Fountain Hills Post Acute

In the surveyor’s words

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

• Actual harm, isolatedF684Apr 22, 2026

  Based on clinical record review, resident and staff interviews, hospital records, facility documentation, policies and procedures, the facility failed to ensure physician-ordered diets were followed and implemented for 2 of 10 sampled residents (#9 and #12). This deficient practice resulted in resident #9 choking and requiring hospitalization.Findings include:Regarding Resident #9-Resident #9 was admitted on [DATE], with a diagnosis of heart failure, chronic atrial fibrillation, hypertensive heart and chronic kidney disease, with heart failure and chronic kidney disease, and moderate vascular dementia with anxiety. […]

• No harm, potential for more than minimal, patternF725Oct 20, 2022

  Based on the clinical record reviews, resident and staff interviews, facility document, and facility assessment, the facility failed to ensure that there was sufficient nursing staff to meet the needs of multiple residents (#s 11, 19, 27, 85, 129, and 180). The census was 27. The deficient practice could result in residents' care needs not being met. Findings include: -Resident #11 was admitted on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the admission MDS (Minimum Data Set) assessment dated [DATE] revealed the BIMS (Brief Interview for Mental Status) was not completed. […]

• No harm, potential for more than minimal, isolatedF755May 29, 2026

  Based on interviews, review of clinical record, and review of facility policy and procedure, the facility failed to ensure medication was acquired, received, and administered according to physician orders for one of three sampled residents (#2). The deficient practice could result in a resident not receiving medication as ordered by the physician.-Findings include:Resident #2 was admitted to the facility on [DATE], with diagnoses of secondary malignant neoplasm of the brain, malignant melanoma of skin, cognitive, social, or emotional deficit following nontraumatic intracerebral hemorrhage, visual disturbance, headache, chronic obstructive pulmonary disease, and a personal history of other venous thrombosis and embolism.A discharging hospital progress note dated March 27, 2026, for Resident… […]

• No harm, potential for more than minimal, isolatedF609Feb 18, 2026

  Based on record review, interview, and review of facility policy, the facility failed to ensure that an allegation of sexual abuse made by one (Resident #3) of three sampled residents was immediately reported to the administrator and to the appropriate state agency within the required timeframes (within 2 hours for allegations involving abuse or serious bodily injury), as required. This deficient practice had the potential to place residents at risk for ongoing abuse and delayed protective interventions.Findings Include:Resident #3 was admitted [DATE], with diagnoses including metabolic encephalopathy, traumatic brain injury history, depression, anxiety disorder, and muscle weakness.A review of Resident #3's most recent Medicare 5-day, Minimum Data Set (MDS) assessment dated [DATE],… […]

• No harm, potential for more than minimal, isolatedF761Nov 19, 2025

  Based on observation, interview, review of clinical record, and review of facility policy and procedure, the facility failed to ensure medication was administered and stored according to policy for two of four sampled residents (#4 and #2). The deficient practice resulted in residents accidentally ingesting medication.Findings Include:-Regarding Resident #4:Resident #4 was admitted to the facility on [DATE], with diagnoses that included hyperlipidemia, anemia, type 2 diabetes mellitus, chronic pain syndrome, pressure ulcer of right buttock, and pressure ulcer of right ankle.An admission minimum data set (MDS) assessment dated [DATE], revealed Resident #14 had a brief interview for mental status (BIMS) score of 14, indicating intact cognition.A physician order dated September 30, 2025, for… […]