Aspire Transitional Care
ASPIRE TRANSITIONAL CARE in FLAGSTAFF, AZ — inspection on August 21, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
contacted. An interview with Staff # 7 on August 20, 2025 at 3:02 p.m., revealed that if a resident
Nursing (DON/Staff # 29) and Administrator (ED/Staff # 14).An interview with CNA Staff # 56 on
Staff # 56 would report allegation to her nurse and assist in keeping resident safe. An interview with Director of Social Services Staff # 17 on August 20, 2025 at 2:37 p.m., revealed that if a resident makes an allegation of abuse or neglect Staff # 17 would notify ED (Staff # 14) and DON (Staff # 29).
Staff # 17 revealed that she has called APS for residents but not in allegations of abuse in facility, that is done by ED Staff # 14 or DON Staff # 29. An interview of ED (Staff # 14) on August 21, 2025 at 9:09 a.m. revealed that if a resident claimed to be abused or neglected, he would make sure resident is safe and start the investigation within 2 hours. ED (Staff # 14) revealed that the initial notification of abuse for Resident # 57 would be late if it came in along with the 5-day investigation. ED (Staff # 14) also revealed that APS and Ombudsman were not contacted for Residents # 57, 58, and 59, and police were not contacted for Resident # 57 and 59, during their investigations. A Policy and Procedure titled, Abuse, Neglect, and Exploitation reviewed on January 11, 2025, revealed that anyone with knowledge or concerns about the care of a resident in the facility must report suspected abuse to the Facility administrator, abuse agency hotline, or file a complaint with the state survey agency and adult protective services.
The Policy also revealed that when abuse, neglect or exploitation is suspected the Administrator or designee should contact the state agency and the local Ombudsman office to report the alleged abuse. In the event the facility staff or administration reasonably suspect a crime has been committed against the resident such individual is required to report such suspicion to the relevant state agency and one or more local enforcement agencies immediately (but not later than 2 hours after forming the suspicion if the events that lead to the suspicion result in serious bodily injury,) or not later than 24 hours if the events lead to the suspicion do not result in bodily injury.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.