Desert Peak Care Center: Abuse Protection Failures - AZ
Under the facility's own written policy, all allegations of abuse are to be reported to the state within two hours of the facility becoming aware....
Latest reports, citations, and penalties from CMS data
Under the facility's own written policy, all allegations of abuse are to be reported to the state within two hours of the facility becoming aware....
Federal inspectors found multiple wheelchair safety violations at Balmoral Home during a November complaint investigation....
The facility has since reported correcting the cited issues....
The resident, whose name is withheld in the inspection record, had a laceration on their left lower leg....
State inspectors arrived at the East Providence nursing home on October 21 to find furniture blocking heating units in multiple resident rooms....
Federal inspectors observed Certified Nurse Aid #128 at 1:10 p.m....
Resident 3 was supposed to receive seizure prevention medication twice daily at 8:00 AM and 8:00 PM....
As of the most recent federal records, the facility has **not submitted a plan of correction** to address the cited deficiencies....
The violations centered on Enhanced Barrier Precautions, the layer of protection required when standard contact precautions don't apply....
A few residents were affected, according to the report....
The resident's doctor told inspectors on October 24 she expected Thermopolis Rehabilitation and Wellness to notify her if blood glucose exceeded 400....
But the assistant denied everything....
The resident, identified in inspection records only as R1, had asked for a bedside commode....
Federal inspectors visited the facility on August 29, 2025, following a complaint....
This includes injuries, declines in health status, changes in room assignment, and other significant developments....
The resident required total assistance with basic functions including toileting, bathing and transfers....
As of the most recent update, the facility has **not submitted a plan of correction** for any of the cited deficiencies....
The incident at Center for Living & Rehabilitation occurred on July 4, 2025, when staff found Resident #1 in bed with the injury to their right lower leg....
A PICC line, inserted directly into a large vein near the heart, requires regular sterile dressing changes to prevent infection....
State inspectors found the facility's systematic failure to follow wound care protocols during a November complaint investigation....