Welbrook Yuma Opco LLC

In the surveyor’s words

From the most serious findings on record at Welbrook Yuma Opco LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Jul 21, 2022

  Based on observations, staff interview, and policy review, the facility failed to ensure food items were not moldy/rotten and the nourishment refrigerator temperature log was maintained. The deficient practice could increase the risk of foodborne illness. Findings include: Regarding moldy/rotten food During the initial kitchen observation conducted on July 18, 2022 at 10:37 a.m., a moldy jalapeno was found stored in a bin in the walk-in refrigerator. Another observation of the kitchen was conducted on July 20, 2022 at 10:55 a.m. During this observation, a rotten/moldy yellow onion and a container of overripe brown bananas which included one with its peel cracked open and others that had white moldy stems were found in the dry storage area. […]

• No harm, potential for more than minimal, isolatedF684Apr 16, 2026

  Based on clinical record review, staff and resident interviews, and facility policy review, the facility failed to ensure care and services were provided to one resident (#35) related to change in urine color. The deficient practice could result in delayed recognition of a change in condition and subsequent complications. Findings include: Resident #35 was admitted to the facility on [DATE] with medical diagnoses that included acute systolic (congestive) heart failure, myoneural disorder and stage 1 through stage 4 chronic kidney disease. The care plan dated March 28, 2026 revealed the resident had renal insufficiency CKD (chronic kidney disease), and the resident will have no signs/symptoms of complications related to fluid overload. […]

• No harm, potential for more than minimal, isolatedF757Apr 16, 2026

  Based on clinical record review, staff interviews, facility documentation and policy, the facility failed to ensure that medication to regulate hypertension were administered within physician's ordered parameters for one resident (#35). The deficient practice can result in further inaccurate management of blood pressure, potentially leading to worsening outcomes. Findings Included:Resident #35 was admitted to the facility on [DATE] with medical diagnoses that included hypertensive heart and chronic kidney disease with heart failure.An admissions Minimum Data Set (MDS) assessment dated [DATE] revealed the resident had a Brief Interview Mental Status (BIMS) score of 14, indicating intact cognition. […]

• No harm, potential for more than minimal, isolatedF600Jan 29, 2026

  Based on clinical record review, facility documentation, and staff interviews, the facility failed to protect the rights of one resident (#20) to be free from abuse. The deficient practice could result in residents being at risk for abuse. The sample size was 4. The facility census was 41. Findings include, -Regarding Resident # 20 Resident # 20 was admitted to the facility on [DATE] with clinical diagnosis that included fracture of the right fibula, Type 2 Diabetes Mellitus, opioid dependence, mood disturbance, anxiety, and need for assistance with personal care. The admission Minimum Data Set (MDS) revealed that the resident had a Brief Interview Mental Status (BIMS) score of 13, indicated intact cognition. […]

• No harm, potential for more than minimal, isolatedF636Jan 29, 2026

  Based on clinical record review, staff interviews, facility policy, and the Resident Assessment Instrument (RAI) manual, the facility failed to complete a comprehensive Minimum Data Set (MDS) assessment within the regulatory timeframe of 14 days after admission for resident (#3). The deficient practice could result in delayed identification of potential risks and care needs. Findings include:-Regarding Resident # 3 Resident# 3 was admitted to the facility on [DATE] with need for assistance with personal care, malignant neoplasm of prostate, uncomplicated substance abuse, long term (current) use of anticoagulants, and acute cystitis without blood in urine. […]