Based on clinical record review, interviews, and review of facility policy and procedure, the facility failed to ensure a discharge summary was completed for a resident (#14) discharge. The deficient practice could result in an unsafe discharge for residents. Findings include: Resident #14 was admitted to the facility on [DATE] with diagnoses of dementia, kidney disease, and type 2 diabetes. The discharge Minimum Data Set (MDS) assessment dated [DATE] revealed the resident had a Brief Interview for Mental Status (BIMS) score of 12 indicating moderate cognitive impairment. Review of a progress note indicated resident #14 received a notice of discharge on December 29, 2023 and transferred to a sister facility on January 2, 2024. …
F661 citations in Arizona
Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Arizona cites F661 less often than its own record predicts
0.67 times the national share — cited less often here than elsewhere.
Of every deficiency written in Arizona in 2024, this is the portion that was F661.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arizona surveyors wrote
F661 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 reviews, staff interviews, and review of policy, the facility failed to ensure that complete discharge summaries and post-discharge plans of care were developed for two residents (#40 and #142). The deficient practice could result in necessary information not being communicated at the time of discharge. Findings include: -Resident #40 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] An admission Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview of Mental Status (BIMS) score of 10, which indicated moderate cognitive impairment. Review of the physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . …
The short window
Recent years
| Year | Share of Arizona citations | vs expected |
|---|---|---|
| 2023 | 0.52% | 2.01× |
| 2024 | 0.15% | 0.67× |
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