Ahwatukee Post Acute

In the surveyor’s words

From the most serious findings on record at Ahwatukee Post Acute, in the surveyor’s own words.

• Actual harm, isolatedF684Mar 25, 2021

  Based on clinical record reviews, interviews, facility documentation, and facility policy, the facility failed to ensure one resident's (#2) wounds were consistently assessed, monitored, and treated and the facility failed to ensure staff monitored blood glucose levels for one resident (#1). The sample size was 6 residents. The deficient practice could result in negative resident outcomes. Findings include: -Resident #2 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The resident was discharged to a hospital on September 16, 2020. […]

• No harm, potential for more than minimal, patternF640Jul 24, 2026

  Based on clinical record review, interviews, and review of the facility's policies and procedures, the facility failed to ensure that Minimum Data Set (MDS) assessments were completed within the required time frames for 30 residents. The universe was 139. The deficient practice could result in the care and treatment of residents being delayed.Findings include: - Regarding Resident #19Resident #19 was admitted on [DATE], with diagnoses including aphasia following cerebral infarction, parkinsonism, and epilepsy.A review of the MDS assessments revealed the most recent MDS was a quarterly assessment dated [DATE]. […]

• No harm, potential for more than minimal, patternF926Jul 24, 2026

  Based on observations, clinical record review, resident and staff interviews, and review of facility policy, the facility failed to ensure that cigarettes and lighters were secured and maintained by designated staff in accordance with the facility's smoking policy for 3 of 26 sampled residents (Residents #87, #169, and #242). The deficient practice could put the residents at risk for accidents or smoking-related injuries. Findings include:-Regarding resident #87:Resident #87 was admitted to the facility on [DATE], with diagnoses that include tobacco use, anxiety disorder, cannabis use, and hypoglycemia.A review of the smoking policy on May 07, 2026, revealed the resident signed the facility's smoking policy acknowledging the policy regarding smoking.A review of the resident's care plan… […]

• No harm, potential for more than minimal, patternF628Aug 8, 2025

  Number of residents sampled:3Number of residents cited:3The facility failed to send a copy of the notice of transfer or discharge to the representative of the Office of the State Long-Term Care (LTC) Ombudsman for 3 of 3 sampled residents (#142, #147, and #150). The deficient practice could result to residents not being able to access an advocate who can inform them of their options and rights related to discharges. Based on closed record review, staff interviews, review of facility documentation and policy, and the State Agency (SA) complaint tracking system, the facility failed to send a copy of the notice of transfer or discharge to the representative of the Office of the State Long-Term Care (LTC) Ombudsman for three discharged residents (#142, #147, and #150). […]

• No harm, potential for more than minimal, patternF755Aug 8, 2025

  Number of residents sampled:6Number of residents cited:3The facility failed to ensure three residents necessary medications were ordered and available for use.Based on clinical record review, interviews, and review of facility policies, the facility failed to ensure that medications were available as ordered for three residents (#5), (#43), and (#7). The deficient practice could result in not receiving medications that are physician ordered and necessary. Findings include:-Resident #5 was admitted to the facility on [DATE] with diagnoses that include a cerebral infarction, hemiplegia, aphasia, anemia, bipolar disorder, schizophrenia, and epilepsy.A review of the Quarterly MDS (Minimum Data Set) dated June 22, 2025 noted the resident had a BIMS of 99, indicating severe cognitive impairment. […]