Board decided what is permitted, not what will be builtThe Oro Valley Board of Adjustment on Monday upheld the Town Planning and Zoning Administrator’s interpretation that the term “sanatorium,” a permitted use under the Rancho Vistoso Planned Area Development, can include assisted living and memory care. The decision does not approve a development on the vacant parcel immediately north of Safeway. It answers only the zoning question of whether those uses can fall within the PAD’s existing “sanatorium” designation.
The Board upheld staff’s interpretation after relatively little discussion. Members did not issue findings or explain why they agreed with staff’s reading of the PAD.
A permitted use is not an approved project
This does not mean that a “sanatorium” is being built there. It means only that assisted living and memory care may be proposed because the Rancho Vistoso PAD permits those uses under the term “sanatorium.” Any actual development proposal would still have to go through the Town’s normal development review process. Staff would first review the proposal for compliance with applicable zoning and development requirements. The applicant would then be required to hold at least two neighborhood meetings, and the project would undergo review of issues including traffic, landscaping, walls and architecture. If the applicant seeks a rezoning or amendment to the PAD, Town Council approval would be required.
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The approximately eight acre commercial parcel has been the subject of development proposals before. LOVE first wrote about plans for what we called “tiny homes” in 2021. That eventually became the Avilla Homes proposal for single story rental housing. Residents raised concerns about converting commercial land to residential use, compatibility with nearby homes, and especially access and traffic. The parcel is hemmed in by existing development and has limited ways to move traffic in and out. In January 2024, the Town Council unanimously rejected the Avilla proposal. LOVE later wrote that the Avilla experience showed how sustained resident involvement can shape the review of a difficult development site.
The traffic problem extends well beyond this parcel
Those access concerns are part of a much larger transportation issue surrounding Rancho Vistoso Boulevard, Woodburne Avenue and the northern Safeway entrance. Town staff has already identified the area as needing improvement. Public Works Director Paul Keesler told the Council earlier this year that the Woodburne and Safeway northern access area has experienced roughly five to six crashes a year. The Town had budgeted about $747,000 in roadway impact fee funding for changes that included lane reconfiguration, increased left turn storage and median reconstruction. Staff later reconsidered that plan as additional development proposals emerged in the area.
Sprouts proposal adds another piece to the puzzle
One of those proposals is Vistoso Marketplace, a planned commercial center across Rancho Vistoso Boulevard that is expected to include a Sprouts Farmers Market as its anchor. The project caused staff to look at the entire area rather than simply repair the Woodburne intersection. By August, staff was recommending that a future traffic signal be placed at the Safeway northern entrance, directly across from the proposed Vistoso Marketplace access. Keesler told the Council that a signal at that location is warranted even under existing traffic conditions. The parcel involved in Monday’s Board of Adjustment hearing sits immediately beside an intersection the Town is already trying to redesign while another significant commercial development is being planned across the street.
Monday answered only the first question
The Board of Adjustment settled a narrow issue. Under the existing Rancho Vistoso PAD, assisted living and memory care qualify as a permitted “sanatorium” use. It did not decide whether a particular facility should be built on this parcel or whether a future site plan will adequately address traffic, access and compatibility with surrounding properties. Those questions remain for another day. Given the history of this parcel, a proposed Sprouts development across Rancho Vistoso Boulevard and the Town’s ongoing work on the surrounding roadway system, that future review may prove far more consequential than Monday’s zoning interpretation.







