Havasu Nursing Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF628Sep 4, 2025

  Based on closed record review, staff interviews, and review of facility policy, the facility failed to ensure that transfer/discharge notifications were made for three sampled residents (#2), (#4) and (#6) to the representative of the Office of the State Long-Term Care Ombudsman. The deficient practice can result in further notifications of resident transfer/discharge not being provided to the Ombudsman.Findings include:-Resident #2 was admitted to the facility June 9, 2025 and discharged [DATE] with diagnoses that included encounter for other orthopedic aftercare, other specified degenerative diseases of basal ganglia, nontraumatic intracranial hemorrhage, unspecified, need for assistance with personal care.A discharge Minimum Data Set (MDS) assessment dated [DATE] revealed that the… […]

• No harm, potential for more than minimal, patternF880Apr 10, 2025

  Based on observation, clinical record review, interview, and review of policy and procedures the facility failed to ensure Enhanced Barrier Protection (EBP) was in place for seven residents (#2, #19, #20, #343, #36, #195, #94) according to professional standards. This deficient practice could result in the increased risk of pathogen transmission. Findings include: -Resident #2 was admitted to the facility on [DATE] with diagnoses that include Pyothorax without fistula and a breakdown (mechanical) of nephrostomy catheter among others. The MDS revealed the resident's BIMS score of 14 and also urinary incontinence and indwelling catheter care. […]

• No harm, potential for more than minimal, patternF725May 6, 2021

  Based on clinical record reviews, resident and staff interviews, and review of the Facility Assessment, the facility failed to ensure that there was sufficient staffing to meet the needs of multiple residents (#4, #10, #11, #16, #53, and #57). The deficient practice could result in nursing care and services not being provided. The census was 54. Findings include: During the initial phase of the survey, 5 residents identified concerns of not having enough staff: -Resident #4 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The 5-day Minimum Data Set (MDS) assessment dated [DATE] included a Brief Interview for Mental Status (BIMS) score of 15 indicating the resident was cognitively intact. […]

• No harm, potential for more than minimal, patternF758May 6, 2021

  Based on clinical record review, staff interviews, and policy review, the facility failed to ensure that one of seven sampled residents (#21) was free from an unnecessary medication, by failing to ensure the order for an as-needed (PRN) [CONDITION(S)] medication included the duration for the prn order. The deficient practice could result in residents receiving medications that may not be necessary. Findings include: Resident #21 was readmitted on [DATE] with diagnosis that included [CONDITION(S)], other specified depressive episodes, anxiety disorder, [CONDITION(S)] disorder, [CONDITION(S)], acquired absence of left leg above knee, acquired absence of right leg above knee and chronic pain syndrome. […]

• No harm, potential for more than minimal, isolatedF583Apr 10, 2025

  Based on clinical record review, staff and family interviews, and facility documents and policy, the facility failed to ensure a resident's privacy was maintained during medication administration for one resident (resident #27). This deficient practice could result in further violations of resident privacy. Findings include: An observation was made on April 9, 2025 at 07:51 a.m. Licensed Practical Nurse (LPN) Staff #23 prepared medications for Resident #27. Staff #23 stepped away from the medication cart and went into Resident #27's room and gave the medications, however the computer screen was not closed or locked, displaying Resident #27's name, date of birth and medications. […]