Phoenix Center for Rehabilitation and Pediatrics

In the surveyor’s words

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

• Actual harm, isolatedF689Oct 6, 2023

  Based on interviews, medical records (MR), and other pertinent facility documentation on 10/4/2023,10/5/2023, 10/6/2023, and 10/11/23, it was determined that the facility failed to adequately supervise a resident with a known history of behaviors for self-harm and suicidal ideation and follow the facility policy titled Suicidal Residents for 1 of 1 resident (Resident #4) reviewed for incident and accident. This deficient practice was evidenced by: According to the Admission Record (AR), Resident #4 was admitted to the facility on [DATE], with diagnoses that included but were not limited to Schizoaffective Disorder, Borderline Personality Disorder, Major Depressive Disorder, and Anxiety. […]

• No harm, potential for more than minimal, widespreadF880Aug 31, 2022

  Based on observation, interview, and record review, it was determined that the facility failed to ensure that: a.) appropriate hand hygiene was performed by 2 of 16 staff observed during recreation activity and care, b.) PPE (personal protective equipment) is properly disposed of for 1 of 7 receptacles in accordance with the Centers for Disease Control and Prevention (CDC) guidelines for infection control and facility policies, c.) the Covid-19 testing wait time was followed according to the facility's posted instructions and the manufacturer's Covid-19 instruction card for COVID-19 testing for 1 of 10 visitors, d.) staff performed daily COVID-19 screening and monitoring for 3 of 5 staff reviewed, e.) residents received daily COVID-19 Screening and Monitoring every shift for 6 out of 12… […]

• No harm, potential for more than minimal, patternF677Jul 10, 2026

  Repeat DeficiencyComplaint # 2977054Based on observation, interview, record review, and review of pertinent facility documents, it was determined that the facility failed to show residents who were dependent on staff for activities of daily living (ADL) consistently received care assistance. This deficient practice was identified for 2 of 2 sampled residents who were dependent for ADLs, and was evidenced by the following: 1.) On 6/30/26 at 11:30 AM, the surveyor observed Resident #19 seated in a motorized wheelchair, dressed and conversant. […]

• No harm, potential for more than minimal, patternF698Jan 28, 2025

  Based on observation, interview, review of medical records, and other facility documentation, it was determined that the facility failed to complete post-dialysis assessments for residents on dialysis (a treatment that replicates the kidney's function and cleans the waste from blood for individuals with kidney disease or kidney failure). This deficient practice was identified for 2 of 2 residents (Resident # 127 and #179) reviewed for dialysis and was evidenced by the following: 1. On 1/21/25 at 11:00 AM, during the initial tour of the 4th floor unit, the surveyor observed that Resident #127 was not in his/her room. The Charge Nurse (CN) stated that the resident was at dialysis. […]

• No harm, potential for more than minimal, patternF711Oct 25, 2023

  Based on record review and interview it was determined that the facility failed to ensure that the physician responsible for supervising the care of residents signed and dated monthly physician's orders. This deficient practice continued over several months for 13 of 35 residents (#110, 182, 87, 129, 58, 101, 141, 37, 158, 113, 32, 24, and #51) reviewed and was evidenced by the following: 1. Resident #110's hybrid medical record revealed the resident's physician had not hand signed or electronically signed the monthly physician's orders for July 2023, August 2023, and September 2023. 2. Resident #182's hybrid medical record revealed the resident's physician had not hand signed or electronically signed the monthly physician's orders for July 2023, August 2023, and September 2023. 3. […]