Arizona State Veteran Home - Yuma

In the surveyor’s words

From the most serious findings on record at Arizona State Veteran Home - Yuma, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF851Sep 20, 2024

  Based on observations, facility documentation, staff interviews, and policy review, the facility failed to ensure that the required staffing information and CASPER Payroll-Based Journal (PBJ) data was submitted to CMS (Centers for Medicare & Medicaid Services) for two quarters. The deficient practice could result in residents receiving inadequate care due to a potential lack of staffing. Findings include: A review of the [NAME] PBJ Staffing Data Report that was run on September 10, 2024 revealed that the facility was triggered for failure to submit data for the quarter for the following: Fiscal year, quarter two (January 1st - March 31st) 2024 Fiscal year quarter three (April 1st - June 30th) 2024 An interview was conducted on September 17, 2024 at 2:10 p.m. […]

• No harm, potential for more than minimal, patternF600Sep 20, 2024

  Based on video footage, clinical record review, resident and staff interviews, and policy review, the facility failed to ensure one resident (#35) was not abused by another resident (#43). The deficient practice could result in residents being physically and emotionally harmed. Findings include: Video footage of a resident to resident altercation between residents #35 and #43 was reviewed on September 17, 2024 at 9:08 a.m. with the Assistant Director (AD/Staff#417) and revealed the incident occurred at 6:18 p.m. on May 19, 2024, and physical contact was made between residents #43 and #35. […]

• No harm, potential for more than minimal, patternF607Sep 20, 2024

  Based on clinical record review, staff interviews, facility documentation, and policy review, the facility failed to implement their abuse policy by failing to report an allegation of abuse within the required time for Resident #35. The deficient practice could result in further incidents of abuse not being reported in a timely manner and continued abuse. Findings include: Resident #35 was initially admitted to the facility on [DATE] with diagnoses that included unspecified dementia, post-traumatic stress disorder, essential hypertension, atherosclerotic heart disease, and nicotine dependence. […]

• No harm, potential for more than minimal, patternF804Sep 20, 2024

  Based on resident and staff interviews, a food test tray, facility documents, and policy review, the facility failed to ensure residents consistently received food that was palatable and warm. The deficient practice could result in the potential for residents who disliked a meal to experience nutritional problems or dissatisfaction with their meals. Findings include: Review of the grievances for the last six months was conducted on September 17, 2024 and revealed three documented grievances regarding cold food temperatures, tough meat, and food not looking appetizing. A grievance was filed on April 22, 2024 for issues with lunch being cold and preferences about desserts. […]

• No harm, potential for more than minimal, patternF812Sep 20, 2024

  Based on observations, staff interview, and policy review, the facility failed to ensure safety and sanitary kitchen regarding expired items, dusty dishwasher, and rotten produce, and food labeling. The deficient practice in this will lead to food contamination. During an observation on [DATE] at 11:24 am on the walk-in cooler, multiple iceberg lettuce items had brownish spotting, white/gray fuzzy growth spots, and slimy liquid substances. Bell peppers had white/gray fuzzy growth spots, and blackish spots. An apple had a mushy spot on its surface. The pantry had an expired brown sugar label dated back to [DATE]. An interview was done with staff #722 a dietary aid on [DATE] who stated that A few days ago they would have tossed those lettuce out. These food items are moldy. […]