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Complaint Investigation

Winslow Campus Of Care

Inspection Date: November 19, 2025
Total Violations 1
Facility ID 035254
Location WINSLOW, AZ
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Inspection Findings

F-Tag F0600

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

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

[DATE REDACTED] revealed resident #71 had a brief interview for mental status (BIMS) score of 5, indicating severe cognitive impairment. No indicators for behaviors were noted in the MDS. A nursing progress note dated September 23, 2025 at 6:14 p.m. revealed that at 4:17 p.m. Registered Nurse (RN/staff #62) witnessed an altercation between resident #71 and another resident. Resident #71 was noted to have no physical injuries from the incident. Skin assessments revealed no physical injuries to either resident.Review of the care plan for resident #71 revealed a focus dated September 24, 2025 that resident #71 may strike out at men that are in her area and that she is fearful of men she doesn't know.Resident #84 was admitted to the facility on [DATE REDACTED], with diagnoses including: Altered mental status, reduced mobility, depression, alcohol abuse, chronic pain, and dysphagia.A quarterly minimum data set (MDS) assessment dated [DATE REDACTED] revealed resident #84 had a brief interview for mental status (BIMS) score of 6, indicating severe cognitive impairment. No behaviors were noted in the MDS assessment.A nursing progress note dated September 23, 2025, at 6:10 p.m. revealed that at 4:17 p.m. resident #84 was witnessed by staff #62 hitting another resident before both residents were separated by staff. An interview was conducted on September 30, 2025 at 10:11 a.m. with staff #62. Staff #62 stated that she witnessed residents #84 and #71 sitting in their wheelchairs in the television room as she was working at the med cart nearby. Staff #62 stated that on September 23, 2025 in the afternoon, she observed residents #71 an #84 hitting and slapping towards each other. Staff #62 separated both residents. Staff #62 stated she was unsure if either resident made contact with the other. Staff #62 assessed both residents and no physical injuries were noted.On September 30, 2025 at 11:21 a.m. video surveillance of the incident was reviewed. Video timestamp revealed that the incident occurred at 4:17 p.m. on September 23, 2025. Video showed resident #71 sitting

in her wheelchair when resident #84 self-propelled himself next to resident #71. The two residents exchanged words for several seconds and resident #71 began making slapping motions towards resident #84. Resident #84 then began slapping resident #71 and making contact. Staff #62 arrived to the scene and separated the two residents.An interview was conducted on September 30, 2025 at 11:28 a.m. with DON #108. DON #108 stated that this incident would be considered abuse and did not meet her expectations for the facility and could result in psychosocial and physical harm.Review of the facility's abuse policy titled Abuse Prevention Policy and Procedure; revised April 2025 revealed that it is the policy of the facility to take appropriate steps to prevent the occurrence of abuse. The policy defines abuse is defined at willful inflection of injury, intimidation or punishment, irrespective of any mental or physical condition.

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📋 Inspection Summary

WINSLOW CAMPUS OF CARE in WINSLOW, 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 WINSLOW, 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 WINSLOW CAMPUS OF CARE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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