Based on clinical record review, staff interviews, and review of policy and procedures, the facility failed to ensure that residents, their representatives and families were notified of the COVID status of the building during a November 2022 outbreak. The deficient practice can result in resident and families not informed of potential exposure to COVID-19 infection. Findings include: Review of the facility COVID-19 website revealed the last update was on November 22, 2022. Review of the facility staff and resident infection surveillance from November 23 - 28, 2022 revealed the facility had new COVID-19 cases on: -November 23, 2022 - 1 staff -November 24, 2022 - 1 staff -November 27, 2022 - two staff -November 28, 2022 - 1 staff An interview with the Director of Nursing (DON/staff #75) was… …
F885 citations in Arizona
Infection Control Deficiencies
Report COVID19 data to residents and families.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
No F885 citations were recorded in Arizona for 2025. That means none appear in the CMS file for that year — not that the requirement does not apply.
In the surveyor’s words
What Arizona surveyors wrote
F885 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, facility documentation and policy, the facility failed to ensure residents, their family members, and/or their representatives were timely informed of new COVID-19 cases occurring in the facility. The deficient practice could result in residents, their families, and/or their representatives not being informed of new COVID-19 cases in the facility and the actions implemented to reduce the risk of transmission. Findings include: During an interview with the administrator (staff #308) on December 14, 2020 at 11:00 a.m., she stated that the mechanism of communicating COVID-19 updates to residents, their families, and/or their representatives included utilizing a phone application to send text messages and emails. …
What else Arizona surveyors cite →
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