F658 in Arizona. Pick another state for the same tag.
Against expectation — 2025
Arizona cites F658 more often than its own record predicts
Versus expected share1.43×
1.43 times the share F658 takes of citations nationally.
Share of Arizona citations2.55%
Of every deficiency written in Arizona in 2025, this is the portion that was F658.
Arizona2.55%
National1.78%
Share of all citations that were F658.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arizona surveyors wrote
F658 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.
G · Actual harm, isolatedMay 31, 2024
Based on clinical record review, staff interviews, review of facility documentation, facility policy, and the State Agency (SA) complaint tracking system, the facility failed to ensure there was a physician order for a narcotic medication that was administered to one resident (#2). The deficient practice could result in residents receiving unnecessary medication.
Findings include:
Resident #2 was admitted on [DATE] with diagnoses of paroxysmal atrial fibrillation and Alzheimer's disease.
A care plan dated [DATE] included that this resident was at risk for falls related to cognitive impairment and hypotension. …
E · No harm, potential for more than minimal, patternAugust 4, 2026
Based on clinical record review, observations, interviews, and policy review, the facility failed to ensure that physicians' orders were followed for 3 of 3 sampled residents (Resident #36, #89, #60) regarding their suprapubic catheter care and treatment. The deficient practice could result in the residents developing an infection and not receiving the necessary treatment for their condition.Findings include:Regarding resident # 36-Resident #36 was admitted to the facility on [DATE], with a diagnosis that included the presence of urogenital implants, resistance to multiple antibiotics, retention of urine, urinary tract infection, benign prostatic hyperplasia, and neuromuscular dysfunction of the bladder. …
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