Based on clinical record review, resident and staff interviews, and policy review, the facility failed to ensure that the state mental health authority was notified of a resident's change in mental condition for one resident (#37). The deficient practice could result in residents not receiving the proper level of care to meet their needs.Findings Include:Resident #37 was admitted to the facility on [DATE] with diagnosis that included atherosclerotic heart disease, bipolar disorder, and colostomy status. A Level 1 Pre-admission Screening and Resident Review (PASARR) dated February 25, 2025 was completed with no referral was necessary for PASARR Level 2. Further review of the PASRR revealed that the Bipolar Diagnosis was not included. …
F646 citations in Arizona
Resident Assessment and Care Planning Deficiencies
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Arizona cites F646 more often than its own record predicts
3.89 times the share F646 takes of citations nationally.
Of every deficiency written in Arizona in 2025, this is the portion that was F646.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arizona surveyors wrote
F646 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.
What else Arizona surveyors cite →
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