Heritage Court Post Acute of Scottsdale

In the surveyor’s words

From the most serious findings on record at Heritage Court Post Acute of Scottsdale, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF552Apr 18, 2025

  Based on clinical record review, staff interviews, and review of facility policy, the facility failed to ensure that one resident (#59) and/or their representative were informed of the risks and benefits of psychotropic medications prior to the administration of the medications. The sample size was 5. The deficient practice could result in residents and/or resident representatives not being aware of the benefits and the potential adverse side effects of psychoactive medications. Findings include: Resident #59 was admitted on [DATE] with diagnoses that include type II diabetes, depression, anxiety, left leg amputation above the knee, thrombosis and embolism of thoracic aorta, insomnia, and chronic pain. […]

• No harm, potential for more than minimal, patternF622Sep 8, 2022

  Based on clinical record review, family and staff interviews, and facility policies and procedures, the facility failed to provide documentation of two residents' (#1 and #2) assessments provided to a receiving provider. The sample size was four. The deficient practice could result in receiving facilities not having the necessary information for continuing care of residents. Findings include: -Resident #1 was admitted on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A nursing note dated August 23, 2022 7:13 pm included that the wife asked to speak to the nurse and requested to send out the patient to the hospital. Patient stated, I want to go home. Wife stated, No, you are going to the hospital. three of your doctors are there. […]

• No harm, potential for more than minimal, patternF660Sep 8, 2022

  Based on clinical record review, staff interviews and policy review, the facility failed to ensure services were in place for a safe discharge for 2 residents (#3 and #8). The deficient practice could result in unsafe discharge. Findings include: - Resident #3 was admitted to the facility on [DATE] and discharged to home on 8/7/2021. This resident had a discharge order for home health services for physical therapy (PT), occupational therapy (OT), medication management, and a home safety evaluation. […]

• No harm, potential for more than minimal, isolatedF600Jun 5, 2026

  Based on clinical record review, staff interviews, and facility policy, the facility failed to protect the rights of two out of the four sampled residents (Resident #18 and Resident #21) to be free from Physical abuse by another resident (Resident #11 and Resident #51). The deficient practice could result in the other residents being abused. Findings Include: -Regarding Resident #18 and Resident #11: Resident #18 was admitted to the facility on [DATE], with diagnosis of T Acute and Subacute Infective Endocarditis, Schizoaffective disorder, anxiety disorder, chronic viral hepatitis C, and other psychoactive substance abuse. […]

• No harm, potential for more than minimal, isolatedF609Sep 9, 2025

  Based on clinical record review, staff interviews, facility documentation, and policy review, the facility failed to report allegations of abuse for one resident (#1). The deficient practice could result in allegations of abuse not being reported, not investigated, and residents not being protected from further abuse.Resident #1 was admitted on [DATE] with diagnosis included fracture of left femur, difficulty in walking, anxiety disorder, depression, anemia, and cerebral infarction.The Admissions Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 15 indicating that resident is cognitively intact.Nursing note dated August 15, 2025 at 09:30AM revealed the patient informed, thinks she was gang raped by night staff. […]