Based on clinical record review, staff interviews, and review of facility policy, the facility failed to ensure that the comprehensive person-centered care plan was reviewed and revised by the interdisciplinary team after each assessment to address ongoing wound care and treatment interventions for one of three sampled residents (Resident #41). This deficient practice could place the resident at risk for infection, skin integrity decline, and missed medical services. The universe was 103.Findings include:Resident #41 was initially admitted on [DATE], with diagnoses including metabolic encephalopathy, generalized muscle weakness, essential primary hypertension, epilepsy, and bipolar disorder.A baseline Care Plan, dated July 7, 2022, revealed a focus area initiated for potential impairment… …
F657 citations in Arizona
Care plan timing and revision · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Arizona cites F657 less often than its own record predicts
0.61 times the national share — cited less often here than elsewhere.
Of every deficiency written in Arizona in 2025, this is the portion that was F657.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arizona surveyors wrote
F657 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 | 1.74% | 0.81× |
| 2024 | 1.68% | 0.88× |
| 2025 | 1.15% | 0.61× |
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