Tempe Post Acute

In the surveyor’s words

From the most serious findings on record at Tempe Post Acute, in the surveyor’s own words.

• Actual harm, isolatedF689May 12, 2026

  Based on documentation, staff interviews, and the facility policy and procedures, the facility failed to ensure that adequate supervision was provided to ensure that Resident #11 did not elope. The deficient practice could result in residents being injured, abused, or lost.Findings include:Resident #11 was admitted to the facility on [DATE], and discharged on May 9, 2026, with diagnosis that included aphasia, depression, and anxiety.A physician order dated April 13, 2026, revealed that Resident #11 may go out on pass with medications and responsible party.A physician order dated April 13, 2026, was written for levetiracetam oral tablet 100 mg/ml (milligram/milliliter) to give 5ml by mouth two times a day for seizure disorder.An elopement evaluation dated April 13, 2026, revealed that… […]

• No harm, potential for more than minimal, patternF658Nov 21, 2024

  Based on clinical review, staff interviews, and facility policy, the facility failed to ensure that physician orders were followed according to professional standards regarding blood sugar monitoring for two out of five sampled residents (#215 and #46). The deficient practice could result in residents with high blood sugar. Findings Include: -Regarding resident #215: Resident #215 was admitted to the facility on [DATE] with diagnoses that included Type II Diabetes Mellitus without complications. The care plan for Diabetes Mellitus initiated on November 09, 2024 included an intervention of diabetes medication as ordered by doctor; monitor/document for side effects and effectiveness. […]

• No harm, potential for more than minimal, patternF812Dec 15, 2023

  Based on observations, staff interview, and policy review, the facility failed to maintain a clean and sanitary kitchen. The deficient practice could result in a potential for food borne illness. The resident census is 51. Findings include: During an initial walk through of the kitchen conducted with the Kitchen Manager (staff #46). On December 12, 2023 at 8:07 AM conducted initial kitchen tour with Staff #46, the Food Service Director. Logs for freezer, fridge, dishwasher, cleaning bucket, food temps, cleaning schedule, and sanitizing concentration were reviewed and revealed the log titled Cleaning List for Cook Daily hanging on clipboard nailed to wall was not completed for the Monday AM shift prior to morning food service. […]

• No harm, potential for more than minimal, patternF676Aug 10, 2022

  Based on closed record review, staff interviews and review of facility documentation, the facility failed to ensure that assistance with personal hygiene was provided to one resident (#33). The deficient practice could result in resident hygiene needs not being met. Findings include: Resident #33 was admitted on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The ADL (activities of daily living) care plan dated June 24, 2022 included the resident had ADL self-care performance deficit related to fracture of right femur, fall history, diabetes mellitus and hypertension. […]

• No harm, potential for more than minimal, patternF686Jan 26, 2021

  Based on clinical record review, staff interviews, and facility policy and procedures, the facility failed to ensure the necessary treatment and services were provided for three residents (#33, #38 and #46) as ordered by the physician. The deficient practice could result in residents not being assessed for the risk of developing pressure ulcers. Findings include: -Resident #33 was admitted on [DATE] with [DIAGNOSES REDACTED]. The Braden Scale assessment dated [DATE] revealed a score of 13 indicating the resident was at moderate risk of developing pressure ulcer. The daily skilled note dated January 8, 2021 included overall skin description of clean and dry. […]