Inspection Reports for
La Cañada Care Center
7970 N La Cañada Dr, Tucson, AZ 85704, AZ, 85704
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
8.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
132% worse than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
20
15
10
5
0
Inspection Report
Complaint Investigation
Capacity: 128
Deficiencies: 0
Date: Apr 7, 2025
Visit Reason
An onsite complaint survey was conducted with no deficiencies cited.
Findings
An onsite complaint survey was conducted with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 128
Deficiencies: 0
Date: Mar 12, 2025
Visit Reason
An onsite complaint survey was conducted with no deficiencies cited.
Findings
An onsite complaint survey was conducted with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 128
Deficiencies: 0
Date: Feb 11, 2025
Visit Reason
An onsite complaint survey was conducted over two days with no deficiencies cited.
Findings
An onsite complaint survey was conducted over two days with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 128
Deficiencies: 0
Date: Jan 28, 2025
Visit Reason
An onsite complaint survey was conducted with no deficiencies cited.
Findings
An onsite complaint survey was conducted with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 128
Deficiencies: 0
Date: Dec 23, 2024
Visit Reason
An onsite complaint survey was conducted with no deficiencies cited.
Findings
An onsite complaint survey was conducted with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 128
Deficiencies: 0
Date: Oct 29, 2024
Visit Reason
An onsite complaint survey was conducted with no deficiencies cited.
Findings
An onsite complaint survey was conducted with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 128
Deficiencies: 0
Date: Sep 5, 2024
Visit Reason
An onsite complaint survey was conducted with no deficiencies cited.
Findings
An onsite complaint survey was conducted with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 128
Deficiencies: 0
Date: Aug 19, 2024
Visit Reason
An onsite complaint survey was conducted with no deficiencies cited.
Findings
An onsite complaint survey was conducted with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 128
Deficiencies: 0
Date: Jun 6, 2024
Visit Reason
An onsite complaint survey was conducted with no deficiencies cited.
Findings
An onsite complaint survey was conducted with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 128
Deficiencies: 0
Date: Mar 19, 2024
Visit Reason
An onsite complaint survey was conducted with no deficiencies cited.
Findings
An onsite complaint survey was conducted with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 128
Deficiencies: 0
Date: Feb 22, 2024
Visit Reason
A complaint survey was conducted over two days with no deficiencies cited.
Findings
A complaint survey was conducted over two days with no deficiencies cited.
Inspection Report
Routine
Deficiencies: 2
Date: Feb 2, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to safe and appropriate respiratory care and nurse staffing information posting at LA Canada Care Center.
Findings
The facility failed to ensure oxygen was administered per physician orders for one resident, with oxygen settings observed above the ordered rate. Additionally, the facility failed to post accurate daily nurse staffing information including actual hours worked and resident census.
Deficiencies (2)
Failed to ensure oxygen was administered per physician orders for one resident, with oxygen observed at 6 liters per minute instead of the ordered 4 liters per minute.
Failed to ensure nurse staffing information was posted daily with accurate actual hours worked by licensed and unlicensed nursing staff and resident census.
Report Facts
Sample size: 20
Oxygen setting observed: 6
Oxygen setting ordered: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (Staff #70) | Interviewed regarding oxygen settings and rounding practices | |
| Director of Nursing (Staff #13) | Interviewed regarding oxygen orders, nurse responsibilities, and staffing postings | |
| Administrator (Staff #115) | Interviewed regarding policy on accuracy of staff postings | |
| Staffing Coordinator (Staff #18) | Interviewed regarding accuracy of daily staff postings |
Inspection Report
Routine
Deficiencies: 2
Date: Feb 2, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to safe and appropriate respiratory care and nurse staffing information posting at LA Canada Care Center.
Findings
The facility failed to ensure oxygen was administered per physician orders for one resident, with oxygen settings observed above the ordered rate. Additionally, the facility failed to post accurate daily nurse staffing information including actual hours worked and resident census.
Deficiencies (2)
Failed to ensure oxygen was administered per physician orders for one resident, with oxygen observed at 6 liters per minute instead of the ordered 4 liters.
Failed to post nurse staffing information daily that included actual hours worked by licensed and unlicensed nursing staff and resident census.
Report Facts
Sample size: 20
Oxygen order: 4
Oxygen observed: 6
Oxygen care plan setting: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (Staff #70) | Interviewed regarding oxygen settings and rounding practices | |
| Director of Nursing (Staff #13) | Interviewed regarding oxygen orders, nurse responsibilities, and staffing posting accuracy | |
| Staffing Coordinator (Staff #18) | Interviewed regarding accuracy of daily nurse staffing postings | |
| Administrator (Staff #115) | Interviewed regarding policy on accuracy of staff postings |
Inspection Report
Complaint Investigation
Capacity: 128
Deficiencies: 4
Date: Jan 29, 2024
Visit Reason
Recertification survey combined with complaint investigation cited 4 deficiencies related to respiratory care, nurse staffing information, documentation, and respiratory services.
Findings
Recertification survey combined with complaint investigation cited 4 deficiencies related to respiratory care, nurse staffing information, documentation, and respiratory services.
Deficiencies (4)
§ 483.25(i) — Respiratory care, including tracheostomy care and tracheal suctioning
§483.35(g) — Nurse Staffing Information
R9-10-412.B — Documentation of nursing personnel present
R9-10-419 — Respiratory care services administration
Inspection Report
Capacity: 128
Deficiencies: 3
Date: Jan 29, 2024
Visit Reason
Recertification survey for Life Safety Code 2012 found no deficiencies; acceptance of plan of correction noted.
Findings
Recertification survey for Life Safety Code 2012 found no deficiencies; acceptance of plan of correction noted.
Deficiencies (3)
Egress Doors — Doors in required means of egress shall not require tool or key to open
Corridor - Doors — Doors protecting corridor openings must resist passage of smoke and fire
Electrical Equipment - Power Cords and Extension Cords — Use of non-UL rated power strips in patient care vicinity
Inspection Report
Complaint Investigation
Capacity: 128
Deficiencies: 0
Date: Jan 5, 2024
Visit Reason
A complaint survey was conducted with no deficiencies cited.
Findings
A complaint survey was conducted with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 128
Deficiencies: 0
Date: Jul 5, 2023
Visit Reason
An onsite complaint survey was conducted with no deficiencies cited.
Findings
An onsite complaint survey was conducted with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 128
Deficiencies: 2
Date: Jan 24, 2023
Visit Reason
Investigation of multiple complaints cited 2 deficiencies related to accident prevention and care plan services.
Findings
Investigation of multiple complaints cited 2 deficiencies related to accident prevention and care plan services.
Deficiencies (2)
§483.25(d) — Accidents and resident environment safety
R9-10-414.B — Care plan ensuring nursing care institution services
Inspection Report
Routine
Deficiencies: 6
Date: Oct 14, 2022
Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements related to resident care, PASARR screening, activities of daily living assistance, nutritional status, nurse staffing postings, and food safety in the facility.
Findings
The facility was found deficient in multiple areas including failure to issue a Notice of Medicare Non-Coverage to a resident, incomplete PASARR screenings for mental disorders for three residents, inadequate assistance with activities of daily living for one resident, failure to maintain acceptable nutritional status for one resident, inaccurate posting of nurse staffing information, and lack of consistent temperature monitoring of a reach-in refrigerator.
Deficiencies (6)
Failed to ensure one resident (#397) was issued a written Notice of Medicare Non-Coverage (NOMNC) at the end of Medicare services.
Failed to ensure PASARR screenings were completed as required for 3 residents (#57, #34, and #41), increasing risk of inappropriate placement or lack of needed services.
Failed to provide care and assistance for activities of daily living to one resident (#191), resulting in poor personal hygiene.
Failed to provide care and services to maintain acceptable nutritional status for one resident (#24), resulting in significant weight loss and risk for nutritional decline.
Failed to post accurate daily nurse staffing information including actual hours worked.
Failed to provide evidence that temperatures for the reach-in refrigerator were consistently monitored, risking foodborne illness.
Report Facts
Sample size: 3
Sample size: 3
Sample size: 10
Sample size: 4
Weight loss percentage: 17
Weight loss percentage: 17
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff #5 | Social Service Director/Case Management | Interviewed regarding NOMNC process and documentation |
| Staff #20 | Director of Nursing (DON) | Interviewed regarding NOMNC process, PASARR, ADL care, and staffing postings |
| Staff #90 | Nursing Assistant | Interviewed regarding bathing schedule and resident #191 care |
| Staff #65 | Licensed Practical Nurse (LPN) | Interviewed regarding bathing documentation and resident care |
| Staff #115 | Clinical Resource Nurse | Interviewed regarding PASARR process |
| Staff #39 | Speech Language Pathologist (SLP) | Interviewed regarding resident #24 swallowing and feeding needs |
| Staff #22 | Staffing Coordinator | Interviewed regarding nurse staffing postings |
| Staff #26 | Director of Nursing (DON) | Interviewed regarding nurse staffing postings and resident #24 weight monitoring |
| Staff #1110 | Kitchen Manager | Interviewed regarding refrigerator temperature monitoring |
Inspection Report
Routine
Deficiencies: 6
Date: Oct 14, 2022
Visit Reason
The inspection was conducted as a routine survey to assess compliance with regulatory requirements related to resident care, facility operations, and safety standards.
Findings
The facility was found deficient in multiple areas including failure to issue a Notice of Medicare Non-Coverage (NOMNC) to a resident, incomplete PASARR screenings for mental disorders, inadequate assistance with activities of daily living for a resident, failure to maintain adequate nutritional status for a resident, inaccurate posting of nurse staffing information, and failure to consistently monitor refrigerator temperatures in the kitchen.
Deficiencies (6)
Failure to ensure one resident was issued a written Notice of Medicare Non-Coverage (NOMNC) when Medicare services ended.
Failure to complete required Pre-admission Screening and Resident Reviews (PASRR) for three residents.
Failure to provide care and assistance to maintain good grooming for one resident unable to carry out activities of daily living.
Failure to provide care and services to maintain acceptable nutritional status for one resident, resulting in significant weight loss.
Failure to post accurate daily nurse staffing information including actual hours worked.
Failure to provide evidence that temperatures for the reach-in refrigerator were consistently monitored.
Report Facts
Sample size: 3
Sample size: 3
Sample size: 10
Sample size: 4
Weight loss percentage: 17
Weight loss percentage: 17
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff #5 | Social Service Director/Case Management | Interviewed regarding NOMNC process and documentation |
| Staff #20 | Director of Nursing (DON) | Interviewed regarding NOMNC process, PASRR, ADL care, and staffing postings |
| Staff #90 | Nursing Assistant | Interviewed regarding bathing and showering of resident #191 |
| Staff #65 | Licensed Practical Nurse (LPN) | Interviewed regarding bathing documentation and resident care |
| Staff #39 | Speech Language Pathologist (SLP) | Interviewed regarding resident #24's swallowing and feeding needs |
| Staff #1110 | Kitchen Manager | Interviewed regarding refrigerator temperature monitoring |
| Staff #22 | Staffing Coordinator | Interviewed regarding nurse staffing postings |
| Staff #26 | Director of Nursing | Interviewed regarding nurse staffing postings and resident #24 weight monitoring |
Inspection Report
Routine
Census: 75
Capacity: 75
Deficiencies: 9
Date: Oct 7, 2021
Visit Reason
The inspection was a routine survey conducted to assess compliance with regulatory requirements for nursing home care, including medication administration, resident safety, infection control, and care planning.
Findings
The facility was found deficient in multiple areas including failure to obtain informed consent for psychotropic medications, inadequate accessibility of call lights for residents, incomplete PASRR screening, inconsistent pressure ulcer care, improper oxygen administration, administration of pain medication outside ordered parameters, lack of monitoring for psychotropic medication efficacy, improper narcotic storage, and lapses in infection control practices including hand hygiene and PPE use.
Deficiencies (9)
Failed to ensure residents and/or their representatives were informed of the risks and benefits of psychotropic medications prior to administration.
Failed to ensure call lights were accessible to residents, risking delayed assistance.
Failed to complete Level I PASRR screening prior to or upon admission for one resident.
Failed to provide consistent pressure ulcer care and treatment for one resident.
Failed to administer oxygen according to physician orders for one resident.
Administered pain medication outside physician ordered parameters for one resident.
Failed to monitor efficacy of antidepressant medication for one resident.
Failed to ensure narcotic medications and controlled substances were stored under double lock as required.
Failed to maintain infection prevention and control standards including hand hygiene and proper use of PPE.
Report Facts
Resident census: 75
Total licensed capacity: 75
Pain medication administrations outside ordered parameters: 18
Oxygen flow rate observed: 4.5
Oxygen flow rate ordered: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff #44 | Registered Nurse | Interviewed regarding psychotropic medication consent and monitoring |
| Staff #127 | Director of Nursing | Interviewed regarding medication consent, oxygen administration, narcotic storage, and infection control |
| Staff #68 | Certified Nursing Assistant | Interviewed and observed regarding call light accessibility and meal tray distribution |
| Staff #64 | Licensed Practical Nurse | Interviewed regarding PASRR screening and call light accessibility |
| Staff #9 | Licensed Practical Nurse | Interviewed regarding oxygen therapy and pain medication administration |
| Staff #76 | Housekeeper | Observed and interviewed regarding infection control and PPE use |
| Staff #23 | Social Services Director | Interviewed regarding PASRR screening process |
| Staff #57 | Wound Nurse (LPN) | Interviewed regarding pressure ulcer care |
| Staff #40 | Infection Preventionist/Assistant Director of Nursing | Interviewed regarding infection control practices |
Inspection Report
Routine
Census: 75
Deficiencies: 9
Date: Oct 7, 2021
Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements related to resident care, medication administration, infection control, and other facility operations.
Findings
The facility was found deficient in multiple areas including failure to obtain informed consent for psychotropic medications, call lights not accessible to residents, incomplete PASRR screening, inconsistent pressure ulcer care, oxygen therapy not administered as ordered, administration of pain medication outside physician parameters, inadequate monitoring of psychotropic medication efficacy, improper storage of narcotics, and lapses in infection prevention and control practices.
Deficiencies (9)
Failure to ensure residents and/or their representatives were informed of the risks and benefits of psychotropic medications prior to administration.
Failure to ensure call lights were accessible to residents, potentially delaying assistance.
Failure to complete Level I PASARR screening prior to or upon admission for one resident.
Failure to provide consistent care and treatment for pressure ulcers, including missing weekly skin assessments and incomplete treatment documentation.
Failure to administer oxygen therapy according to physician orders, including unauthorized increase in oxygen flow rate.
Failure to ensure pain medication (oxycodone) was administered only within physician ordered parameters.
Failure to monitor efficacy and target behaviors for residents receiving psychotropic medications.
Failure to store narcotic medications and controlled substances in a double-locked system.
Failure to implement infection prevention and control program including improper use of PPE and inadequate hand hygiene.
Report Facts
Resident census: 75
Pain medication administrations outside order parameters: 18
Oxygen flow rate: 4.5
Medication order date: 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Interviewed regarding medication consent, oxygen therapy, call light accessibility, PASRR screening, and infection control | |
| Licensed Practical Nurse | Interviewed regarding medication administration and PASRR screening | |
| Registered Nurse | Interviewed regarding psychotropic medication monitoring and hand hygiene | |
| Wound Nurse (LPN) | Interviewed regarding pressure ulcer care and assessments | |
| Licensed Practical Nurse | Interviewed regarding oxygen therapy administration | |
| Housekeeper | Observed and interviewed regarding infection control and PPE use | |
| Occupational Therapy Assistant | Interviewed regarding PPE use for isolation rooms | |
| Infection Preventionist/Assistant Director of Nursing | Interviewed regarding infection control policies and staff education | |
| Licensed Practical Nurse | Interviewed regarding medication administration and pain assessment | |
| Nursing staff | Observed during meal tray distribution with hand hygiene lapses |
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