Prescott Valley Nursing & Rehabilitation
Prescott Valley Nursing & Rehabilitation in PRESCOTT VALLEY, AZ — inspection on August 19, 2025.
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.
Inspection Findings
Review of the facility policy on Resident Rights revised August 2020 indicated that all residents have a right to a dignified existence.
Additionally, the policy noted that residents have the right to voice grievances and have the facility respond to those grievances in a prompt manner.
035244 08/19/2025
Prescott Valley Nursing & Rehabilitation 3380 North Windsong Drive Prescott Valley, AZ 86314
During an interview with a Registered Nurse (RN/staff #29) conducted on August 19 2025 at 8:10 a.m., staff #29 stated that when they are notified of an allegation or witness abuse, the staff have to stop the abuse and remove the resident from the situation.
The RN said that protecting and mitigating abuse is important for the safety of the staff and residents.
Staff #29 noted that the impact of abuse is that it affects safety and residents feel like the cannot trust the staff.
Additionally, abuse can affect the residents psychologically.
The RN stated that resident #63 told her that she had issues with someone coming into her room.
The RN said that she informed staff #56 (Social Worker).
According to staff #29, the Social Worker (staff #56) spoke with resident #63 immediately.
Following the discussion between staff #56 and resident #63, staff #29 was told that resident #22 had to be watched.
The RN said that someone had seen resident #22 coming out of resident #63's room.
Staff #29 stated that if resident #63 had expressed to a staff that an incident scared and intimidated her then yes, it would be qualified as abuse.
According to staff #29, she heard that resident #22 had gone into another resident's room and that resident was unhappy.
Staff #29 said that the incident happened approximately 2-weeks ago.
The RN noted that reporting and investigating allegations of abuse is important so that residents trust and know that their rights are not being abused and that they have the right to not feel threatened. An interview with a Social Worker (staff #56) was conducted on August 19, 2025 at 9:44 a.m.
Staff #56 stated that it is important that the facility prevents residents from being abuse.
The Social Worker said that the impact of residents being subjected to abuse is that the residents might get hurt and injured.
Staff #56 admitted that resident #63 told her in passing on August 8, 2025 about residents coming up and sitting by her door.
The Social Worker said that resident #63 told her that she was frightened and that she responded by asking resident #63 if she activated her call light.
She relayed that the resident seemed frustrated.
Staff #56 said that reporting and investigating abuse is important to make sure that residents are not in imminent danger.
Investigations help determine what happened and see if there are any witnesses. An interview with the Director of Nursing (DON/staff #14) was conducted on August 19, 2024 at 1:28 p.m.
Staff #14 stated that her expectation is that allegations of abuse are reported immediately.
This is important in order to take the risk factor away.
The DON said that the staff should have reported it immediately and removed the resident from that situation.
During an interview with the Administrator (staff #333) conducted on August 19, 2025 at 2:09 p.m., staff #333 stated that his expectation is that staff follow policy.
The Administrator said that allegations reported should be investigated thoroughly to ensure resident is safe.
The impact of not following policy and investigating is that there is a potential for abuse to occur.
The facility policy on Abuse Prevention and Prohibition Program revised October 24, 2022 stated that each resident has the right to be free from abuse.
The policy indicated that policy served to ensure that the facility establishes, operationalizes, and maintains an abuse prevention and prohibition program designed to protect residents, and to ensure a standardized methodology for the prevention, identification, investigation, and reporting of abuse.
Additionally, the policy indicated that staff must not permit anyone to engage in verbal, mental, sexual, or physical abuse, neglect, or mistreatment.
The policy noted that the facility promptly and thoroughly investigates reports of abuse.
The policy also highlighted the steps that may be taken to investigate an allegation of abuse.
035244 08/19/2025
Prescott Valley Nursing & Rehabilitation 3380 North Windsong Drive Prescott Valley, AZ 86314
According to staff
reporting and investigating allegations of abuse is important so that residents trust and know that
a Social Worker (staff #56) was conducted on August 19, 2025 at 9:44 a.m.
Staff #56 stated that it is important that the facility prevents residents from being abuse.
The Social Worker said that the impact of residents being subjected to abuse is that the residents might get hurt and injured.
Staff #56 admitted that resident #63 told her in passing on August 8, 2025 about residents coming up and sitting by her door.
The Social Worker said that resident #63 told her that she was frightened and that she responded by asking resident #63 if she activated her call light.
She relayed that the resident seemed frustrated.
Staff #56 said that reporting and investigating abuse is important to make sure that residents are not in imminent danger.
Investigations help determine what happened and see if there are any witnesses. An interview with the Director of Nursing (DON/staff #14) was conducted on August 19, 2024 at 1:28 p.m.
Staff #14 stated that her expectation is that allegations of abuse are reported immediately.
This is important in order to take the risk factor away.
The DON said that the staff should have reported it immediately and removed the resident from that situation.
According to staff #14, she first heard about the abuse allegation when the member of the survey team informed them about the allegation.
She noted that it was not appropriate that the alleged incident was not reported to her and the administrator.
During an interview with the Administrator (staff #333) conducted on August 19, 2025 at 2:09 p.m., staff #333 stated that allegations of abuse should be reported to him as soon as it happens.
This is important in order to ensure resident is safe and to start the investigation.
The impact of not reporting is that there is a potential for abuse to occur.
The Administrator said that if the incident was witnessed then it should have been brought to their attention.
The facility policy on Abuse Prevention and Prohibition Program revised October 24, 2022 revealed that facility staff are mandatory reporters.
The policy noted that facility staff members will report known or suspected instances of abuse to the Administrator, or his/her designee.
Per the policy, each resident has the right to be free from abuse.
Additionally, the policy indicated that staff must not permit anyone to engage in verbal, mental, sexual, or physical abuse, neglect, or mistreatment.
The policy indicated that the facility will report allegations of abuse immediately but no later than 2-hours after discovery.
Review of the facility policy on Resident Rights revised August 2020 indicated that all residents have a right to a dignified existence.
Additionally, the policy noted that residents have the right to voice grievances and have the facility respond to those grievances in a prompt manner.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.