Diamondback Healthcare Center

In the surveyor’s words

From the most serious findings on record at Diamondback Healthcare Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF684Dec 5, 2025

  Based on clinical record review, interviews and review of facility policy and procedure, the facility failed to ensure medications were administered within the physician ordered parameters for Resident #09. The deficient practice may result in medications being administered outside physician ordered parameters.Findings Include:Resident # 09 was admitted on [DATE] and readmitted on [DATE] with diagnoses that included acute and chronic respiratory failure with hypoxia, hypotension, dependence on respirator (ventilator) status, and bradycardia. […]

• No harm, potential for more than minimal, patternF695Aug 14, 2024

  Based on personnel record reviews, facility documentation, staff interviews and policy review, the facility failed to ensure staffs had competencies or skills needed to provide care for 8 residents on ventilator and tracheostomy. The facility census was 75. The deficient practice could result in patients with ventilator and tracheostomy (Vent/ Trach) not receiving care that they need. Findings include: Review of the Vent/Trach Census revealed eight (8) residents identified with a tracheotomy, ventilator or both a tracheotomy and ventilator. […]

• No harm, potential for more than minimal, isolatedF812Feb 6, 2026

  Based on observations, staff interviews, and policy review, the facility failed to ensure that food is labeled and dated after opening in accordance with professional food safety standards. The deficient practice may result in practices of food storage that may not be in accordance with professional food safety standards. Findings include:An observation of the kitchen was conducted on January 4, 2026, at 8:40 AM with the facility's Dietary Manager (DM/Staff #152). The following food items were discovered without labels indicating what date they had been opened: Two liquid egg cartons did not have an opened date label.One bag of chicken tenders in the freezer without opened date label.One bag of tilapia in the freezer had no opened date label. […]

• No harm, potential for more than minimal, isolatedF880Feb 6, 2026

  Based on clinical record review, observations, staff interviews, and review of policy and procedures, the facility failed to ensure proper infection prevention and control practices were implemented related to contact precautions for one resident of 5 residents (#117) and the facility failed to ensure that community infection control surveillance mapping was documented. The deficient practice could result in transmission of infection in the facility.Findings include: -Regarding Contact Precautions: Resident #117 was admitted to the facility on [DATE] with diagnoses that include enterocolitis due to clostridium difficile (C. […]

• No harm, potential for more than minimal, isolatedF583Jan 29, 2026

  Based on clinical record review, staff interviews, observation, and policy review, the facility failed to ensure resident-identifiable information was maintained confidentially and protected from public view for one Resident (#29). This deficient practice resulted in the exposure of protected health information (PHI) to an unauthorized individual and could result in a violation of residents' rights to privacy and confidentiality. Findings include:An observation conducted on January 29, 2026, at 10:45 a.m. revealed an unattended computer workstation with resident records actively displayed on the monitor. No facility staff were present or monitoring the workstation at the time of the observation. […]