Life Care Center of Scottsdale

In the surveyor’s words

From the most serious findings on record at Life Care Center of Scottsdale, in the surveyor’s own words.

• Actual harm, isolatedF686Sep 12, 2024

  Based on closed record review, staff interviews, and review of facility policy, the facility failed to ensure care and services were provided to prevent pressure ulcers from developing and worsening for one (#144) of one resident. The deficient practice could result in a decline in a resident's overall health. Findings include: Resident #144 was admitted to the facility on [DATE] with diagnoses including major depressive disorder, paraplegia, and multiple sclerosis. Review of the care plan revealed a focus dated April 18, 2023 that the resident was at risk for breaks in skin integrity. […]

• No harm, potential for more than minimal, patternF684Jun 4, 2024

  Based on clinical records, facility documents, staff interviews, and facility policy, the facility failed to ensure residents wounds were assessed and treated per professional standards for 3 residents. (#11, 4, 19). This deficient practice can result in significant increases in morbidity and mortality related to wounds. Findings include: Regarding Resident #11: -Resident #11 was admitted to the facility on [DATE] with diagnoses of osteomyelitis of the vertebra, sacral and sacrococcygeal region, paraplegia and encounter for surgical aftercare. A care plan initiated 7/2/2023 included that the resident has a break in skin integrity with interventions to provide treatment as ordered and a pressure reducing mattress. […]

• No harm, potential for more than minimal, patternF578Jan 19, 2023

  Based on resident and staff interviews, review of the clinical record, facility documentation and policy, the facility failed to ensure that code status was consistent in the medical record for two residents (#21 and #306). The deficient practice could result in resident not receiving care consistent with their signed advance directive. Findings include: -Resident #21 was admitted on [DATE] with diagnoses of unspecified fracture of right patella, subsequent encounter for closed fracture with routine healing, COVID-19, chronic obstructive pulmonary disease with (acute) exacerbation, type 2 diabetes with diabetic neuropathy and anemia. The physician order dated [DATE] revealed a code status of do not resuscitate (DNR). […]

• No harm, potential for more than minimal, patternF695Jan 19, 2023

  Based on observations, clinical record review, staff interviews, and policy review, the facility failed to ensure two sampled residents (#40 and #35) had a physician order for oxygen use prior to its administration. The deficient practice could result in oxygen not administered appropriately and as recommended by the physician. Findings include: -Resident #40 was admitted on [DATE] with diagnoses of COVID-19, pneumonia due to Coronavirus disease 2019 and asthma with acute exacerbation. A review of the care plan dated December 22, 2022 revealed the resident had COVID-19 infection. Intervention included medication as ordered. However, the care plan did not include the use of oxygen with interventions. […]

• No harm, potential for more than minimal, patternF888Jan 19, 2023

  Based on staff interviews, facility documentation and policy and the Centers for Medicare and Medicaid Services (CMS) interim final rule requirements, the facility failed to ensure twelve staff members (#91, #89, #75, #96, #70, #86, #78, #61, #63, #24, #31 and #29) were vaccinated for COVID-19. The facility census was 57 residents. The deficient practice could result in the spread of COVID-19 in the facility. Findings include: Review of facility documentation revealed a staff list with COVID-19 vaccination information. On this list, 11 staff members did not have documentation indicating that they were fully vaccinated for COVID-19 or had vaccination exemptions or had an approved temporary delay of vaccination. […]