Life Care Center Of Scottsdale

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interviews, facility documentation, and review of facility's policy, the facility failed to ensure that 1 out of 4 sampled residents (Resident # 52), received only medications that were ordered for them by a physician. The deficient practice could result in adverse drug interactions.Findings include:Resident # 52 was admitted to the facility on [DATE] with diagnosis that included hypo-osmolality and hyponatremia, acute skin changes due to ultraviolet radiation, dysphagia, difficulty walking, and unspecified malignant neoplasm of skin of left lower limb, including hip. Review of the order summary report revealed no orders for Duloxetine 30 milligrams (mg) nor Omeprazole 20 mg. Review of the medical diagnosis revealed no diagnosis of depression or gastroesophageal reflux disease (GERD). Review of the Minimum Data Set (MDS) dated [DATE] revealed no indication of depression or anxiety. The MDS also revealed no active diagnoses of any psychiatric or mood disorders. A Case Management note dated…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, resident representative and staff interviews, and policy review, the facility failed to ensure that an incident involving staff to resident abuse was documented completely in the clinical record for 1 of 3 sampled residents (#14). The deficient practice could result in incomplete documentation in resident medical records and continued abuse. Findings include: Resident #14 was admitted to the facility on [DATE] with diagnoses that included entercolitis due to clostridium difficile, fracture of the left ulna, fracture of nasal bones, fracture of the left radius, anxiety, female genital prolapse, major depressive disorder, vaginal enterocele, and dysphagia. An admission Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 10, which indicated moderate cognitive impairment. Review of the facility investigation dated April 30, 2025 revealed that at 3:45 p.m. on April 30, 2025, an Occupational Therapist (OT/Staff#127) reported to the Director…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record reviews, staff interviews, and review of policy, the facility failed to ensure one of one sampled resident's (#148) and/or the representative were provided opportunities for participation in the care and treatment planning process. The deficient practice could result in residents not being provided the opportunity to participate in the care planning process. Findings include: Resident #148 was admitted on [DATE] with diagnoses that included subdural hemorrhage, cognitive communication deficit, and atrial fibrillation. Review of a Health Care Power of Attorney, dated March 15, 2006, included the resident's signature and indicated that her son was designated as her agent for all matters relating to her healthcare. Review of the admission information dated March 23, 2023, revealed that Resident #148 was her own responsible party, and her emergency contact was her son. Review of the clinical record revealed no evidence that the baseline care plan was reviewed with the resident or…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on documentation, staff and resident interviews, and policy and procedures the facility failed to ensure that one of one sampled residents (#145) received adequate supervision to prevent accidents. The deficient practice could result in resident injuries. Resident #145 was admitted on [DATE] with diagnoses that included fracture of left humerus, subluxation of left shoulder, heart failure, type 2 diabetes, atrial fibrillation, and long term use of insulin. Resident #147's comprehensive care plan initiated on April 25, 2024 and revised on August 09, 2024, included the following: -Resident requires ADL assistance with interventions including to assist with mobility. -Activity of Daily Living (ADL) self-care performance deficit related to limited mobility and pain, with interventions to encourage resident to use bell to call for assistance. -At risk for falls, deconditioning, gait/balance problems, vision/hearing problems with interventions that included to anticipate the resident's needs, educate…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, staff interviews, and facility policy, the facility failed to ensure that refrigerated food was not expired. The deficient practice could result in potential affect to all residents in facility. During the initial tour of the kitchen on September 09, 2024 at 8:39AM, conducted with the Dietary Manager (Staff #9), during an observation of the refrigerator, one container of Horseradish was labeled with a received date of 11/8/2023 and opened on 11/10/23. Further observed revealed that the best used by date from the manufacture was April 06, 2024. The Dietary Manager stated that they can use the Horseradish condiment after the used by the date for up to a year. The Dietary Manager immediately throw the horseradish condiment into a trashcan. An interview was conducted on September 11, 2024 at 09:12 AM with the Dietary Manager (Staff #9) and Consultant Dietitian (Staff #185). The Consultant Dietitian stated that the facility process for the expired food is that it should be discarded and thrown away. She further stated that the food can be used after the best if used…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical records, facility documents, staff interviews, and facility policy, the facility failed to ensure residents wounds were assessed and treated per professional standards for 3 residents. (#11, 4, 19). This deficient practice can result in significant increases in morbidity and mortality related to wounds. Findings include: Regarding Resident #11: -Resident #11 was admitted to the facility on [DATE] with diagnoses of osteomyelitis of the vertebra, sacral and sacrococcygeal region, paraplegia and encounter for surgical aftercare. A care plan initiated 7/2/2023 included that the resident has a break in skin integrity with interventions to provide treatment as ordered and a pressure reducing mattress. An admission Minimum Data Set (MDS) dated [DATE] included this resident is cognitively intact, has 1 stage 4 pressure ulcer and a surgical wound. A CAA(Care Area Assessment) Worksheet included (Resident #11) has a (history of pressure injury) which has now been treated surgically with flap closure. She…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical records, facility documents, staff interviews, and facility policy, the facility failed to ensure residents pressure wounds were assessed and treated per professional standards for 1 residents. (#19). This deficient practice can result in significant increases in morbidity and mortality related to wounds. Findings include: -Resident #19 was admitted on [DATE] with diagnoses of nondisplaced fracture of base of neck of right femur. Review of hospital records dated 5/29/2024 did not include pressure ulcers. An admission MDS dated [DATE] included this resident does not have memory issues and was independent for making decisions for daily life. This MDS was not completed in sections on M Skin Conditions or GG Functional Abilities and Goals. A care plan dated 5/29/2024 did not include pressure ulcers or risk of developing pressure ulcers. An Admission/readmission Collection Tool included that the resident had a right heel intact clear blister. This note included that the resident was to be seen by…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on resident and staff interviews, review of the clinical record, facility documentation and policy, the facility failed to ensure that code status was consistent in the medical record for two residents (#21 and #306). The deficient practice could result in resident not receiving care consistent with their signed advance directive. Findings include: -Resident #21 was admitted on [DATE] with diagnoses of unspecified fracture of right patella, subsequent encounter for closed fracture with routine healing, COVID-19, chronic obstructive pulmonary disease with (acute) exacerbation, type 2 diabetes with diabetic neuropathy and anemia. The physician order dated [DATE] revealed a code status of do not resuscitate (DNR). The baseline care plan dated [DATE] revealed the resident had an advanced directive of DNR-do not resuscitate and had a signed DNR. Interventions included for advanced directives will be honored. Continued review of the electronic clinical record revealed documentation that the resident had a DNR…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, clinical record review, staff interviews, and policy review, the facility failed to ensure two sampled residents (#40 and #35) had a physician order for oxygen use prior to its administration. The deficient practice could result in oxygen not administered appropriately and as recommended by the physician. Findings include: -Resident #40 was admitted on [DATE] with diagnoses of COVID-19, pneumonia due to Coronavirus disease 2019 and asthma with acute exacerbation. A review of the care plan dated December 22, 2022 revealed the resident had COVID-19 infection. Intervention included medication as ordered. However, the care plan did not include the use of oxygen with interventions. A review of admission/readmission note dated December 22, 2022 included the resident was admitted with pneumonia and ESRD (end stage renal disease). Per the documentation, the oxygen saturation was 95 on 3 liters NC (nasal cannula). Review of the order note dated December 22, 2022 revealed the resident desaturated to…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on staff interviews, facility documentation and policy and the Centers for Medicare and Medicaid Services (CMS) interim final rule requirements, the facility failed to ensure twelve staff members (#91, #89, #75, #96, #70, #86, #78, #61, #63, #24, #31 and #29) were vaccinated for COVID-19. The facility census was 57 residents. The deficient practice could result in the spread of COVID-19 in the facility. Findings include: Review of facility documentation revealed a staff list with COVID-19 vaccination information. On this list, 11 staff members did not have documentation indicating that they were fully vaccinated for COVID-19 or had vaccination exemptions or had an approved temporary delay of vaccination. According to the documentation, one staff (#29) was partially vaccinated and did not have documentation staff had vaccination exemptions or an approved temporary delay of vaccination. An interview was conducted with the Infection Preventionist (staff #27) on January 19, 2023 at 11:54 am. She stated all staffs hired are required to have primary COVID-19 vaccination completed…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on closed record review, staff interviews, and review of facility policy and procedure, the facility failed to ensure that all transfer/discharge notifications were made for one resident (#53). The deficient practice could lead to notifications of resident transfer/ discharge not being made to all required parties. Findings include: Resident # 53 was admitted [DATE] with diagnoses of unspecified nephritic syndrome with diffuse membranous glomerulonephritis, acute kidney failure, unspecified atrial fibrillation and dependence on renal dialysis. A physician order dated [DATE] revealed an order to send the resident to the acute care hospital. The transfer to hospital form (interact) dated [DATE] included the resident was sent to an acute care hospital on [DATE] for respiratory arrest. A progress note dated [DATE] revealed the resident was sent to an acute care hospital and the MD (medical doctor) was notified. Continued review of the clinical record revealed no further documentation related to this incident…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on resident and staff interviews, review of the clinical record, facility documentation and policy, the facility failed to meet professional standards of practice by failing ensure a wound treatment solution was not left at bedside and available for use for one resident (#35). The deficient practice resulted in the resident improperly and inappropriately taking the medication. Findings include: Resident #35 was admitted on [DATE] with diagnoses of osteomyelitis of vertebra, sacral and sacrococcygeal region, muscle weakness, need for assistance with personal care and difficulty in walking. The care management note dated December 16, 2022 included the resident had a sacral wound. A skilled note dated December 18, 2022 included the resident had osteomyelitis of the vertebra, sacral and sacrococcygeal region. The minimum data set (MDS) assessment signed December 27, 2022 revealed the brief interview of mental status (BIMS) was not completed. A physician order dated January 4, 2023 included for Dakin's ¼…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, resident and staff interviews, and policies and procedures, the facility failed to ensure one resident (#354) received ostomy care in accordance with professional standards of practice. The deficient practice could result in untimely waste removal and complications such as skin breakdown. Findings include: Resident #354 was admitted to the facility on [DATE] with diagnoses of urinary tract infection, surgical aftercare following surgery on the digestive system and need for assistance with personal care. The admission MDS (Minimum Data Set) assessment dated [DATE] included the resident required extensive assistance with bed mobility, transfers and toilet use. The assessment also included that ostomy was coded. The physician order summary included an order dated January 18, 2023 to cleanse the abdomen with NS (normal saline), lightly pack openings with 1/4 Dakins soaked iodoform packing and cover with dry dressing daily every day shift for wound care. However, there was no order…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, resident and staff interviews, and policy review, the facility failed to ensure that ongoing assessment and monitoring for complications pre and post-dialysis treatments was provided for one resident (#35). This deficient practice could result in complications with the fistula/shunt not identified and managed. Findings include: Resident #35 was admitted to the facility on [DATE] with diagnoses of end stage renal disease ESRD and dependence on renal dialysis. A physician order dated December 14, 2022 revealed to send resident to dialysis on Monday, Wednesday and Friday; medication orders had appropriate times of at least 2 hours prior to or after return from dialysis; and, pre-and post-dialysis vitals and weight every shift every Tuesday, Thursday and Saturday. The care plan dated December 14, 2022 revealed resident had chronic renal failure related to kidney disease (ESRD). The goal was that the resident will have no signs or symptoms or complications related to fluid deficit.…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.