Az - Rio Vista Post Acute and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Az - Rio Vista Post Acute and Rehabilitation, in the surveyor’s own words.

• Actual harm, isolatedF686Mar 4, 2022

  Based on clinical record review, staff interviews, and policy reviews, the facility failed to ensure care and services were provided to prevent the development of pressure ulcer for one resident (#262) and failed to ensure the pressure ulcer was thoroughly assessed consistently. The deficient practice could result in residents developing pressure ulcers and has the potential for inadequate or inaccurate or inappropriate treatment and subsequent deterioration of pressure ulcer. Findings include: Resident #262 was admitted on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The skin integrity care plan dated December 6, 2021 revealed the resident having potential impairment for skin integrity related to incontinence, limited mobility, sciatica and severe pain. […]

• No harm, potential for more than minimal, patternF695May 7, 2025

  Based on observation, clinical record review, staff interviews, and review of facility policy, the facility failed to ensure one (#4) of three sampled residents was provided respiratory care consistent with professional standards and highest practicability of care. The deficient practice could result in respiratory complications. Findings include: Resident #4 was admitted to the facility on [DATE] with diagnoses that included diabetes mellitus, hypertension, and heart failure with preserved ejection fraction. […]

• No harm, potential for more than minimal, patternF689Apr 4, 2025

  Based on observation, staff and resident interviews, and facility policy, the facility failed to ensure medication were not left unsecured at bedside for two sample residents (#105 & #67). The deficientpractice of unattended medications does not align with accepted professional standards of practice and may result in undesirable medication-induced harm. Findings include: -Resident #105 was admitted on [DATE] with diagnoses of alcoholic cirrhosis of liver, depression, opioid abuse, and anxiety disorder. Review of resident #105 medical records revealed a significant change Minimum Data Set (MDS) completed December 08, 2024 when admitted on to hospice. […]

• No harm, potential for more than minimal, patternF880Mar 4, 2022

  Based on observation, staff interviews and review of facility documentation, policies and procedures, the facility failed to ensure that staff were consistently screened for COVID-19 upon entry to the facility and prior to working their shift. The deficient practice could result in the spread of infection to residents and staff. Findings include: During an observation conducted on February 28, 2022 at 8:00 a.m., the receptionist instructed the staff and visitors waiting in the lobby to wear a mask and perform hand hygiene using the alcohol-based hand rub (ABHR) also located in the lobby. At the corner of the lobby, there was an I-Pad which the receptionist directed the staff and visitors to go for COVID-19 screening questions. […]

• No harm, potential for more than minimal, isolatedF628Jul 16, 2026

  Based on interviews, clinical record review, and review of policy and procedure, the facility failed to ensure one of three sampled residents (#6) was provided written notice of discharge as soon as practicable prior to discharge, that the written notice included date and location of discharge, as well as contact information for the state long term care ombudsman, and that the notice of discharge was also sent to the state long term care ombudsman prior to discharge. The deficient practice could result in residents and their representatives being unaware of their appeal and advocacy rights and could prevent the ombudsman from reviewing and advocating for safe and appropriate discharge planning before the discharge occurred.-Findings include:Resident #6 admitted to the facility August 27,… […]