Based on observation, interview, record review, and review of the facility's policies, the facility failed to ensure seven residents (Resident (R) 99, R98, R24, R3, R39, and R36) received care and treatment in accordance with professional standards of practice. 1. The facility failed to perform Accuchecks (finger stick blood sugar checks) per the physician's orders for eight days while continuing to administer scheduled insulin to R99; 2. and failed to notify R98's Physician to obtain an order for Accuchecks after the resident was admitted to the facility with an order for insulin. 3. The facility failed to perform neuro checks after R39, R24, and R36 had sustained unwitnessed falls. 4. …
F684 citations in Arizona
Quality of care · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Arizona cites F684 more often than its own record predicts
1.13 times the share F684 takes of citations nationally.
Of every deficiency written in Arizona in 2025, this is the portion that was F684.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arizona surveyors wrote
F684 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 policy review, the facility failed to ensure wound was monitored and treated for 1 of 3 residents sampled for wound care (Resident #1). The deficient practice resulted in the development of maggots in the wound bed. Findings include: Resident #1 was admitted on [DATE], with diagnoses that included unspecified dementia, type 2 diabetes mellitus, essential hypertension, peripheral vascular disease, and diabetic neuropathy. A comprehensive care plan dated February 12, 2025, revealed that Resident #1 has peripheral vascular disease (PVD) related to diabetes mellitus. …
Based on clinical record review, staff interviews, and review of the facility policy and procedures, the facility failed to ensure that 1 out of 23 sampled residents (Resident # 64)'s blood pressure medication was administered per physician's orders. The universe was 103 residents. The deficient practice could result in uncontrolled blood pressure. Findings include: -Regarding administering midodrine outside of parameters.Resident #64 was admitted on [DATE], with diagnoses that include vascular dementia with other behavioral disturbances, schizoaffective disorder bipolar type, and age-related osteoporosis without current pathological fracture.A physician's order initiated on April 22, 2026, revealed an order for Midodrine Hydrochloride (HCL) Tablet, a medication used to treat low blood… …
The short window
Recent years
| Year | Share of Arizona citations | vs expected |
|---|---|---|
| 2023 | 4.34% | 1.20× |
| 2024 | 3.22% | 0.81× |
| 2025 | 4.85% | 1.13× |
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