Based on clinical record review, interviews, and review of the facility's policies and procedures, the facility failed to ensure the medical record was complete and accurate for one of three sampled residents (#3) when there was a change in condition. The deficient practice could result in care team members not being adequately informed regarding the resident's status and could lead to adverse outcomes for the resident.Findings include:Resident #3 was admitted to the facility on [DATE] with diagnoses that included syncope and collapse, emphysema, and chronic respiratory failure.An admission Minimum Data Set, dated [DATE], revealed Resident #3 participated in a Brief Interview for Mental Status (BIMS) and scored a 10 which indicated he had moderate cognitive impairment. …
F842 citations in Arizona
Medical records · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Arizona cites F842 more often than its own record predicts
2.22 times the share F842 takes of citations nationally.
Of every deficiency written in Arizona in 2025, this is the portion that was F842.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arizona surveyors wrote
F842 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 staff interviews and policies and procedures, the facility failed to ensure that electronic and paper medical records for multiple residents were readily accessible to the Survey Team. Findings include: On February 25, 2019 at approximately 8 a.m., the survey team coordinator provided a copy of the entrance conference instructions to the Administrator (staff #66). The instructions included that by the end of the first day, each surveyor will be provided access to all resident electronic health records and will not exclude any information that should be a part of the residents' medical record. …
The short window
Recent years
| Year | Share of Arizona citations | vs expected |
|---|---|---|
| 2023 | 1.04% | 0.64× |
| 2024 | 1.53% | 0.82× |
| 2025 | 4.97% | 2.22× |
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