Based on observation, staff interviews, facility documents, and policy, the facility failed to ensure a call system was operational for 1 out of 20 residents sampled (# 5). The universe was 100 residents. The deficient practice could place residents' safety at risk.Findings include:Resident # 5 was admitted [DATE] with diagnoses that included unspecified heart failure, hypotension, type 2 diabetes mellitus, and major depressive disorder. A significant change in status Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) of 13 indicating the resident's cognitive function is intact. The MDS assessment revealed that Resident # 5 had a fall in the last 2-6 months prior to admission. A Work Order created on May 8, 2026 at 3:11 p.m. …
F919 citations in Arizona
Call system · Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Arizona cites F919 less often than its own record predicts
0.29 times the national share — cited less often here than elsewhere.
Of every deficiency written in Arizona in 2025, this is the portion that was F919.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arizona surveyors wrote
F919 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 | 0.17% | 0.40× |
| 2024 | 0.46% | 1.04× |
| 2025 | 0.13% | 0.29× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Arizona surveyors cite →
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