Santa Rosa Care Center
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
abuse as when someone is not receiving proper care, medical attention, or is harmed by staff or other residents. She also explained the incident as where one resident was wanting the bathroom light on while
the other resident wanting the bathroom light off. Resident #16 then pushed Resident #87 out of the way and he then fell and hit the back of his head on the floor. Staff #3 described Resident #87 as someone who is very clean and likes to sleep in the dark. Staff then separated the two residents and moved Resident #16 to a different room before eventually moving him to a different unit. She also indicated that Resident #87 sustained a laceration to the back of her head and that she believed it was 4-centimeters. Staff #3 explained that Resident #16 had never exhibited physical aggression towards others and he was new to the current facility. There was no indication that he had physical aggression towards others prior to be admitted to the current facility. When asked to read the October 11, 2025 progress note, she indicated the note mentioned Resident #16 had physical aggression behaviors at his previous facility. Staff #3 explained that when new residents are admitted , they are put in the locked unit to observe their behaviors and to determine if the unit is a good fir for them or if they can be put in a less restrictive unit. When asked what
the risk to the residents are if they are abused by other residents, Staff #3 shared that residents could fall, have physical injuries, can be affected mentally, become depressed, or self-isolate. She also indicated that
this situation she would consider this abuse due to the fact that Resident #16 willfully harmed Resident #87.Review of the policy titled Identifying Types of Abuse, dated 2001 indicated that Abuse was the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain, or mental anguish. It also identified resident-to-resident abuse as a type of abuse.
Event ID:
Facility ID:
If continuation sheet
Santa Rosa Care Center 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 Santa Rosa Care Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.