Deficiencies (last 4 years)
Deficiencies (over 4 years)
13.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
265% worse than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
24
18
12
6
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
Capacity: 132
Deficiencies: 2
Date: May 14, 2025
Visit Reason
Onsite complaint survey citing 2 deficiencies related to administrator policies and resident-identifiable information.
Findings
Onsite complaint survey citing 2 deficiencies related to administrator policies and resident-identifiable information.
Deficiencies (2)
R9-10-403.C — Administrator policies and procedures
§483.20(f)(5) — Resident-identifiable information
Inspection Report
Complaint Investigation
Capacity: 132
Deficiencies: 0
Date: Jan 2, 2025
Visit Reason
Complaint survey with no deficiencies cited.
Findings
Complaint survey with no deficiencies cited.
Inspection Report
Capacity: 132
Deficiencies: 0
Date: Sep 18, 2024
Visit Reason
Recertification survey for Medicare 2012 Life Safety Code compliance with no deficiencies found.
Findings
Recertification survey for Medicare 2012 Life Safety Code compliance with no deficiencies found.
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Sep 12, 2024
Visit Reason
The inspection was conducted to investigate complaints regarding the facility's failure to ensure resident and representative participation in care planning, prevent pressure ulcers, and provide adequate supervision to prevent accidents.
Complaint Details
The complaint investigation revealed failures in care planning participation for Resident #148, pressure ulcer prevention and care for Resident #144, and supervision to prevent accidents for Resident #145. The investigation included interviews with staff and family, clinical record reviews, and policy reviews. The resident's son reported concerns about wound care and supervision. The facility's investigation and staff interviews revealed lapses in documentation and care.
Findings
The facility failed to ensure one resident and/or their representative were involved in care planning, failed to prevent pressure ulcers from developing and worsening in one resident, and failed to provide adequate supervision to prevent accidents for another resident. Documentation and communication deficiencies were noted, along with lapses in care such as turning and repositioning and failure to follow care plans.
Deficiencies (3)
Failed to ensure resident and/or representative participation in the development and implementation of the person-centered plan of care.
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.
Report Facts
Residents Affected: 1
Residents Affected: 1
Residents Affected: 1
BIMS score: 14
Pressure ulcer measurements: 8
Pressure ulcer measurements: 10
Pressure ulcer measurements: 1.5
Pressure ulcer measurements: 3
Pressure ulcer measurements: 10
Pressure ulcer measurements: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse | Case Manager | Interviewed regarding care planning and documentation for Resident #148 |
| Social Services Director | Interviewed regarding baseline care plan and family involvement policies | |
| Health Information Management Director | Interviewed regarding clinical record documentation and signature pages | |
| Director of Nursing | DON | Interviewed regarding care planning expectations and pressure ulcer prevention |
| Registered Nurse | RN | Interviewed regarding skin assessments and pressure ulcer care |
| Certified Nursing Assistant | CNA | Interviewed regarding supervision and resident care related to accident prevention |
| Certified Occupational Therapist Assistant | COTA | Interviewed regarding resident mobility and accident prevention |
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
Complaint Investigation
Capacity: 132
Deficiencies: 4
Date: Sep 9, 2024
Visit Reason
State compliance survey with 4 deficiencies related to personnel records, resident rights, care plans, and food safety.
Findings
State compliance survey with 4 deficiencies related to personnel records, resident rights, care plans, and food safety.
Deficiencies (4)
R9-10-406.F — Personnel records maintenance
R9-10-410.C — Resident rights participation
R9-10-414.B — Resident care plan and nursing care
R9-10-423.A — Food establishment contract and food safety
Inspection Report
Routine
Deficiencies: 2
Date: Jun 4, 2024
Visit Reason
The inspection was conducted to assess compliance with professional standards for wound assessment and treatment in a nursing facility, focusing on care for residents with wounds and pressure ulcers.
Findings
The facility failed to ensure that wounds and pressure ulcers for several residents were assessed and treated according to professional standards, including lack of timely wound measurements, incomplete documentation, and absence of physician orders for wound care treatments. This deficient practice posed risks of increased morbidity and mortality related to wounds.
Deficiencies (2)
Failure to provide appropriate treatment and care according to orders, resident’s preferences and goals for wounds in 3 residents (#11, 4, 19).
Failure to provide appropriate pressure ulcer care and prevent new ulcers from developing for 1 resident (#19).
Report Facts
Wound care performed: 5
Wound measurements: 9
Blister size left heel: 4
Blister size right heel: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN (staff #7) | Interviewed regarding wound care documentation and measurement practices | |
| RN (staff #59) | Interviewed and reviewed clinical records regarding wound assessments and measurements | |
| Director of Nursing (DON/staff #8) | Interviewed regarding wound care policies, expectations, and wound nurse availability |
Inspection Report
Complaint Investigation
Capacity: 132
Deficiencies: 3
Date: Jun 3, 2024
Visit Reason
Investigation citing 3 deficiencies related to quality of care, skin integrity, and resident care plans.
Findings
Investigation citing 3 deficiencies related to quality of care, skin integrity, and resident care plans.
Deficiencies (3)
§483.25 — Quality of care
§483.25(b) — Skin integrity and pressure ulcers
R9-10-414.B — Resident care plan and nursing care
Inspection Report
Complaint Investigation
Capacity: 132
Deficiencies: 0
Date: Feb 9, 2023
Visit Reason
Complaint survey with no deficiencies cited.
Findings
Complaint survey with no deficiencies cited.
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
Capacity: 132
Deficiencies: 5
Date: Jan 19, 2023
Visit Reason
Recertification survey for Life Safety Code 2012 with 5 deficiencies related to sprinkler system, corridor doors, smoke barriers, electrical equipment, and gas equipment storage.
Findings
Recertification survey for Life Safety Code 2012 with 5 deficiencies related to sprinkler system, corridor doors, smoke barriers, electrical equipment, and gas equipment storage.
Deficiencies (5)
Sprinkler System - Maintenance and Testing
Corridor - Doors
Subdivision of Building Spaces - Smoke Barrier Construction
Electrical Equipment - Power Cords and Extension Cords
Gas Equipment - Cylinder and Container Storage
Inspection Report
Complaint Investigation
Capacity: 132
Deficiencies: 12
Date: Jan 17, 2023
Visit Reason
State compliance survey citing 16 deficiencies including administration policies, resident rights, personnel records, wound care, respiratory and dialysis care, COVID-19 vaccination, and safety.
Findings
State compliance survey citing 16 deficiencies including administration policies, resident rights, personnel records, wound care, respiratory and dialysis care, COVID-19 vaccination, and safety.
Deficiencies (12)
R9-10-403.C — Administrator policies and procedures
§483.10(c)(6) — Resident rights regarding treatment
§483.15(c)(3) — Notice before transfer
R9-10-406.F — Personnel records maintenance
§483.25(d) — Accident prevention
§483.25(f) — Ostomy care
§483.25(i) — Respiratory care
§483.25(l) — Dialysis care
§483.80(i) — COVID-19 vaccination of staff
R9-10-414.B — Resident care plan and nursing care
R9-10-419 — Respiratory care orders
R9-10-425.A — Premises and equipment safety
Inspection Report
Routine
Census: 45
Deficiencies: 11
Date: Jan 14, 2022
Visit Reason
The inspection was a routine survey 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 care planning for antidepressant use, insufficient assistance with activities of daily living, lack of meaningful activities for residents, inconsistent skin assessments, improper fall prevention interventions, failure to implement dietary recommendations, inappropriate oxygen administration, and inadequate 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 one resident (#37).
Failed to ensure one resident (#96) received an adequate number of showers as scheduled.
Failed to provide an ongoing program of activities that met the interests and supported the 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 mats and use of non-skid socks for one resident (#37).
Failed to implement dietary recommendations including special nutrition program 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, including oxygen without order and oxygen at incorrect flow rate.
Failed to monitor target behaviors for one resident (#200) receiving antidepressant medication and failed to limit PRN antipsychotic medication to 14 days for one resident (#35).
Report Facts
Census: 45
Deficiencies cited: 11
Weight change: -15.7
Weight change: -8.8
Weight change: -11.7
Weight change: -13.1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff #51 | Registered Nurse | Interviewed regarding medication administration and psychotropic medication monitoring |
| Staff #46 | Director of Nursing | Interviewed regarding multiple deficiencies including medication administration, advance directives, care planning, activities, skin care, fall prevention, nutrition, respiratory care, 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 scheduling and resident care |
| Staff #40 | Activities Director | Interviewed regarding activities assessment and programming |
| Staff #7 | Licensed Practical Nurse | Interviewed regarding skin care and resident observations |
| Staff #41 | Staffing Coordinator | Interviewed regarding fall prevention interventions |
| Staff #1 | Registered Nurse | Interviewed regarding oxygen therapy and fall prevention |
| Staff #102 | Registered Dietician | Interviewed regarding dietary recommendations and resident weight loss |
| Staff #32 | Director of Food Services | Interviewed regarding dietary recommendations implementation |
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