Based on observation, record review, and interview, the facility did not develop and implement a comprehensive person-centered care plan for each resident. (Residents 55, 13, and 125) Findings include: 1. Resident #55 was admitted on [DATE] with multiple [DIAGNOSES REDACTED]. Review of the initial minimum data set (MDS) assessment dated [DATE], Section J1700, noted the following: Fall History on admission in the last month=(None); Falls in the last 2 - 6 months = (None): Fracture related to falls in the last 6 months prior to admission = (None). …
F656 citations in Arizona
Comprehensive care plan · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Arizona cites F656 less often than its own record predicts
0.22 times the national share — cited less often here than elsewhere.
Of every deficiency written in Arizona in 2025, this is the portion that was F656.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arizona surveyors wrote
F656 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, staff interviews, and review of facility documentation and policies, the facility failed to follow 1 resident (#1) care plan during a behavioral episode. The deficient practice could place the residents' safety at risk. Findings include: Resident #1 was admitted to the facility on [DATE], with diagnoses of hemiplegia, chronic kidney disease, Schizoaffective Disorder, Type 2 Diabetes Mellitus, Major Depressive Disorder, and dementia. A care plan revised on November 12, 2025, revealed the following focus areas that included:Behavior problem as evidenced by being verbally and physically aggressive with staff and refusingcare from people of different ethnicities;Risk for altered mood state and impaired psychosocial well-being related to schizoaffective… …
The short window
Recent years
| Year | Share of Arizona citations | vs expected |
|---|---|---|
| 2023 | 1.56% | 0.43× |
| 2024 | 1.84% | 0.54× |
| 2025 | 0.77% | 0.22× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Arizona surveyors cite →
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