Based on clinical record review, facility documentation, staff interview, and policy review, the facility failed to ensure the Narcotic Log/count Q shift Monitoring sheet was accurately completed. The deficient practice could result in narcotics not being accounted for. During an observation conducted on September 17, 2025, at 9:58 AM of the medication cart 200 even numbered room, with License Practical Nurse (LPN/Staff #39) stated that the Narcotic Log/Count Q shift Monitoring was incomplete for the following days in September 2025: 10, 11, 13, 14, 15. She further stated that there was no day shift nurse signature for September 10th and 11th of 2025. …
F770 citations in Arizona
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Arizona cites F770 more often than its own record predicts
1.23 times the share F770 takes of citations nationally.
Of every deficiency written in Arizona in 2025, this is the portion that was F770.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arizona surveyors wrote
F770 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 observation and staff interviews, the facility failed to ensure quality of laboratory services by failing to ensure expired laboratory supplies were discarded and not available for resident use. The deficient practice could result in expired laboratory supplies being used. Findings include: An observation of a medication storage room was conducted on [DATE] at 12:55 PM with a Licensed Practical Nurse (LPN/staff #5). The following were observed on a shelf: -Approximately 36 blue capped tubes were found in open packaging. The tube labels revealed an expiration date of [DATE] or [DATE]. …
The short window
Recent years
| Year | Share of Arizona citations | vs expected |
|---|---|---|
| 2023 | 0.35% | 1.57× |
| 2024 | 0.15% | 0.72× |
| 2025 | 0.26% | 1.23× |
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