Prescott Village Nursing & Rehabilitation
Prescott Village Nursing & Rehabilitation in PRESCOTT, AZ — inspection on August 27, 2025.
Found 1 citation. 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
sides of the bed.An interview was conducted with the DON (Staff #16) on August 27, 2025, at 12:58 p.m.
The DON stated that the MDS nurse facilitates the development of comprehensive care plans for residents, and that interventions are discussed in morning clinical meetings.
The DON stated that the facility determines if a resident is at risk for falls by completing fall risk assessments, and then the interventions are discussed in morning meeting to determine which interventions would be best for residents.
The DON stated that staff can look up the care plan for each resident through the electronic medical record to see which interventions are in place for each resident.
The care plan was reviewed for Resident #2, and the DON stated that the intervention place fall mat beside bed on floor when resident is in bed means to have the fall mat on the side of the bed that the resident was falling to previously.
The DON reviewed the clinical record for Resident #2, and could not state which side of the bed the resident was falling to prior to her fall on June 17, 2025.
Additionally, the DON stated that the care plan did not specify if the resident was supposed to have a fall mat on the left side, the right side, or both sides of the bed.
The DON stated that for Resident #2, a fall mat should have been on both sides of the bed.
Review of the facility policy titled Care Planning, revised January 2024, revealed that a comprehensive person-centered Care Plan will be developed for each resident.
The Care Plan will include measurable objectives and timetables to meet a resident's medical, nursing, mental and psychosocial needs.
Each resident's Comprehensive Care Plan will describe the services that are to be furnished to attain or maintain the resident's highest practicable physical, mental and psychosocial well-being.
The Interdisciplinary Team (IDT) will revise the Comprehensive Care Plan as needed at the following intervals: per RAI schedules; as dictated by changes in the resident's condition; in preparation for discharge; to address changes in behavior and care; and other times as appropriate or necessary.
Review of the State Operations Manual, Appendix PP, issued August 8, 2024, revealed that under section S483.21(b)(1), the facility must develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment.
The comprehensive care plan must describe the services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being.
The intent is so that each resident will have a person-centered comprehensive care plan developed and implemented to meet his or her preferences and goals, and address the resident's medical, physical, mental and psychosocial needs.
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