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Desert Cove Nursing Center: Abuse Protection Failure - AZ
Staff interpretations of the incidents varied dramatically....
Latest reports, citations, and penalties from CMS data
Staff interpretations of the incidents varied dramatically....
The finding emerged during a complaint investigation at the Decatur facility....
When a facility fails to make these records accessible, **residents lose a primary tool for understanding and advocating for the quality of their own care**....
The facility has not filed a plan of correction....
The facility received **four total deficiencies**, including a citation for failing to meet federal pharmaceutical safety standards....
Federal inspectors observed Resident 126 using an oxygen concentrator at 2 liters per minute through a nasal cannula on November 16, 17, and 18....
The November 5 incident at Life Care Center of Waynesville involved Resident #5, who staff assessed as severely cognitively impaired with Parkinson's disease....
The incident unfolded on August 5, 2025, when LPN #2 heard Resident #1 cursing in his room at The Oaks Rehabilitation and Healthcare Center....
The unwitnessed fall occurred on November 7 at approximately 11:00 p.m....
The filthy conditions extended throughout the facility's kitchen....
The Director of Nursing acknowledged the resident's resistance during a September 19 interview....
But when inspectors tested this system, they found it didn't work....
The July 26 incident at Mountain View Center Genesis Healthcare sent the resident to the hospital with a broken left hip and multiple pelvic fractures....
The facility's own Director of Nursing described exactly what that meant....
Resident 70 described the infestation matter-of-factly when inspectors visited his room....
Improper storage can allow bacterial growth, particularly in temperature-sensitive items such as dairy, meat, and prepared foods....
The abuse occurred at 8:22 P.M....
Resident 1's son visited his father on October 18 and found his left ankle wrapped with visible red areas on the skin of his legs....
The facility has not submitted a plan of correction for the cited deficiency....
The September incident at Mitchell-Hollingsworth Nursing & Rehabilitation involved two residents who were standing in the hallway around 11 a.m....