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Complaint Investigation

North Mountain Medical And Rehabilitation Center

Inspection Date: November 25, 2025
Total Violations 1
Facility ID 035087
Location PHOENIX, AZ
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Inspection Findings

F-Tag F0880

Infection Control Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

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

note dated August 20, 2025 revealed skin was warm and dry. The care plan dated August 20, 2025 included the resident had a potential to develop infection related to complex medical conditions/diagnoses.

Interventions included to follow facility policy and procedures for transmissible infection screening/precautions, contact/droplet isolation as necessary or as ordered by the physician and maintain standard precautions when providing resident care. An admission MDS assessment dated [DATE REDACTED], revealed

the resident had a BIMS score of 13 indicating resident had intact cognition. The assessment also coded that the resident had no open lesions other than ulcers, rashes, or cuts. The NP progress note dated August 29, 2025 revealed skin was warm and dry; and that, skin had no rash, pruritus, abrasions or ulcerations. The daily skilled noted dated August 31, 2025 included the skin was warm, had no active symptoms affecting the integumentary system observed. Active symptom was a surgical wound located at

the mid-abdomen. The documentation did not include any rash. The daily skilled noted dated September 1, 2025 included the skin was warm, had no active symptoms affecting the integumentary system observed; and, the documentation did not include any rash. The weekly skin evaluation dated September 2, 2025 included the resident had no new skin issues noted. A Daily Skilled Note dated September 5, 2025 revealed the resident had no active symptoms effecting the integumentary system observed and no active skin condition(s) or treatments observed. A late entry NP progress note dated September 5, 2025 revealed that Resident #186 had no rash, pruritus, or abrasions. However, the physician orders dated September 5, 2025, included for:COC monitoring for atypical rash prophylaxis (a preventative treatment to prevent infection):Contact and droplet isolation, every shift for 1 day, starting September 5, 2025; and,Permethrin External Cream 5%, to apply to neck to toes topically at bedtime for prophylactic treatment for 1 day. A medication administration note dated September 5, 2025 revealed Resident #186 was on COC (change of condition) monitoring for atypical rash every shift for three days; and that, the resident had been showered to prepare for the cream procedure that night, and was awaiting the dose to arrive from the pharmacy.

Review of the MAR for September 5, 2025 revealed that Permethrin was documented as administered on September 5, 2025. The medication administration note dated September 6, 2025 included the resident was continued on COC monitoring related to atypical rash prophylaxis, Permethrin cream was applied, and

the resident was to be scheduled for a shower. Another medication administration note dated Septembe

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📋 Inspection Summary

NORTH MOUNTAIN MEDICAL AND REHABILITATION CENTER in PHOENIX, AZ inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 NORTH MOUNTAIN MEDICAL AND REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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