Based on interview and record review, the facility failed to ensure that staff completed mandatory QAPI (Quality Assurance and Performance Improvement) training as part of its QAPI program. The deficient practice placed residents at risk for receiving care from staff who did not understand the goals and various elements of the program, including their role in communicating concerns, problems, or opportunities for the facility's improvement to the facility's QAA (Quality Assessment and Assurance) Committee. Findings include: During an extended survey, conducted 10/09/24 through 10/11/24 a review of staff education records was conducted. …
F944 citations in Arizona
Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Arizona cites F944 more often than its own record predicts
1.65 times the share F944 takes of citations nationally.
Of every deficiency written in Arizona in 2024, this is the portion that was F944.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arizona surveyors wrote
F944 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.
What else Arizona surveyors cite →
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