Deficiencies (last 4 years)
Deficiencies (over 4 years)
9 deficiencies/year
Deficiencies are regulatory findings recorded during state inspections.
143% worse than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: May 14, 2025
Visit Reason
The inspection was conducted due to an allegation of staff to resident abuse involving Resident #14, reported on April 30, 2025, and investigated by the facility on the same day.
Complaint Details
The complaint involved an allegation of staff to resident abuse on April 29-30, 2025, involving a male CNA who allegedly frightened Resident #14, removed her brief, and made threatening and derogatory statements. The facility investigated on April 30, 2025, suspended the CNA pending investigation, and interviewed involved parties. The complaint was substantiated by interviews and investigation findings.
Findings
The facility failed to ensure complete documentation of the abuse incident in the clinical record for Resident #14. The investigation revealed that a CNA allegedly frightened the resident, removed her brief, and made threatening statements. Interviews with staff and family confirmed the incident and highlighted the lack of proper documentation in the clinical record as required by facility policy.
Deficiencies (1)
Failure to safeguard resident-identifiable information and maintain complete medical records documenting an incident of staff to resident abuse.
Report Facts
Date of incident: Apr 30, 2025
Date of investigation: Apr 30, 2025
Date of interviews: May 14, 2025
Brief Interview for Mental Status (BIMS) score: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Occupational Therapist | Reported the abuse incident to the Director of Nursing | |
| Director of Nursing (DON) | Received report of abuse and provided interview regarding documentation policy | |
| Certified Nursing Assistant (CNA) | Alleged perpetrator of abuse against Resident #14 | |
| Social Worker | Interviewed Resident #14 regarding the abuse incident | |
| Registered Nurse (RN) | Provided interviews about documentation requirements for abuse allegations | |
| Executive Director (ED) | Interviewed regarding expectations for documenting allegations of abuse |
Inspection Report
Complaint Investigation
Deficiencies: 4
Date: Sep 12, 2024
Visit Reason
The inspection was conducted based on complaints alleging failures in resident care, including lack of resident and family participation in care planning, pressure ulcer prevention and treatment, accident prevention and supervision, and food safety practices.
Complaint Details
The complaint investigation substantiated failures in care planning participation, pressure ulcer prevention and treatment, accident supervision, and food safety. Resident #148 was not involved in care planning; Resident #144 developed multiple pressure ulcers due to inadequate care; Resident #145 sustained bruising and hematoma from inadequate supervision; and expired horseradish condiment was found in the kitchen.
Findings
The facility was found deficient in ensuring resident and representative participation in care planning, preventing and treating pressure ulcers, providing adequate supervision to prevent accidents, and properly managing food storage and expiration. Multiple residents were affected with minimal to actual harm noted.
Deficiencies (4)
Failed to ensure resident or representative participation in development and implementation of person-centered care plan.
Failed to provide appropriate pressure ulcer care and prevent new ulcers from developing, resulting in actual harm.
Failed to ensure adequate supervision to prevent accidents, resulting in minimal harm or potential for actual harm.
Failed to ensure refrigerated food was not expired, risking potential harm to residents.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
Pressure ulcer wound sizes: 8
Pressure ulcer wound sizes: 10
Pressure ulcer wound sizes: 1.5
Pressure ulcer wound sizes: 3
Pressure ulcer wound sizes: 10
Pressure ulcer wound sizes: 4
Pressure ulcer wound count: 3
BIMS score: 14
BIMS score: 14
Date of survey completion: Sep 12, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse | Case Manager | Interviewed regarding care plan and baseline care plan signature issues for Resident #148 |
| Social Services Director | Interviewed regarding baseline care plan and family involvement policies | |
| Health Information Management Director | Interviewed regarding baseline care plan signature documentation | |
| Director of Nursing | DON | Interviewed regarding care plan expectations and pressure ulcer prevention |
| Registered Nurse | RN | Interviewed regarding skin assessments and pressure ulcer care |
| Certified Nursing Assistant | CNA | Interviewed regarding Resident #145 care and injury |
| Dietary Manager | Interviewed regarding expired horseradish condiment | |
| Consultant Dietitian | Interviewed regarding food expiration policies | |
| Administrator | Interviewed regarding food expiration policies and expectations |
Inspection Report
Routine
Deficiencies: 4
Date: Sep 12, 2024
Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements related to resident care, safety, and facility operations at Life Care Center of Scottsdale.
Findings
The facility was found deficient in multiple areas including failure to involve a resident and/or representative in care planning, inadequate pressure ulcer prevention and care, insufficient supervision to prevent accidents, and improper food storage practices. Deficiencies ranged from minimal to actual harm with several residents affected.
Deficiencies (4)
Failure to ensure resident or representative participation in the development and implementation of the person-centered plan of care.
Failure to provide appropriate pressure ulcer care and prevent new ulcers from developing, resulting in actual harm.
Failure to ensure adequate supervision to prevent accidents, resulting in minimal harm or potential for actual harm.
Failure to procure food from approved sources and properly store food, including use of expired refrigerated horseradish condiment.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
BIMS score: 14
Pressure ulcer size: 8
Pressure ulcer size: 10
Pressure ulcer size: 1.5
Pressure ulcer size: 3
Date of survey completion: Sep 12, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse | Case Manager | Interviewed regarding care planning and baseline care plan signature |
| Social Services Director | Interviewed regarding baseline care plan and family involvement | |
| Health Information Management Director | Interviewed regarding baseline care plan signature documentation | |
| Director of Nursing | DON | Interviewed regarding care planning and pressure ulcer prevention |
| Registered Nurse | RN | Interviewed regarding skin assessments and pressure ulcer care |
| Resident's son | Interviewed regarding pressure ulcer development and discharge condition | |
| Certified Nursing Assistant | CNA | Interviewed regarding resident supervision and injury observation |
| Dietary Manager | Interviewed regarding expired food handling | |
| Consultant Dietitian | Interviewed regarding food storage policies | |
| Administrator | Interviewed regarding food storage policies and expectations |
Inspection Report
Routine
Deficiencies: 2
Date: Jun 4, 2024
Visit Reason
The inspection was conducted to assess the facility's compliance with professional standards for wound assessment and treatment for residents, focusing on wound care practices and documentation.
Findings
The facility failed to ensure that wounds and pressure ulcers for multiple residents were properly assessed, measured, and treated according to professional standards. Documentation and physician orders for wound care were often incomplete or missing, and wound assessments were not consistently performed or recorded.
Deficiencies (2)
Failed to ensure residents' wounds were assessed and treated per professional standards for 3 residents (#11, 4, 19).
Failed to provide appropriate pressure ulcer care and prevent new ulcers from developing for 1 resident (#19).
Report Facts
Wound care performed: 5
Skin assessments performed: 1
Surgical incision measurement: 9
Blister measurement: 4
Blister measurement: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse (RN/staff #7) | Interviewed regarding wound assessment and measurement practices | |
| Registered Nurse (RN/staff #59) | Interviewed regarding wound team visits and wound measurement documentation | |
| Director of Nursing (DON/staff #8) | Interviewed regarding wound care policies, wound nurse absence, and expectations for wound assessments |
Inspection Report
Routine
Deficiencies: 7
Date: Jan 19, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident rights, transfer/discharge notifications, wound care, ostomy care, oxygen use, dialysis care, and staff COVID-19 vaccination status.
Findings
The facility was found deficient in multiple areas including inconsistent documentation of residents' code status, failure to notify resident representatives and ombudsman of transfers, unsafe wound care practices, lack of physician orders for ostomy care and oxygen use, inadequate dialysis site assessments, and failure to ensure all staff were vaccinated for COVID-19.
Deficiencies (7)
Failure to ensure consistent code status documentation for residents #21 and #306, risking care inconsistent with advance directives.
Failure to provide timely notification of resident transfer/discharge to resident representatives and ombudsman for resident #53.
Failure to ensure wound treatment solution was not left at bedside, resulting in resident #35 improperly taking medication.
Failure to have physician orders for ostomy care for resident #354, resulting in untimely care and risk of complications.
Failure to have physician orders for oxygen use for residents #40 and #35, risking inappropriate oxygen administration.
Failure to provide ongoing assessment and monitoring of dialysis vascular access site for resident #35, risking unidentified complications.
Failure to ensure twelve staff members were fully vaccinated for COVID-19, risking spread of infection.
Report Facts
Staff not fully vaccinated for COVID-19: 12
Facility census: 57
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff #11 | Licensed Practical Nurse (LPN) | Interviewed regarding code status and oxygen use findings |
| Staff #19 | Licensed Practical Nurse (LPN) | Interviewed regarding transfer/discharge notification findings |
| Staff #27 | Infection Preventionist | Interviewed regarding COVID-19 vaccination status findings |
| Staff #48 | Licensed Practical Nurse (LPN) | Interviewed regarding wound care and oxygen use findings |
| Staff #78 | Registered Nurse (RN) | Interviewed regarding wound care findings |
| Staff #87 | Certified Nursing Assistant (CNA) | Interviewed regarding ostomy care findings |
| Staff #98 | Director of Nursing (DON) | Interviewed regarding multiple findings including code status, transfer notifications, oxygen use, dialysis care, and COVID-19 vaccination |
Inspection Report
Complaint Investigation
Deficiencies: 7
Date: Jan 19, 2023
Visit Reason
The inspection was conducted based on complaints regarding inconsistent code status documentation, failure to notify representatives of resident transfers, unsafe wound care practices, lack of physician orders for oxygen use, inadequate ostomy care, insufficient dialysis monitoring, and staff COVID-19 vaccination compliance.
Complaint Details
The investigation was complaint-driven, focusing on issues including inconsistent advance directive documentation, failure to notify representatives of resident transfers, unsafe medication storage, lack of physician orders for oxygen, inadequate ostomy and dialysis care, and staff COVID-19 vaccination non-compliance.
Findings
The facility failed to ensure consistent code status documentation for residents, timely notification of transfer/discharge to representatives, safe wound care practices, physician orders for oxygen use, appropriate ostomy care, and proper dialysis site monitoring. Additionally, twelve staff members were not fully vaccinated against COVID-19 as required.
Deficiencies (7)
Failed to ensure code status was consistent in the medical record for two residents, risking care inconsistent with advance directives.
Failed to ensure timely notification to resident representatives and ombudsman before transfer or discharge for one resident.
Failed to ensure wound treatment solution was not left at bedside, resulting in resident improperly taking medication.
Failed to provide ostomy care in accordance with professional standards due to lack of physician orders and assessment.
Failed to ensure physician orders for oxygen use prior to administration for two residents.
Failed to provide ongoing assessment and monitoring for complications pre and post-dialysis for one resident.
Failed to ensure twelve staff members were vaccinated for COVID-19 as required by CMS interim final rule.
Report Facts
Residents affected: 2
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 2
Residents affected: 1
Staff members not vaccinated: 12
Facility census: 57
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN/staff #11) | Interviewed regarding code status procedures and oxygen use | |
| Director of Nursing (DON/staff #98) | Interviewed regarding code status, transfer notifications, oxygen orders, dialysis monitoring, and COVID-19 vaccination compliance | |
| Licensed Practical Nurse (LPN/staff #48) | Interviewed regarding wound care supplies and oxygen use | |
| Certified Nursing Assistant (CNA/Staff #87) | Interviewed regarding ostomy care | |
| Licensed Practical Nurse (LPN/staff #78) | Interviewed regarding wound care supplies | |
| Infection Preventionist (staff #27) | Interviewed regarding staff COVID-19 vaccination compliance |
Inspection Report
Routine
Census: 45
Deficiencies: 11
Date: Jan 14, 2022
Visit Reason
Routine inspection of Life Care Center of Scottsdale to assess compliance with regulatory requirements including medication administration, advance directives, care planning, activities, skin care, fall prevention, nutrition, respiratory care, and psychotropic medication use.
Findings
The facility was found deficient in multiple areas including failure to assess resident for self-administration of medications, inaccurate advance directives documentation, incomplete baseline care plans, inadequate shower provision, lack of activity assessments, inconsistent skin assessments, improper fall prevention interventions, failure to implement dietary recommendations, inappropriate oxygen administration, and insufficient monitoring of psychotropic medications.
Deficiencies (11)
Failed to ensure one resident (#248) was assessed to determine clinical appropriateness to self-administer medications.
Failed to ensure advance directive was accurate for one resident (#37), resulting in conflicting code status documentation.
Failed to include oxygen use in baseline care plans for two residents (#144 and #150).
Failed to develop and implement a complete care plan for antidepressant medication for one resident (#200) and inaccurate advance directive care plan for resident (#37).
Failed to provide adequate number of showers for one resident (#96).
Failed to provide an ongoing program of activities meeting the interests and well-being of one resident (#41).
Failed to ensure consistent weekly skin assessments and documentation for one resident (#41) with skin integrity issues.
Failed to consistently implement fall interventions including proper placement of floor mat and use of non-skid socks for one resident (#37).
Failed to implement dietary recommendations including provision of fortified foods for one resident (#35) resulting in significant weight loss.
Failed to ensure two residents (#144 and #150) were provided oxygen per physician orders; oxygen administered without order or at incorrect flow rate.
Failed to monitor target behaviors for one resident (#200) on antidepressant medication and failed to limit PRN antipsychotic medication to 14 days for one resident (#35).
Report Facts
Census: 45
Weight change: -15.7
Weight change: -13.1
Weight change: -11.7
Weight change: -8.8
Weight change: -8.7
Medication administration days: 6
PRN antipsychotic administration days: 3
PRN antipsychotic order duration: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff #51 | Registered Nurse | Interviewed regarding medication administration and psychotropic medication monitoring |
| Staff #46 | Director of Nursing | Interviewed regarding medication administration, advance directives, care planning, skin assessments, fall prevention, dietary recommendations, oxygen therapy, and psychotropic medication use |
| Staff #52 | Licensed Practical Nurse | Interviewed regarding oxygen therapy, skin care, and antidepressant medication monitoring |
| Staff #64 | Certified Nursing Assistant | Interviewed regarding shower provision |
| Staff #40 | Activities Director | Interviewed regarding activity assessments and programming |
| Staff #7 | Licensed Practical Nurse | Interviewed regarding skin care and resident observations |
| Staff #41 | Staffing Coordinator | Observed and interviewed regarding fall prevention interventions |
| Staff #102 | Registered Dietician | Interviewed regarding dietary assessments and recommendations |
| Staff #32 | Director of Food Services | Interviewed regarding dietary recommendations implementation |
| Staff #1 | Registered Nurse | Observed medication administration and interviewed regarding oxygen therapy |
| Staff #51 | Registered Nurse | Interviewed regarding PRN antipsychotic medication use |
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