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
that she was upset because Staff #163 and #202 grabbed her.An interview was conducted with Licensed Practical Nurse (LPN/Staff #58) on December 24, 2025, at 11:30 a.m. revealed that she was scheduled on
a different part of the unit that day and heard of the incident but did not witness it because Staff #163 was very territorial with her assignments and residents and no one could help Staff #163 with the care of the residents. Staff #58 also revealed that Staff #202 was known for not doing much work but just sitting at the nurses' station talking with Staff #163. Staff #58 also stated that Staff #7 was getting frustrated with all the work he was doing, and Staff #202 would not help. According to Staff #58, Staff #202 would only do tasks that Staff #163 would assign her, and Staff #7 appeared tired and drained. Staff #58 revealed that it is not common for the nurses to give scheduled showers unless the resident needed one, like they soiled themselves, and no one was around at the time. An interview with CNA (Staff #34) on December 24, 2025, at 11:45 a.m. revealed that Resident #1 does refuse showers, but when she does agree to take a shower,
she does not resist. Staff #34 revealed that if a resident refuses a shower, they would come back another time and try again, and if they continue to refuse, then they will tell the nurse, and the nurse attempts to talk to the resident. If the resident says no to the nurse, then the resident and nurse sign a shower refusal sheet. Staff #34 stated that nurses don't perform the showers; it is the CNAs who do the showers. An
interview with Assistant Director of Nursing (ADON/Staff #65) on December 24, 2025, at 11:56 a.m. revealed that the ED and DON received an email that Staff #202 and Staff #163 forced Resident #1 to get into the shower against Resident #1's wishes. The ADON stated that she had interviewed Resident #1 regarding the incident, and Resident #1 stated she was grabbed by the arm out of bed and into the shower.
Staff #65 also revealed that there was a bruise that was in question on Resident #1's arm that was later determined to be present prior to the incident, and the police also looked at the arm and determined it was not from abuse. The ADON reported that the facility substantiated the allegation of abuse and terminated both Staff #202 and Staff #163. The ADON stated that the DON (Staff #69) had reported the licenses of Staff #163 and Staff #202 to the licensing board. 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.
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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.