The Center at Tucson

In the surveyor’s words

From the most serious findings on record at The Center at Tucson, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF757Feb 11, 2022

  Based on clinical record reviews, staff interviews, and review of policies and procedures, the facility failed to ensure that two residents (#140 and #77) were administered medications according to physician orders, and that one resident (#70) receiving an anticoagulation medication was consistently monitored for signs and symptoms of bleeding. The sample size was 5. The deficient practice could result in residents receiving medications that are not necessary. Findings include: -Resident #140 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A physician order [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, patternF812Feb 11, 2022

  Based on observations and staff interviews, the facility failed to ensure food was served in accordance with professional standards for food service safety. The deficient practice could result in contamination placing residents at risk for foodborne illness. Findings include: -On 02/01/22 at 1:16 PM, an observation of meal delivery on the 2C unit was conducted. The meal cart was parked at the end of the 2C unit hallway. Staff were observed to deliver trays into resident rooms. The cart was moved down the hallway as the meals were delivered. The beverage pitchers, including milk, juices, and iced tea were not dated. The beverages were poured into glasses and placed onto the meal trays. The beverages were not covered. […]

• No harm, potential for more than minimal, patternF880Feb 11, 2022

  Based on observations, staff interviews, facility documentation, and review of policies and procedures, the facility failed to ensure that one staff (#14) and one vendor (#1) were consistently screened for COVID-19 upon entry to the facility, and that one staff (#52) performed appropriate hand hygiene during wound care. The deficient practice could result in the spread of infection. Findings include: Regarding COVID-19 screening: -Review of the timesheet for staff #14, a nursing assistant, for January 2022 revealed that the staff member worked January 6, 10, 11, 12, 13, and 16, 2022. On request, the facility was able to provide individual COVID-19 screening documents for staff #14 for January 2022. […]

• No harm, potential for more than minimal, isolatedF656Aug 16, 2024

  Based on clinical record review, resident and staff interviews, and facility policy review, the facility failed to ensure that a care plan related to food preference for one resident (#17) was implemented. The deficient practice could place resident at risk for malnutrition. Findings include: Resident #17 was admitted [DATE] with diagnoses of fractured right femur with closed fracture with routine healing, type 2 diabetes mellitus, and cognitive communication deficit. The physician order dated July 13, 2024 included for a diet order of regular diet, regular texture and thin consistency. The social history note dated July 15, 2024 included that the resident appeared to be alert, oriented to person, place, time and situation. […]

• No harm, potential for more than minimal, isolatedF806Aug 16, 2024

  Based on clinical record review, resident and staff interviews and facility policy review, the facility failed to ensure that the preference for a gluten free diet for one resident (#17) was honored. The deficient practice could result in resident's food preferences not accommodated and places the resident at risk for nutritional complications. Findings include: Resident #17 was admitted [DATE] with diagnoses of fractured right femur with closed fracture with routine healing, type 2 diabetes mellitus, and cognitive communication deficit. […]