Inspection Reports for
La Cañada Care Center

7970 N La Cañada Dr, Tucson, AZ 85704, AZ, 85704

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Deficiencies (last 5 years)

Deficiencies (over 5 years) 5.2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

41% worse than Arizona average
Arizona average: 3.7 deficiencies/year

Deficiencies per year

12 9 6 3 0
2021
2022
2023
2024
2025

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
NameTitleContext
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

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
NameTitleContext
Staff #5Social Service Director/Case ManagementInterviewed regarding NOMNC process and documentation
Staff #20Director of Nursing (DON)Interviewed regarding NOMNC process, PASARR, ADL care, and staffing postings
Staff #90Nursing AssistantInterviewed regarding bathing schedule and resident #191 care
Staff #65Licensed Practical Nurse (LPN)Interviewed regarding bathing documentation and resident care
Staff #115Clinical Resource NurseInterviewed regarding PASARR process
Staff #39Speech Language Pathologist (SLP)Interviewed regarding resident #24 swallowing and feeding needs
Staff #22Staffing CoordinatorInterviewed regarding nurse staffing postings
Staff #26Director of Nursing (DON)Interviewed regarding nurse staffing postings and resident #24 weight monitoring
Staff #1110Kitchen ManagerInterviewed regarding refrigerator temperature 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
NameTitleContext
Staff #44Registered NurseInterviewed regarding psychotropic medication consent and monitoring
Staff #127Director of NursingInterviewed regarding medication consent, oxygen administration, narcotic storage, and infection control
Staff #68Certified Nursing AssistantInterviewed and observed regarding call light accessibility and meal tray distribution
Staff #64Licensed Practical NurseInterviewed regarding PASRR screening and call light accessibility
Staff #9Licensed Practical NurseInterviewed regarding oxygen therapy and pain medication administration
Staff #76HousekeeperObserved and interviewed regarding infection control and PPE use
Staff #23Social Services DirectorInterviewed regarding PASRR screening process
Staff #57Wound Nurse (LPN)Interviewed regarding pressure ulcer care
Staff #40Infection Preventionist/Assistant Director of NursingInterviewed regarding infection control practices

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