Life Care Center of Sierra Vista

In the surveyor’s words

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

• Actual harm, isolatedF600Oct 18, 2024

  Based on clinical record review, staff interviews, facility documentation and policy review, the facility failed to protect the rights of one resident (#2) from sexual abuse by a visitor. The deficient practice resulted in the resident being sexually abused. Findings include: Resident #2 was admitted on [DATE] with diagnoses of cognitive communication deficit, Parkinson's disease, and anxiety disorder. The care plan with revision date of September 9, 2024 revealed the resident had actual and potential psychosocial well-being problem related to cognitive impairment, family discord and past history of physical and sexual abuse. […]

• Actual harm, isolatedF658May 31, 2024

  Based on clinical record review, staff interviews, review of facility documentation, facility policy, and the State Agency (SA) complaint tracking system, the facility failed to ensure there was a physician order for a narcotic medication that was administered to one resident (#2). The deficient practice could result in residents receiving unnecessary medication. Findings include: Resident #2 was admitted on [DATE] with diagnoses of paroxysmal atrial fibrillation and Alzheimer's disease. A care plan dated [DATE] included that this resident was at risk for falls related to cognitive impairment and hypotension. […]

• No harm, potential for more than minimal, patternF583Sep 9, 2025

  Based on a review of the clinical record, staff and resident interviews, and facility policy, the facility failed to ensure the resident's personal privacy and confidentiality of their medical records. The deficient practice could result in the exposure of personal/private medical information. Findings Include:An observation was conducted on September 09, 2025, at 4:18 AM, where medication Cart # 2 was left unattended with an unlocked computer displaying Residents' # 8,14,2,10,6,4, and 12 medical information. Licensed Practical Nurse (LPN/Staff #33) went to medication cart # 2 after coming out of a resident room. Resident # 8 was admitted to the facility on [DATE], with diagnoses of chronic kidney disease, dementia, and anxiety. […]

• No harm, potential for more than minimal, patternF761Sep 9, 2025

  Based on observation, interviews, and review of facility policy and procedure, the facility failed to ensure medications including controlled substances were stored according to regulation and facility policy. The deficient practice could lead to residents gaining access to medications.Findings include:An observation was conducted on [DATE], at 4:10 A.M. of the facility hallway between the 100 and 300 hall units. There was an open doorway, with no restriction to walk between the two units. At the corner of the two units was a nurse's station, and behind the nurse's station was a medication cart that was not locked. A bottle labeled as iron tablets was on top of the medication cart. There were no staff observed in proximity to this nurse's station. […]

• No harm, potential for more than minimal, patternF812Sep 9, 2025

  Based on observations, staff interviews, facility documentation, and a review of policies and procedures, the facility failed to ensure that food items in the freezer were properly labeled and dated. This deficient practice had the potential to result in food contamination, which could cause illness or food poisoning among residents.Findings Include:On September 7, 2025, at 10:15 a.m., during an initial walk-through visit with [NAME] #27, who was present on behalf of the kitchen manager (Staff #42), a partially full plastic bag of broccoli without a label or date, was observed sitting on a shelf inside the freezer.An interview was conducted immediately following the observation, on September 7, 2025, at 10:20 a.m., with [NAME] #27. […]