Based on closed clinical record review, staff interviews, facility documentation and policies and procedures, the facility failed to notify one resident's (#42) physician/practitioner in a timely manner regarding consistent refusals of medications and treatments. The deficient practice resulted in a delay of treatment and subsequent emergency transport to the hospital. Findings include: Resident #42 was admitted to the facility on (MONTH) 24, 2019, with [DIAGNOSES REDACTED]. Review of the admission nursing assessment dated (MONTH) 24, 2019 revealed the resident was admitted from the hospital and oxygen saturations (sats) were 91%. …
F580 citations in Arizona
Notifying of changes · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Arizona cites F580 less often than its own record predicts
0.52 times the national share — cited less often here than elsewhere.
Of every deficiency written in Arizona in 2025, this is the portion that was F580.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arizona surveyors wrote
F580 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.
Based on clinical record review, interviews, and the facility's policies and procedures, the facility failed to ensure that one resident's (#7) representative was notified of a change in condition. The sample size was three. The deficient practice could lead to the responsible party not being informed and not being able to participate in the resident's care. Findings include:Resident #7 was admitted to the facility on [DATE] with diagnoses that included radiculopathy in the lumbar region, chronic diastolic heart failure, and acute kidney failure.The discharge Minimum Data Set (MDS), dated [DATE], indicated that Resident #7 did not participate in a Brief Interview for Mental Status (BIMS). …
Based on closed record review, staff interviews, review of facility documentation, policy and procedures, the facility failed to ensure that residents representatives were notified of significant changes in condition for one resident (#120). The deficient practice could result in resident representatives not being informed of the change and decisions regarding treatment. Findings include: Resident #120 was admitted on [DATE] with diagnoses of heart failure and atherosclerosis of coronary artery bypass graft. Review of the clinical record revealed the resident was admitted for a hospice respite stay for five days. The face sheet for the clinical record revealed a family member was listed at the emergency contact #1 as well as medical power of attorney (MPOA). …
The short window
Recent years
| Year | Share of Arizona citations | vs expected |
|---|---|---|
| 2023 | 1.04% | 0.73× |
| 2024 | 0.61% | 0.40× |
| 2025 | 0.77% | 0.52× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Arizona surveyors cite →
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