Casa De Anna's

Pros

• The grounds are beautiful.
• The houses are clean and pleasant.
• The food seems decent.
• The staff take their jobs very seriously and care about residents like they are their own family.
• Crossroads is one of the best assisted living facilities in Tucson.
• Crossroads is truly a gem.
• The rooms are larger than those at other places visited, and the facility is very clean.
• The meals are prepared from fresh ingredients and with an extra helping of love.
• Belinda welcomed visitors, dropped what she was doing, and gave tours, making families feel welcome.
• The caregivers are genuinely caring and give of themselves to ensure residents and families feel loved and valued.
• The facility goes above and beyond, especially during the pandemic.
• Families feel safe and well cared for when their loved ones are at Crossroads.

Cons

• The care is described as terrible due to poor management, disorganization, and non-existent communication with families.
• The director does not appear to manage the staff; essentially there is no one else in charge.
• There is a revolving door of temporary staff who don't stay long enough to know what's going on.
• Simple care issues were repeatedly ignored (e.g., hydration drinks, restricting candy), leading to health problems.
• ADLs and oral hygiene were not monitored, risking dental decay and serious health consequences.
• A caregiver was seen under the influence of drugs or alcohol, with no accountability from upper management.
• Critical information from families was not documented or disseminated to staff.
• The facility failed to obtain COVID boosters for residents in a timely manner.
• Prescription orders and clinical directives were delayed or misdirected due to broken processes (e.g., issues with the fax system).
• The facility is described as mismanaged to the point of being dangerous.
• Communication with families is lacking; monthly invoices are the only consistent contact.
• Efforts to reach staff were met with silence or unreturned calls.
• A resident experienced severe infection, weight loss, malnutrition, bruises, and skin tears after residing there.
• The administrator sent a cease-and-desist letter in response to a review, indicating a confrontational stance toward consumer feedback.

Review

Crossroads has long stood as a prominent option in Tucson for memory care and assisted living, drawing praise from many families who spoke highly of the grounds, the cleanliness of the houses, and the overall atmosphere. For one resident who lived there from 2015 to 2018, the caregiving was described as excellent and compassionate right through the end of life. The same family later recalled the Escondido properties as well-kept, with rooms that felt comfortable and meals prepared from fresh ingredients, and they highlighted staff who seemed genuinely caring and engaged. In those earlier years, a number of reviews emphasized the warmth of the team, the attentiveness of caregivers, and a sense that the facility could feel like a home away from home for a loved one.

As the years progressed, however, a darker narrative emerges from the same setting. The experience of another family member who was in Crossroads from 2020 to 2023 shifted the perception from stellar to alarming. According to these accounts, the care degraded in critical ways, tied to what they described as mismanagement, disorganization, and a breakdown in communication - both within the staff and between the facility and families. The criticisms frequently center on a leadership vacuum: the director seemed not to be actively managing the staff, and there was a perception that no one else was effectively in charge. The business-manager role, once central and competent, was said to have left the state and begun working remotely from the East Coast, removing a layer of direct oversight that many families relied on for day-to-day problem-solving.

The operational chaos manifested in concrete shortcomings that affected residents' health and safety. A revolving door of temporary staff and short-tenured caregivers meant that new workers often did not know the residents or the established routines. Despite repeated requests from families, the reviews describe a pattern where important care instructions - such as giving specific hydration drinks brought by the family or limiting the amount of candy available to a person with dementia - were not consistently implemented. Over months, this neglect translated into tangible health risks: sugar overconsumption, poor oral hygiene, and a lack of monitoring of activities of daily living (ADLs) for someone with severe dementia. In one stark example, the failure to supervise basic hygiene and nutrition was linked to dental decay and the potential for serious infections, with the narrative underscoring the possibility that, if the resident had been diabetic, the consequences could have been fatal.

The concerns extend into safety and risk management. One particularly troubling episode involved a caregiver who appeared to be under the influence of drugs or alcohol, leaving a resident in distress and unsupervised. The lack of immediate supervisory response from higher management intensified the fear and underscored a broader perception of systemic inadequacy. When the director's mother arrived on the scene to say, "maybe she's just hungover," the comment reflected a concerning minimization of a critical safety issue, and the situation was described as never fully resolved or adequately addressed. The review also details ongoing, systemic communication failures: repeated attempts to get simple orders - such as timely prescription renewals and clinical directives - were thwarted by misdirected faxes and unclear lines of responsibility, with residents' health information scattered and not acted upon promptly. The county's involvement was noted only after families intervened, highlighting a pattern of reactive rather than proactive management.

The COVID era added another layer to the complexity. While some reviewers recalled a period when the staff's dedication during the pandemic was commendable, this sentiment contrasts with later frustrations that care did not adapt well as restrictions eased. There were delays in providing vaccinations or boosters to residents, only being addressed after outside involvement from public health resources. Primary care processes, including the coordination of multiple nurse practitioners, appeared disjointed, with prescription orders sometimes failing to reach the correct destination due to simple administrative bottlenecks like misplaced faxes. The overall impression conveyed by these accounts is that communication - both internal and external - stagnated or deteriorated, leaving families feeling uninformed and powerless during times when timely care decisions mattered most.

Despite the grim picture painted by many reviews, there are still voices within the community who defend Crossroads, acknowledging positive experiences that continued to occur for other families. Several individuals highlight that memory care residents and their families found the staff to be caring, the facility clean, and the environment welcoming. Some describe experiences of compassionate, hands-on caregiving, where staff were attentive and the atmosphere remained pleasant and safe for loved ones. A few reviewers point to specific individuals, like a front-office contact who gave tours and offered reassurance, as evidencing a level of service that could still be found at Crossroads. In these accounts, families recount positive relationships with caregivers, and some families emphasize that they would feel comfortable recommending Crossroads based on their own positive experiences.

The spectrum of reviews also features meta-commentary about the review environment itself. Several posts note that a number of five-star endorsements appear to come from Crossroads employees and family members, which invites readers to consider potential biases when weighing the overall reputation. One reviewer explicitly shared that a cease-and-desist notification had been issued by the administrator in response to their review, followed by a claim that this touches on the Consumer Review Fairness Act and First Amendment rights. These elements complicate the narrative, suggesting that the facility is protective of its public image while families continue to voice serious concerns about ongoing care and managerial practices.

Taken together, the collection of observations presents a facility with a long-standing potential for high-quality care and a recognizable warmth in its early years, yet one that several families believe has deteriorated into practices that threaten resident safety and wellbeing. The stories span praise for beauty, cleanliness, nutrition, and compassionate caregiving in some moments, while delivering stark accusations of mismanagement, poor communication, staff turnover, and dangerous lapses in daily care in others. For families in Tucson considering Crossroads, the message from these accounts is clear: the care experience appears to be highly variable, with the potential for excellent, personable care on one hand and significant risk and frustration on the other. In seeking the right fit for a loved one, several reviewers suggest weighing these divergent experiences thoughtfully and exploring multiple options to ensure that a facility's stated compassion translates into consistent, reliable care on every visit.

This part of Tucson, Arizona, offers a convenient location with easy access to various amenities such as physicians' offices, pharmacies, hospitals, restaurants, parks, cafes, and places of worship. The proximity of healthcare facilities like Fishkind Bakewell & Maltzman Eye Care & Surgery Center and Tucson Endocrine Associates ensures that medical needs can be easily met. The area also provides a range of dining options from upscale choices like The Parish to casual favorites like McDonald's and In-N-Out Burger. With parks such as Rilito River Park nearby for outdoor recreation and cultural venues like AMC Foothills 15 for entertainment, this neighborhood offers a well-rounded living experience for seniors looking to settle in Tucson.

Physicians

• Fishkind Bakewell & Maltzman Eye Care & Surgery Center (0.8 miles)
• Saguaro Dermatology (0.8 miles)
• Tucson Endocrine Associates (1 miles)
• Roberts Periodontal Group (1 miles)
• Genisis Ob Gyn (1.1 miles)
• Casas Adobe Physicians (1.2 miles)
• Casas Adobes Internal Medicine (1.2 miles)

Restaurants

• Mr. An's Teppan Steak & Seafood Sushi Bar (0.9 miles)
• The Parish (1.2 miles)
• Oregano's Pizza Bistro (1.3 miles)
• McDonald's (1.3 miles)
• Hifalutin (1.5 miles)
• In-N-Out Burger (1.7 miles)
• Chick-Fil-A (1.7 miles)

Pharmacies

• Walgreens (1.1 miles)
• CVS Pharmacy (2 miles)
• Walgreens (2.1 miles)
• Walgreens (2.2 miles)
• Walgreens (2.2 miles)
• Food City Pharmacy (2.4 miles)
• Walmart Pharmacy (2.8 miles)

Hospitals

• Nw Medical Hospital (1.2 miles)
• Northwest Medical Center (1.2 miles)

Parks

• Rilito River Park (1.2 miles)
• Children's Memorial Park (1.2 miles)

Theaters

• AMC Foothills 15 (2.4 miles)

Cafes

• Starbucks (2.5 miles)
• Village Bakehouse (2.8 miles)
• Ren Coffeehouse (3.4 miles)
• Dutch Bros Coffee (4.1 miles)

Places of Worship

• Beautiful Savior Lutheran Church (3.8 miles)