Phoenix Center for Rehabilitation and Nursing,The

In the surveyor’s words

From the most serious findings on record at Phoenix Center for Rehabilitation and Nursing,The, in the surveyor’s own words.

• Immediate jeopardy, widespreadF689May 20, 2026

  Based on review of facility policy, observations, review of facility documentation and staff interviews, it was determined the facility failed to ensure hot water temperatures in residents' room and shower rooms were maintained at a safe temperature on one of three nursing units (Third floor). This failure placed the residents at risk of serious injury from a burn and resulted in an Immediate Jeopardy Situation. Findings include:Review of facility policy, Safety of Water Temperatures, revised December 2018, indicated tap water in the facility shall be kept within a temperature range to prevent scalding of residents. […]

• Immediate jeopardy, widespreadF689Jun 2, 2025

  Based on review of facility policy, facility documentation, observations, and staff interviews, it was determined the facility failed to ensure hot water temperatures in residents' room and shower rooms were maintained at a safe temperature on three of three nursing units (First, Second and Third floors). This failure placed the residents at risk of serious injury from a burn and resulted in an Immediate Jeopardy Situation. Findings Include: Review of facility policy and procedure titled Test and Log the Hot Water Temperatures, undated, stated for burn prevention, federal guidelines advise that you keep domestic water temperatures below 120 degrees Fahrenheit, although this temp can still cause burns if exposure reaches five minutes. […]

• No harm, potential for more than minimal, widespreadF880Aug 22, 2024

  Based upon review of facility policy and procedure, observation, and clinical record review, it was determined the facility failed to establish Enhanced Barrier Precautions for four of four residents observed (Resident 16, Resident 54, Resident 58, and Resident 173). Findings include: Review of facility policy and procedure titled Enhanced Barrier Precaution (EBP) Policy and Procedure revealed It is the policy of the facility to follow state and federal guidelines to minimize the spread of Multidrug Resistant Organisms (MDROs) by implementing effective Personal Protective Equipment (PPE) usage. […]

• No harm, potential for more than minimal, patternF689Aug 21, 2026

  Based on observation, facility record review, facility policy review and resident and staff interviews, it was determined the facility failed to ensure resident cigarettes and lighters were stored securely and monitored for 14 of 15 residents (Residents 3, 5, 10, 14, 16, 30, 38, 41, 54, 63, 82, 87, 98, and 102) on two units, and failed to ensure five of 15 residents were assessed for smoking safety timely. (Residents 10, 14, 30, 54, and 82).Findings include:Review of facility policy titled Smoking Policy Residents (Revised July 2017), revealed: The resident will be evaluated on admission to determine if he or she is a smoker or non-smoker. […]

• No harm, potential for more than minimal, patternF921Aug 21, 2026

  Based on interview and observation, it was determined that the facility failed to provide a safe and sanitary environment for two medication rooms observed (first and second floor medication rooms).Findings include: Observation of the first-floor medication room behind the nursing station on August 19, 2026 at approximately 10:53 a.m. revealed missing ceiling tiles, ceiling tiles with brown stains, liquid leaking from the ceiling, two basins on the floor containing clear liquid, blistered paint on the wall against which shelves of supplies and a treatment cart where placed, brown streaks on the same wall that appeared to be dried leaks, two sinks with dried brown substance in them, an opened gallon jug labelled spring water with no open date and an expiry date of January 31, 2026, and… […]