Welbrook Yuma Opco Llc
WELBROOK YUMA OPCO LLC in YUMA, AZ — inspection on January 29, 2026.
Found 2 citations. 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
joint interview was conducted on January 28, 2026, at approximately 4:10 p.m. with the Director of Nursing (DON/Staff #100) and the Executive Director (ED/Staff #27).
Both confirmed involvement in the investigation of the abuse allegation and stated that the facility substantiated the allegation of verbal abuse between the visitor and the resident.
The ED stated that the investigation revealed no prior indications that the son would cause a disturbance, and no concerns were identified in the resident's assessments or prior reports.
The ED added that the facility respects residents' rights to visitors and utilizes visitor screening processes to reduce the risk of abuse.
The ED further stated that interventions were immediately implemented to honor the resident's request to have no further contact with the son.The facility's Protection of Resident's During abuse Investigations, revised April 2021, directed the staff to not allow unsupervised visits with the resident, if the alleged perpetrator is a resident's family member or visitor.The facility's Trauma Informed Care, revised March 2019, revealed that as part of the comprehensive assessment, identify history of trauma or interpersonal violence when possible.
Identifying past trauma or adverse experiences may involve record review or the use of screening tools.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
01/29/2026
STREET ADDRESS, CITY, STATE, ZIP CODE
Welbrook Yuma Opco LLC
2271 South Ridgeview Drive Yuma, AZ 85364
SUMMARY STATEMENT OF DEFICIENCIES
directly supervise MDS completion, which is monitored by the facility's corporate MDS nurse.
She stated that any delays or issues with MDS completion are escalated to corporate leadership and addressed through improvement initiatives or corrective actions.
The DON stated that she expects assessments to be completed accurately and within required timeframes and noted that MDS completion is important for timely and accurate reimbursement and for informing care planning.
The DON stated that the facility recently received MDS assistance, which began approximately three weeks ago, but the assistant is still in training and not consistently available.
The DON stated that staffing limitations and absences can affect workflow and contribute to backlog, and that staff are expected to continue working on MDS assessments during absences to prevent delays. A review of Resident #3's chart revealed that the ARD was January 6, 2026, and that the MDS was not completed within the required 14-day timeframe.The facility's Comprehensive Assessments and the Care Delivery Process policy, revised December 2016, revealed the Minimum Data Set is completed within 14 days after admission, and within 14 days after it is determined that the resident has had a significant change in physical or mental condition, and annually.
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