Desert Cove Nursing Center
Inspection Findings
F-Tag F0677
F 0677 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
fundamental principle that applies to all treatment and care provided to facility residents. Based on the comprehensive assessment of a resident, the facility must ensure that's residents receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices. The facility must provide care and services in accordance with paragraph (a) for
the following activities of daily living: bathing, dressing, grooming, and oral care. A resident who is unable to carry out activities of daily living receives the necessary services to maintain good nutrition, grooming, and personal and oral hygiene.Review of the facility policy titled Tub Baths and Showers, revised May 19, 2025, revealed that tub baths and showers provide personal hygiene, stimulate circulation, and reduce tension for
a patient. They also allow observation of the condition of a patient's skin and assessment of joint mobility and muscle strength. The implementation of a tub bath or shower included to document the procedure.
Documentation associated with tub baths and showers includes: skin condition, discoloration or redness, tolerance of the procedure, and teaching provided to the patient and family (if applicable).Review of the facility policy titled Nursing Documentation, issued August 20, 2019, revealed this facility will ensure nursing documentation is consistent with professional standards of practice, the state nurse practice act, and any state laws governing the scope of nursing practice. The medical record must reflect the resident's condition and the care and services provided across all disciplines to ensure information is available to facilitate communication among the interdisciplinary team. The medical record must contain an accurate representation of the actual experience of the resident and include enough information to provide a picture of the resident's progress, including his/her response to treatment and/or services, and changes in his/her condition, plan of care goals, objectives and/or interventions.
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Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
09/19/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Desert Cove Nursing Center
1750 West Frye Road Chandler, AZ 85224
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0684
F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
and flushing the catheter, and to empty the catheter every shift and that some require more frequent emptying. Staff #9 stated that if a resident had a physician order to empty the catheter and monitor the output, then the nurse or the CNA would record the amount of urine that was emptied. Staff #9 stated that if
the catheter bag was not emptied regularly or only emptied once a day, then that could cause an infection.An interview was conducted with the Social Services Director (Staff #36) on September 19, 2025, at 11:35 A.M. Staff #36 stated that if a resident raises a concern or complains about something then Staff #36 speaks to the resident and fill out a comment and concern card, and that Staff #36 takes it to the management team to have the issue addressed. Staff #36 stated that Resident #5 will say care items have not been completed by staff, and that Resident #5 had raised a concern about his catheter bag not being emptied.An interview was conducted with the Director of Nursing (DON / Staff #80) on September 19, 2025, at 11:51 A.M. Staff #80 stated that daily catheter care includes cleansing with soap and water, emptying the catheter, and that some require flushing. Additionally, the DON stated that the care is recorded on the MAR / TAR. The DON stated that the importance of daily catheter care is to keep it clean and to prevent infection. Additionally, Staff #80 stated that if a resident had a physician order to empty the catheter bag and monitor the output three times a day then that would be important to prevent infections and to prevent the bag from getting too full with urine backing up into the catheter tube. Also, the DON stated that if the physician order indicated to empty the catheter bag three times a day, and it was only completed once a day, then that would not meet her expectations. The MAR/TAR for August 2025 was reviewed together, and the DON stated that there were blank log entries for multiple dates and times, and that it could mean that the CNA did not get the information to the nurse. The DON stated that there was no other way to tell if the catheter was emptied or not.Review of the facility policy titled Indwelling Urinary Catheter (Foley) Management, revised June 27, 2023, revealed that the facility will ensure that residents admitted with a urinary catheter, or determined to need a urinary catheter for a medical indication will have
the following areas addressed: insertion, ongoing care, and catheter removal protocols that adhere to professional standards of practice and infection prevention and control procedures and ongoing monitoring for changes in condition related to potential catheter acquired UTIs, recognizing, reporting and addressing such changes. Additionally, a resident who is incontinent of bladder receives appropriate treatment and services to prevent urinary tract infections and to restore continence to the extent possible. General guidelines for urinary catheter maintenance include to empty the collecting bag regularly using a separate, clean collecting container for each patient.
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Desert Cove Nursing Center in CHANDLER, AZ inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in CHANDLER, AZ, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Desert Cove Nursing Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.