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Complaint Investigation

Diamondback Healthcare Center

January 29, 2026 · Phoenix, AZ · 3000 N 91st Avenue
Citations 3
CMS Rating 3/5
Beds 94
Provider ID 035302
Healthcare Facility
Diamondback Healthcare Center
Phoenix, AZ  ·  View full profile →
Inspection Summary

Diamondback Healthcare Center in PHOENIX, AZ — inspection on January 29, 2026.

Found 3 citations. 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

FF0583
Resident Rights Deficiencies
Potential for More Than Minimal Harm

Based on clinical record review, staff interviews, observation, and policy review, the facility failed to ensure resident-identifiable information was maintained confidentially and protected from public view for one Resident (#29).

This deficient practice resulted in the exposure of protected health information (PHI) to an unauthorized individual and could result in a violation of residents' rights to privacy and confidentiality.

Findings include:An observation conducted on January 29, 2026, at 10:45 a.m. revealed an unattended computer workstation with resident records actively displayed on the monitor. No facility staff were present or monitoring the workstation at the time of the observation.

The information displayed on the computer screen included personal and identifiable dietary information for Resident #29.At 10:46 a.m., a non-employee was observed walking down the hallway and passing directly by the computer monitor displaying Resident #29's personal information, with no attempt made by staff to shield or secure the information.At 10:47 a.m., the Director of Nursing (DON/Staff #85) approached the unattended workstation and immediately logged off the computer.An interview conducted on January 29, 2026, at 10:47 a.m. with Staff #85 who confirmed that the unattended computer contained private resident information.

Staff #85 acknowledged that leaving resident information visible on an unattended workstation could constitute a violation of the Health Insurance Portability and Accountability Act (HIPAA) and failed to meet facility expectations for protecting resident confidentiality.On January 29, 2026, at 11:54 a.m., Staff #85 provided documentation of staff training titled, PHI (Protected Health Information), Close Screens - Do Not Leave Information Exposed, Confidentiality, Policy Review, HIPAA, and Resident and Family Notification.

The documentation indicated that 31 staff members had signed, acknowledging their understanding of the confidentiality requirements.A review of the facility policy titled Resident Rights, revised January 1, 2025, revealed that residents have the right to secure and confidential personal and medical records and that the facility is responsible for safeguarding resident information from unauthorized access or disclosure.

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.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

TITLE

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

01/29/2026

STREET ADDRESS, CITY, STATE, ZIP CODE

Diamondback Healthcare Center

3000 N 91st Avenue Phoenix, AZ 85037

SUMMARY STATEMENT OF DEFICIENCIES

information are that is to be provided to the resident/resident representative.

Per the State

the transfer or discharge;The effective date of the transfer or discharge;The location to which the

address and telephone number of the entity which receives the request, and information on how to obtain an appeal form and assistance I completing the form and submitting the appeal hearing requestThe name, address and telephone number of the Office of the State Long-Term Care OmbudsmanThe contact information for the agency responsible for the protection and advocacy of individual with developmental disabilities (if applicable)The contact information for the agency responsible for the protection and advocacy of individual with mental disorder (if applicable)

035302 01/29/2026

Diamondback Healthcare Center 3000 N 91st Avenue Phoenix, AZ 85037

newly admitted residents are reviewed for diagnoses, behaviors, and medications.

Staff #228 further

medication is no longer prescribed.On January 29, 2026, at 4:09 p.m., a telephone interview was

2025, at approximately 10:00-11:00 a.m. and subsequently discontinued olanzapine at 11:41 a.m.

Upon review of his progress note, Staff #224 acknowledged that documentation of the discontinuation of olanzapine was omitted.

Review of the facility policy titled Nursing Documentation, implemented October 1, 2025, revealed that nursing documentation is intended to accurately communicate changes in a resident's condition, treatment, and orders.

Review of the facility policy titled Provision of Physician Ordered Services, implemented January 1, 2025, revealed that documentation of physician consultations and orders must be maintained accurately in the resident's clinical record.

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 Diamondback Healthcare Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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