Coronado Healthcare Center
Inspection Findings
F-Tag F0657
F 0657 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
interim DON (Director of Nursing/Staff #122), who stated that the facility is expected to follow the physician's orders as written by the provider. Staff #122 also stated that care plans are to be updated quarterly and as needed to provide patient-specific care. Staff #122 also stated that documentation of the completion of orders and care plan interventions should be done according to the facility's system in place to ensure that staff are able to paint a picture of the care a resident is to receive. Staff #122 also stated that should a resident refuse care and services, staff is expected to document the refusal of the care, update
the resident's care plan regarding the refusal of treatment, and ensure the providers are aware of the refusal for necessary changes to care. Regarding Resident #56, Staff #212 reviewed the care plan for Resident #56 and stated that there had been a note within the care plan that stated that Resident #56 refused to utilize their care plan. However, the reviewed care plan retrieved from Resident #56's electronic health record on January 28, 2026, did not include the note that the resident refused to utilize the helmet.
Both care plans were reviewed side by side by Staff #212, and she stated that she was unsure what had happened with the documentation discrepancy. Staff #212 stated that the floor staff had access to view and
review Resident #56's electronic health record and care plan regarding the usage of the helmet out of bed.
Staff #212 also stated that the documentation of the helmet should have been determined by the facility, and, to include the refusal of the usage of the helmet, so that the provider is aware of the refusal. Staff #212 also stated that if a sign were in place in the resident room, the expectation of staff would have been to educate and encourage Resident #56 with cues to wear the helmet and to document any refusals.
A policy titled 'Comprehensive Person-Centered Care Planning', last revised in April of 2024, revealed that
in the event a resident refused certain services posing a risk to the resident's health and safety, the comprehensive care plan will identify care or service declined, the associated risks; and the interdisciplinary team's efforts to educate the resident and the resident representative and any alternate means to address the risks.
A policy titled 'Documenting and Charting', last reviewed in July of 2024, revealed that it is the policy of the facility to provide a complete account of the resident's care, treatment, response to the care, signs, symptoms, etc., as well as the progress of the resident's care. The policy also revealed that it is the policy of the facility to provide the facility, as well as other interested parties, with a tool for measuring the quality of care provided to the resident.
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
CORONADO HEALTHCARE CENTER in PHOENIX, 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 PHOENIX, 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 CORONADO HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.