Based on observations, interviews, facility documentation, policy review, COVID-19 rapid test card instructions, the Center for Disease Control (CDC) guidelines, and the Centers for Medicare & Medicaid Services (CMS) guidance, the facility failed to maintain an effective infection control program by using improper infection control techniques while performing COVID-19 testing for 6 residents (#53, #8, #11, #27, #17, and #16). As a result, the Condition of Immediate Jeopardy (IJ) was identified. The facility also failed to ensure that residents performed hand hygiene prior to meals. The census was 65 and 4 residents were positive for COVID-19. Findings include: On February 8, 2022 at 2:53 p.m., the Condition of IJ was identified. …
F880 citations in Arizona
Infection prevention and control · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Arizona cites F880 less often than its own record predicts
0.74 times the national share — cited less often here than elsewhere.
Of every deficiency written in Arizona in 2025, this is the portion that was F880.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arizona surveyors wrote
F880 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 interview and record review, the facility failed to implement its Water Management Program when water temperatures were repeatedly below the facility-established control limits for Unit B, one of four units reviewed, and corrective actions were not implemented when monitoring results fell outside the established control limits.This deficient practice had the potential to create conditions conducive to the growth and transmission of Legionella and other waterborne pathogens, placing residents on Unit B at risk for waterborne illness. Findings Include: Review of the facility's Legionella Water Management Program policy, revised May 2026, revealed the facility was committed to the prevention, detection, and control of waterborne contaminants, including Legionella. …
Based on observation, staff interviews, review of policy and the Centers for Disease Control (CDC) guidelines, the facility failed to ensure that signs were posted at the facility entrance alerting visitors to check-in with the front desk to be assessed for symptoms of COVID-19 prior to entry. The deficient practice could result in visitors not being assessed for symptoms of COVID-19 prior to entry which could result in the spread of infection to residents and staff. Findings include: Upon entrance to the facility on [DATE] at 10:00 a.m., no signs were observed posted at the front entrance of the facility regarding screening and restrictions as well as a communication plan to alert visitors of new procedures and/or restrictions. …
The short window
Recent years
| Year | Share of Arizona citations | vs expected |
|---|---|---|
| 2023 | 4.17% | 0.81× |
| 2024 | 5.21% | 0.93× |
| 2025 | 4.59% | 0.74× |
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