Life Care Center Of Tucson
LIFE CARE CENTER OF TUCSON in TUCSON, AZ — inspection on September 18, 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
checks for those listed.
The CNA # 22 further stated that she was present when the resident was
redirection-prompting the start of 15-minute checks.
Initially, he wasn't considered at risk, but his
through the front door one weekend after 4 PM, reportedly assisted by the receptionist. I believe wander guards could help prevent such incidents.An interview was conducted with the Director of Nursing (DON / Staff # 100) on September 17, 2025, at 6:12 PM. It was revealed that Residents are assessed for elopement risk upon admission, and staff monitor for wandering during daily rounds.
The Elopement Book, containing resident photos and demographics, is kept at all nurse stations and the front desk.
The receptionist, on duty from 8:00 AM to 4:30 PM, monitors the front door.
According to the AD's interview, the recent incident involved a resident exiting through the front door.
Initially, the resident was not at risk, but following a significant condition change on August 28, 2025, an assessment identified him as high risk, and the care plan was updated.
However, a subsequent assessment on September 2, 2025, overrode this update, and the change was not reflected in the conference care plan.
The facility maintains a yellow binder for residents on elopement watch, along with a 15-minute check protocol.
Staff #100 stated to remember the resident from his admission and stated the resident could understand but had limited communication and often wandered into other rooms, prompting redirection and 15-minute checks.
Staff #100 stated the resident was later reassessed as a risk.
Staff #100 stated that the resident left the faciity on a weekend, dressed and exited through the front door, reportedly opened by the receptionist after 4 PM.
There are no Wander Guards or security cameras in place.
Staff #100 acknowledged that the facility did not adequately protect the resident after his elopement risk was identified.A review of the facility policy titled Elopement, last revised on November 19, 2024, revealed that the resident environment remains as free of accident hazards as possible, and each resident receives adequate supervision and assistance devices to prevent accidents.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.