Prescott Village Nursing & Rehabilitation
Inspection Findings
F-Tag F0656
F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
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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Prescott Village Nursing & Rehabilitation in PRESCOTT, AZ inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 PRESCOTT, 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 Prescott Village Nursing & Rehabilitation or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.