Based on personnel file review, staff interview, and facility documentation and policy review, the facility failed to ensure the activities program was directed by a qualified professional. The deficient practice could result in the activities provided not meeting the assessed needs of the residents. Findings include: A review of the personnel file for the Activities Director (staff #24) revealed staff #24 was hired on October 18, 2024. Review of staff #24's job description revealed that as the Activity Manager she directs the development, implementation, supervision, and ongoing evaluation of the activities program. This includes the completion of the activities component of the comprehensive assessment along with the comprehensive care plan goals and approaches. …
F680 citations in Arizona
Quality of Life and Care Deficiencies
Ensure the activities program is directed by a qualified professional.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Arizona cites F680 more often than its own record predicts
5.39 times the share F680 takes of citations nationally.
Of every deficiency written in Arizona in 2025, this is the portion that was F680.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arizona surveyors wrote
F680 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 | 1.04% | 10.71× |
| 2024 | 0.46% | 5.95× |
| 2025 | 0.38% | 5.39× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Arizona surveyors cite →
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