Latest reports, citations, and penalties from CMS data
The most serious oversight involved a resident whose resuscitation status changed from full code to do-not-resuscitate in March....
Anything over 400 requires 10 units and a call to the doctor....
The facility has since reported correcting the deficiency as of **September 17, 2025**....
The deficiency was classified at **Scope/Severity Level D**, meaning it was isolated to a specific instance and did not result in documented actual harm....
The September 2025 finding represents the most serious category of deficiency in the federal nursing home oversight system....
The deficiency was classified at **Scope/Severity Level D**, meaning it was isolated in nature and did not result in documented actual harm....
Sabino Canyon Rehabilitation & Care Center was cited under federal tag F0689, which covers accident prevention and supervision....
In the walk-in freezer, inspectors found an opened bag of diced peppers with no date label and an opened bag of waffles, also undated....
The facility reported correcting the issue by **December 5, 2025**....
This distinction is significant....
Instead, staff worked for months without basic infection control measures designed to prevent the spread of drug-resistant organisms....
Security camera footage captured the resident leaving the facility at 3:32:05 PM and crossing to the hospital parking lot moments later....
The oversight involved Resident #99, whose dry, red, and swollen skin on hands and arms went unrecorded during the admission process on August 27....
Federal inspectors found widespread kitchen safety failures at Artesia Healthcare & Rehabilitation Center during a September 23 complaint investigation....
That designation means inspectors determined the facility's failures had already caused, or were likely to cause, serious injury or death....
When a facility fails to uphold these standards, the consequences extend beyond the specific incident documented by inspectors....
The system offers five children's sizes and nine additional sizes ranging from extra small to 5XL....
The nurse, identified as Staff C, never called the medical provider or the facility's on-call service to report the serious injury....
The facility has not submitted a plan of correction....
The facility's own administrator told inspectors the finding was substantiated....