Diamondback Healthcare Center

F 0583

Keep residents' personal and medical records private and confidential.

Level of Harm - Minimal harm or potential for actual 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.

Residents Affected - Few Note: The nursing home is disputing this citation.

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

(X6) DATE

FORM CMS-2567 (02/99) Previous Versions Obsolete

Facility ID:

If continuation sheet

Event ID:

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

01/29/2026

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Diamondback Healthcare Center

3000 N 91st Avenue Phoenix, AZ 85037

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 0628 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Note: The nursing home is disputing this citation.

FORM CMS-2567 (02/99) Previous Versions Obsolete

is to be provided to the resident/resident representative. Per the State Operations Manual Appendix PP, revision 232, the facility must notify in writing the resident and the resident's representative of the transfer/discharge which includes the following items: The reason for the transfer or discharge;The effective date of the transfer or discharge;The location to which the resident is transferred or discharged A statement of the resident's appeal rights including the name, 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)

Event ID:

Facility ID:

If continuation sheet

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

01/29/2026

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Diamondback Healthcare Center

3000 N 91st Avenue Phoenix, AZ 85037

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 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Note: The nursing home is disputing this citation.

FORM CMS-2567 (02/99) Previous Versions Obsolete

no medication changes were made. Staff #211 further stated that no changes were made to alert charting or behavioral monitoring following the discontinuation of olanzapine.On January 29, 2026, at 3:38 p.m., a telephone interview was conducted with the facility pharmacy consultant (Staff #228). Staff #228 stated that newly admitted residents are reviewed for diagnoses, behaviors, and medications. Staff #228 further stated that olanzapine 2.5 mg is commonly prescribed during hospitalizations for short-term behavioral control and that discontinuation typically does not require continued monitoring when the medication is no longer prescribed.On January 29, 2026, at 4:09 p.m., a telephone interview was conducted with PA/Staff #224.

Staff #224 stated that he evaluated Resident #28 on November 11, 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.

Event ID:

Facility ID:

If continuation sheet