Based on record review, staff interviews, policy review and Center for Disease Control (CDC) guidelines, the facility failed to consistently implement tracking and trending of their antibiotic stewardship program. The facility census was 79 residents. This deficient practice could result in improper antibiotic use and adverse outcomes to residents. Findings include: On May 1, 2025 at 11:35 AM, an interview was conducted with the Assistant Director of Nursing (ADON/staff #54) and the Regional Clinical Director (RCD/staff #205). The ADON and the RCD explained that the ADON was in the process of completing her training as the Infection Preventionist (IP). …
F881 citations in Arizona
Antibiotic stewardship · Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Arizona cites F881 less often than its own record predicts
0.27 times the national share — cited less often here than elsewhere.
Of every deficiency written in Arizona in 2025, this is the portion that was F881.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arizona surveyors wrote
F881 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.
The short window
Recent years
| Year | Share of Arizona citations | vs expected |
|---|---|---|
| 2023 | 0.52% | 1.13× |
| 2024 | 0.15% | 0.34× |
| 2025 | 0.13% | 0.27× |
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