Based on observations, clinical record review, and staff interviews, the facility failed to ensure one Resident (#88) out of one sampled residents were assessed and care planned for the ability to self-administer medications to include tube-feedings. The universe was 157. The deficient practice could result in incorrect administration of tube feedings, leading to aspiration, choking, severe infections, nutritional mismanagement, and tube clogging.Findings include:Resident #88 was re-admitted on [DATE] with diagnoses of intracranial injury with loss of consciousness of unspecified duration, traumatic brain injury, persistent mood disorder, dysphagia, hypertension, anxiety, gastrostomy, hyperglyceridemia, hyperglycemia, suicidal ideations, depression, and other mood disorder due to known… …
F554 citations in Arizona
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Arizona cites F554 less often than its own record predicts
0.68 times the national share — cited less often here than elsewhere.
Of every deficiency written in Arizona in 2025, this is the portion that was F554.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arizona surveyors wrote
F554 findings written in Arizona, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
The short window
Recent years
| Year | Share of Arizona citations | vs expected |
|---|---|---|
| 2023 | 0.35% | 0.63× |
| 2024 | 0.92% | 1.68× |
| 2025 | 0.38% | 0.68× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Arizona surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction