Winslow Campus Of Care
WINSLOW CAMPUS OF CARE in WINSLOW, AZ — inspection on November 19, 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
[DATE] 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], with diagnoses including: Altered mental status, reduced mobility, depression, alcohol abuse, chronic pain, and dysphagia.A quarterly minimum data set (MDS) assessment dated [DATE] 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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