Based on clinical record review, staff and resident/resident representative interviews, the facility failed to ensure that residents and/or the resident's representative (RR) were notified in writing of transfer to another facility for 2 of 5 sampled residents (#21, and #14). Failure of notification had the potential to affect the resident and their RR by not having clear knowledge of where and why the resident was transferred. Findings include: -Regarding Resident #21 Resident #21 was originally admitted on [DATE] with diagnoses that included cerebral palsy, functional quadriplegia, tourettes and dysphagia. Review of the clinical record revealed a notice of proposed transfer/discharge document dated February 28, 2025 indicating that the resident ' s niece/representative was notified. …
F623 citations in Arizona
Notice before transfer or discharge · Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Arizona cites F623 more often than its own record predicts
1.25 times the share F623 takes of citations nationally.
Of every deficiency written in Arizona in 2025, this is the portion that was F623.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arizona surveyors wrote
F623 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 interviews and record reviews, it was determined the facility failed to ensure residents were provided a written notice which specified the duration of the bed-hold policy at the time of transfer to the hospital for one (Resident (R) 246) of 14 sampled residents. On 07/05/20, R246 was transferred to the hospital after a change of condition; however, she was not given the written notice that addressed holding the resident's bed during her absence. Findings include: Review of R246's undated Admission Record, located in the resident's electronic health record (EHR) under the profile tab, revealed the resident was admitted on [DATE]. …
The short window
Recent years
| Year | Share of Arizona citations | vs expected |
|---|---|---|
| 2023 | 1.74% | 1.91× |
| 2024 | 1.53% | 1.50× |
| 2025 | 0.51% | 1.25× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Arizona surveyors cite →
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