Handmaker Home For The Aging
Inspection Findings
F-Tag F0600
F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
MDS assessment dated [DATE REDACTED] revealed a BIMS score of 2 which indicated severe cognitive impairment.A comprehensive care plan initiated on October 1, 2025 revealed that this resident had a history of behavioral problems which included verbal and physical aggression towards staff and other residents, and self-inflicted injury due to dementia. A Behavior Note dated November 8, 2025 at 6:49 p.m., revealed that Resident #5 grabbed Resident #4's arm with both hands and tried to pull her down over her while yelling, you are trying to kill me. Staff were able to get Resident #5's hands off of Resident #4 leaving small scratches on Resident #4. A Skin assessment dated [DATE REDACTED], revealed that Resident # 5 had no open skin or redness. However,
the assessment documented bruising on the back of her left and right hands.An incident note dated November 8, 2025 at 8:50 p.m. revealed that Resident #5 was moved to the nurses' station for one-on-one monitoring was provided until family was able to sit with her. The incident note also revealed that a skin check was performed on Resident # 5 which determined that the bruises on the back of her hands were old. The 5-day Facility Investigation report dated November 12, 2025 revealed that based on the incident being witnessed by staff and documentation the facility substantiated the abuse allegation. The Facility investigation report documented that the facility implemented and intervention and placed Resident #5 with
a 1:1 sitter at all times. Additionally, a psychological consult with medication review was also put in place.
An interview with a Licensed Practical Nurse (LPN/Staff #133) on November 12, 2025 at 2:04 p.m. revealed that they heard commotion and saw Resident #4 standing over Resident #5. Resident #5 was witnessed holding onto Resident #4's arms tightly resulting in a slight skin tear. Staff #133 revealed that the CNA was able to get the grip of Resident #5 off of Resident #4. However, Resident #5 gripped onto the CNA and grabbed Staff #133. The LPN revealed that she allowed Resident #5 to hold onto her to lead her away from Resident #4 to the nurses' station. Staff #133 noted that Resident #4 likes helping other residents and was trying to help Resident #5. Resident #5 thought Resident #4 was going to kill her so Resident #5 started fighting back. An interview with the DON (Staff #19) on November 12, 2025 at 3:45 p.m. revealed that the resident-to-resident altercation between Resident #4 and Resident #5 was substantiated. The DON stated that Resident #5 was placed on 1 to 1 sitter and a new social worker has been put into place. The DON noted that Resident #5's Preadmission and Screening Resident Review (PASRR) was under review.A Policy and Procedure titled, Abuse, Neglect and Exploitation updated on July, 2025 revealed that it is the policy of the facility to provide protections for the health, welfare and rights of each resident by developing and implementing written policies and procedures that prohibit and prevent abuse, neglect, and exploitation and misappropriation of resident property. The policy goes on to define abuse as willful infliction of injury, intimidation, or punishment with resulting physical harm, pain, or mental anguish, which can include staff to resident abuse and certain resident to resident altercations.
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HANDMAKER HOME FOR THE AGING in TUCSON, 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 TUCSON, 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 HANDMAKER HOME FOR THE AGING or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.