Based on clinical record review, staff interviews, and policy and procedure review, the facility failed to ensure that Preadmission Screening and Resident Review (PASRR) was completed for one of twenty-two (#3) residents, with a diagnosis of a serious Mental Illness (MI) was referred to the appropriate state-designated authority for review. The deficient practice could result in residents not receiving the necessary specialized services that they require. The universe was 97. -Regarding Resident #3 Resident #3 was re-admitted to the facility on [DATE], with previous admission dates of April 17, 2024, June 3, 2024, July 18, 2024, February 12, 2025 with diagnoses that included post traumatic stress disorder (PTSD), generalized anxiety disorder, major depressive disorder, obsessive-compulsive… …
F645 citations in Arizona
PASARR screening · Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Arizona cites F645 more often than its own record predicts
2.52 times the share F645 takes of citations nationally.
Of every deficiency written in Arizona in 2025, this is the portion that was F645.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arizona surveyors wrote
F645 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 | 3.13% | 5.37× |
| 2024 | 0.46% | 0.72× |
| 2025 | 1.53% | 2.52× |
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