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Complaint Investigation

Park Avenue Health And Rehabilitation Center

Inspection Date: October 24, 2025
Total Violations 1
Facility ID 035174
Location TUCSON, AZ
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Inspection Findings

F-Tag F0842

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

physical component identified during the investigation, it would be documented. She added that the Psychiatry provider is notified for any allegation that does not have a physical injury component. Staff #99 shared that their investigation found that Staff #63 did not harm Resident #2. When asked if Resident#2's clinical chart reflected the alleged incident, Staff #99 shared that it was updated in the Care Plan. When asked if there was any monitoring for Resident #2 put into place, Staff #99 indicated there was no monitoring outside of the psychosocial component. However, she indicated that she believed Resident #2 was examined after the allegation was made and checked the clinical record. After reviewing the clinical record, she shared that there was no assessment done. When asked to review the policy titled Abuse: Prevention of a Prohibition Against, specifically section F, subsection 3, Staff #99 was asked if that section of the policy took place, and she indicated that she did not see any documentation of an assessment being completed/conducted after the incident that occurred on October 4, 2025, and was not sure why it was not done. She added that at the time of the incident, Resident #2 did not complain of pain, and she had no injuries. The resident was alert and oriented. If she wasn't alert and oriented that she would go in and perform an assessment. She shared that she was not going to do an X-ray of the entire body based on an allegation, as that is not needed. The resident was able to be interviewed, and she was able to do a focused assessment as needed. Staff #99 indicated that the policy needed to be changed to as needed, as

they are only documenting the things that they find.Review of the facility policy titled Abuse: Prevention of and Prohibition Against section F, subsection 3 states A licensed nurse will immediately examine the resident upon receiving reports of alleged physical or sexual abuse. The findings of the examination shall be recorded in the resident's medical record. The policy included that all identified events are reported to

the Administrator immediately and the investigation will include an interview with the person reporting the incident, an interview with the resident. The policy indicated that if an allegation of abuse is reported the facility will respond immediately to protect the alleged victim, examine the alleged victim for any sign of injury, including a physical examination or psychosocial assessment if needed; make staffing changes is necessary and provide emotional support and counseling to the resident during and after the investigation, as needed. A facility policy titled, Reporting Reasonable Suspicion of a crime, included that the facility seeks to protect its residents from being subjected to incidents of crime, and to ensure that any such incident (or reasonable suspicion of such incidents) are reported in a timely manner to the State Survey Agency (SSA) and local law enforcement. The facility relayed that if the reportable event does not result in serious bodily injury, the staff member shall report the suspicion no later than 24 hours after forming the suspicion.

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📋 Inspection Summary

PARK AVENUE HEALTH AND REHABILITATION CENTER in TUCSON, AZ inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 PARK AVENUE HEALTH AND REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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