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Complaint Investigation

Peoria Post Acute And Rehabilitation

September 11, 2025 · Peoria, AZ · 13215 North 94th Drive
Citations 1
CMS Rating 4/5
Beds 179
Provider ID 035144
Healthcare Facility
Peoria Post Acute And Rehabilitation
Peoria, AZ  ·  View full profile →
Inspection Summary

Peoria Post Acute and Rehabilitation in PEORIA, AZ — inspection on September 11, 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.

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Inspection Findings

FF0761
Pharmacy Service Deficiencies
Potential for More Than Minimal Harm

The facility failed to ensure that one medication cart was secured when left unattended.

The deficient practice could result in residents, visitors, and/or staff members having unrestricted access to medications.

Findings include: An observation of a medication cart was conducted on September 11, 2025, at 12:07 p.m., with 2 surveyors present, who observed that a cart was left unattended and unlocked. An interview was conducted on September 11, 2025, at 12:09 p.m. with Registered Nurse, Staff #41, who confirmed that the cart was unlocked in the hallway.

The RN Staff #41 stated that if the cart is left unlocked and unattended, people could get into the cart and get into the medications. An interview was conducted on September 11, 2025 09:00 a.m. with the Director of Nursing (DON), Staff #67, who stated that her expectations were that if a staff member was not present, medication carts should be locked and secured.

The risks that present themselves are that residents have access to medications.

The facility policy reviewed in November 2024, titled, Pharmacy Services Drug Storage, revealed that drugs and/or biologicals should not be left unsecured/unattended.

The policy further stated that medication and treatment carts will be kept locked when unattended.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

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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 PEORIA, 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 Peoria Post Acute and Rehabilitation or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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