Haven Of Scottsdale
Inspection Findings
F-Tag F0658
F 0658 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
contacted regarding the missing medication. Review of the MAR note dated October 3, 2025 revealed that
the missed doses at 8:00 a.m., 12:00 p.m., and 8:00 p.m. were on order and the pharmacy was notified at 9:26 p.m. that the medication was not available, even though the medication was provided by family and stored in house. An interview with a Licensed Practical Nurse (LPN/Staff # 35) on November 5, 2025 at 1:35 p.m. revealed that if there is no medications in the cart or the storage room then they would call the pharmacy and re-order the medication and notify the provider that they don't have the medication on hand.
The LPN denied having any residents or family provide their own medications, and revealed that everything is ordered through the pharmacy. Staff #35 revealed that she was unaware that the Tyvaso DPI was provided by he family and not the pharmacist.An interview with the Assistant Director of Nursing (ADON/Staff # 57) on November 5, 2025 at 2:09 p.m. revealed that Resident # 1's family had brought a box of the Tyvaso DPI to the facility and that the facility never ordered the medication through the pharmacy.
ADON revealed that they had to wait to administer the Tyvaso until approval from the pulmonologist was received. The facility started a titration of the medication in September but there was an issue with the October titration and the nurses were confused on the amount to administer. The ADON revealed that due to the confusion, she did not have the daughter bring in a second box of the medication because they never finished the first box of Tyvaso DPI, The ADON reviewed the missed doses on the MAR and revealed that
she did not know why those missed doses were marked on order when the family had provided the medication and was in house. A policy and procedure titled, Administering Medications revised April 2019 revealed that medications are administered in accordance with prescriber orders, including any required time frame.
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HAVEN OF SCOTTSDALE in SCOTTSDALE, 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 SCOTTSDALE, 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 HAVEN OF SCOTTSDALE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.