Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
F838 in Arizona. Pick another state for the same tag.
Against expectation — 2024
Arizona cites F838 less often than its own record predicts
Versus expected share0.79×
0.79 times the national share — cited less often here than elsewhere.
Share of Arizona citations0.15%
Of every deficiency written in Arizona in 2024, this is the portion that was F838.
Arizona0.15%
National0.19%
Share of all citations that were F838.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arizona surveyors wrote
F838 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.
D · No harm, potential for more than minimal, isolatedSeptember 27, 2024
Based on interview and record review the facility's assessment (document describing resident population and needs to determine staff and other resources necessary to competently care for residents) was not conducted with input from the required individuals stated in the regulation. This failure placed residents at risk for unmet care needs if their assessed population's needs and resources were not comprehensively identified and addressed.
Findings include
Review of Facility Assessment (FA) received from facility on 9/23/24, dated 9/19/24, documented several individuals were involved in completing assessment. …
C · No harm, potential for minimal, widespreadDecember 4, 2017
Based on staff interviews, the facility failed to conduct a facility wide assessment to determine what resources are necessary to care for residents competently during day to day operations and emergencies.
Findings include:
An entrance conference was conducted on November 28, 2017 at 8:35 a.m. At this time, a copy of the facility assessment was requested from the Assistant Director of Nursing (ADON/staff #87).
An interview was conducted with the ADON on November 29, 2017 at 2:15 p.m. The ADON stated that they were putting the information together, but it was not done.
In an interview conducted on December 1, 2017 at 10:30 a.m. with the Administrator (staff #201), he stated that he did not know what needed to be included in the facility assessment. …
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