Welbrook Yuma Opco Llc
Inspection Findings
F-Tag F0609
F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
investigation was also documented in the five-day investigation report. The ED stated that contacting law enforcement was dependent on the circumstances of the investigation, explaining that police are typically contacted for internal allegations, while this particular allegation occurred outside of the facility, and was considered an external allegation. The ED stated that because emergency services transported the resident to the hospital, he determined there was no further need to contact law enforcement at that time.
The ED stated that the facility's investigation ultimately determined the resident's allegation of abuse was unsubstantiated. The ED stated that he was notified of Resident #95's allegation of abuse on Friday, December 12, 2025, at approximately 5:30 p.m. by RN (Staff #24). The ED stated that, according to his records, the Department of Health Services was contacted on Friday, December 12, 2025, at approximately 5:21 p.m. The ED stated that APS and the Ombudsman were contacted on December 16, 2025, at approximately 6:30 p.m., after the investigation was completed. The ED further clarified that law enforcement was not contacted because the incident occurred outside the facility and emergency services had already been involved on the date of the incident. The ED declined to provide a response on the role of police in abuse allegations, due to the question being subjective. The ED stated that he did not see documentation confirming whether the medical director or the resident's provider had been notified and said additional review would be needed to verify this. The ED explained that APS and the Ombudsman were not contacted until December 16, 2025, because by December 15, 2025, he had concluded the incident was not an abuse situation and intended to report it as such. The ED verbalized that from December 12 through December 15, 2025, the facility had operated under the assumption that the resident # 95 allegation of abuse was valid, and that the abuse allegation was considered active from December 12 -14, 2025. To ensure the safety for resident #95, the ED revealed a message was sent to all department managers instructing that neighbor #38 was not to have any contact with the resident. The ED stated that
he did not believe the facility policy differentiated between internal and external allegations in order to determine engagement with law enforcement. The ED revealed receiving and taking part in abuse training as recently as of November and December 2025. The ED stated that either he or the Director of Staff Development are responsible for conducting the training, and expect for the staff to follow the policy. The ED stated that it was the facility's expectation that the abuse policy be followed whenever there was an allegation of abuse.The facility's Abuse, Neglect, Exploitation and Misappropriation Prevention Program, revised April 2021, directed the facility to investigate and report any allegations within timeframes required by federal requirements.A policy titled, Abuse, Neglect, Exploitation or Misappropriation-Reporting and Investigating, revised April 2021, revealed the administrator or the individual making the allegation immediately reports his or her suspicions to the: state licensing/certification agency, the ombudsman, the resident's representative, Adult protective services, law enforcement officials, the resident's attending physician, and the facility medical director. In addition, the policy defined immediately as within two hours of
an allegation involving abuse or result in serious bodily injury; or within 24 hours of an allegation that does not involve abuse or result in serious bodily injury. A policy titled, Care Plans, Comprehensive Person-Centered, revised April 2021, revealed areas of concern that are identified during the resident assessment will be evaluated before interventions are added to the care plan. A policy titled, Protection of Residents During Abuse Investigations, revised April 2021, informed the staff that if the alleged perpetrator is a resident's family member or visitor, this person (s) is not allowed unsupervised visits with the resident.
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WELBROOK YUMA OPCO LLC in YUMA, 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 YUMA, 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 WELBROOK YUMA OPCO LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.