Based on interviews and record review the facility failed to implement policies and procedures to prohibit and prevent abuse for one resident (R)444 when (1) Staff failed to identify non consensual sexual acts between R444 and R3 as sexual abuse; (2) Report the abuse within the time frame required by State law and federal requirements; and, (3) Conduct a thorough investigation. The failure of the facility to recognize non consensual sexual acts between minors and adults has the potential to put all minors in the facility at risk for serious psychosocial harm such as post traumatic stress disorder or psychological trauma. …
F607 citations in Arizona
Abuse-prevention policies · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Arizona cites F607 more often than its own record predicts
6.39 times the share F607 takes of citations nationally.
Of every deficiency written in Arizona in 2025, this is the portion that was F607.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arizona surveyors wrote
F607 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 reviews, staff interviews, facility documentation and review of policies and procedures, the facility failed to implement their policy regarding protection of resident, reporting and investigating an allegation of sexual abuse for one resident (#38). The deficient practice resulted in appropriate corrective action not taken, further sexual abuse for resident #38, compromised protection of other residents, abuse not reported and thoroughly investigated. Findings include: -Resident #38 was admitted on [DATE] with a diagnosis of unspecified sequelae of cerebral infarction, post-concussion syndrome, anxiety disorder and unspecified injury of head. …
Based on interview and record review, the facility failed to implement its abuse prevention policies and procedures. Specifically, the facility failed to recognize allegations made by Resident (R)12, one of three residents sampled for abuse, involving a family member/legal representative related to financial abuse should trigger implementation of their policy and ensure reporting and investigating protections were in place. This deficient practice placed R12 at risk for continued financial exploitation and misappropriation of resident property.Cross Reference F609 and F610.Findings include: Review of the facility's abuse policy titled, Abuse, Neglect, Exploitation and Misappropriation Prevention Program, revised 05/2026, revealed the facility's abuse prevention program was intended to… …
The short window
Recent years
| Year | Share of Arizona citations | vs expected |
|---|---|---|
| 2023 | 1.39% | 1.86× |
| 2024 | 1.38% | 1.83× |
| 2025 | 4.21% | 6.39× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Arizona surveyors cite →
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