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on October 27, 2022: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.22 hours per resident per day, below the Arizona average of 3.51.
- How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.
Arizona contacts for a concern about a nursing home
These are the official offices in Arizona. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Arizona Department of Health Services, Long Term Care Facilities Licensing, the state agency that inspects nursing homes for CMS and takes complaints about care.
- State inspection reports: AZ Care Check, where Arizona publishes its own records on licensed homes.
Common questions
- What is Quiburi Mission Nursing & Rehabilitation's Medicare star rating?
- CMS rates Quiburi Mission Nursing & Rehabilitation 3 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Quiburi Mission Nursing & Rehabilitation get at its last inspection?
- 1 health deficiency at the standard inspection on May 1, 2026. The Arizona average is 6.4.
- Has Quiburi Mission Nursing & Rehabilitation been fined?
- CMS lists no fines in the last three years.
- Does Quiburi Mission Nursing & Rehabilitation accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Quiburi Mission Nursing & Rehabilitation?
- CMS lists 29 owners and managers, and links the home to Opco Skilled Management. Legal business name: QUIBURI MISSION NURSING & REHABILITATION LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.