Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Life Care Center Of Yuma during CMS and state inspections, most recent first.
A resident with severe cognitive impairment, a history of falls, and anemia was receiving Enoxaparin for DVT prevention, as ordered by a physician and documented on the MAR. Despite this high-risk medication use being identified on the MDS, the facility did not establish a care plan focus area or specific interventions for anticoagulant therapy. Staff, including a CNA, RN, rehab staff, and the DON, reported that they rely on care plans to identify resident-specific risks, that anticoagulant therapy requires individualized care planning and monitoring for bleeding, and that care plans should be updated after incidents and reflect anticoagulant use per facility policy. Review of the clinical record confirmed the absence of anticoagulant-related care plan interventions for this resident, in conflict with the facility’s care planning and anticoagulation management policies.
A resident with multiple chronic conditions and moderate cognitive impairment did not have their controlled medications, including Lorazepam and Morphine, properly recorded, stored, or reconciled. An LPN signed for the medications during a shift change, but there was no physician order for Lorazepam at the time, and the MAR was missing. Staff interviews and document reviews revealed inconsistent completion of controlled substance count sheets, missing signatures, and gaps in documentation, with numerous staff having access to the medication cart.
A resident's controlled medications, including Lorazepam and Morphine, were not securely stored or properly accounted for after delivery by hospice. An LPN received and signed for the medications during a shift change, but later could not determine when the Lorazepam went missing. Both nurses and medication aides had access to the medication cart, and required shift change counts and documentation were incomplete or missing, resulting in the inability to account for the medication.
A resident with multiple chronic conditions was admitted and prescribed anti-anxiety medication, but the facility failed to maintain complete and accurate medication records. An LPN signed for the delivery of controlled medications, but the medication administration record for Lorazepam was missing, and staff could not account for when the medication went missing. Review of controlled substance inventory sheets revealed missing signatures, incomplete documentation, and inconsistent recordkeeping, with multiple staff members having access to the medication cart.
A resident with severe cognitive impairment reported an allegation of sexual abuse to nursing staff. Despite facility policy requiring immediate reporting to authorities within two hours, the DON delayed notification until the following day. Staff interviews and record reviews confirmed that the incident was not reported in accordance with established procedures.
A resident with severe cognitive impairment and multiple health conditions alleged sexual abuse by a staff member. Despite facility policy requiring immediate suspension of the accused, the staff member was only reassigned to a different hall and continued working the shift, allowing potential access to the resident. Multiple staff interviews confirmed this action did not meet facility expectations or policy, and the staff member was not suspended until the following day.
The facility did not follow its policies for investigating and documenting allegations of abuse, neglect, and injuries of unknown origin involving three residents, including those with severe cognitive impairment and one with a recent fracture. Required five-day investigations were not completed, clinical records were not updated, and staff could not provide documentation or recall the incidents, resulting in a lack of evidence regarding the reported events.
The facility did not thoroughly investigate two separate incidents: a resident-to-resident altercation involving a cognitively impaired individual and an injury of unknown origin in a resident with Alzheimer's disease. In both cases, required five-day investigations were not completed, clinical records were not updated, and documentation was lacking, leaving the circumstances of the incidents unclear.
Care plans were not updated for four residents after incidents such as falls, altercations, and reports of pain with physical changes. The clinical records lacked documentation of these events, and interviews with the DON and ADON confirmed that care plans were not revised as required.
The facility did not ensure accurate and complete documentation in the medical records for four residents, including missing records of medication issues, a resident-to-resident altercation, and an allegation of neglect. Staff interviews confirmed that key events and communications were not documented as required by facility policy.
A resident with Alzheimer's disease and osteoporosis was neglected in a facility, as they did not receive regular assistance with bathing, nail clipping, and hair washing. The facility also failed to assess the resident's needs after multiple falls and did not update the care plan with new interventions. Staff interviews revealed a lack of documentation and communication regarding the resident's care, contributing to the neglect and inadequate fall management.
A resident with multiple health issues, including malnutrition and dysphagia, experienced significant weight loss due to the facility's failure to timely develop and implement a nutritional care plan. Despite being on a mechanically altered diet and having specific dietary orders, the resident's nutritional needs were not addressed in a care plan until nearly a month after admission, leading to a deficiency finding.
A CNA at the facility was found to lack the necessary CPR certification required for their role, as revealed by a personnel file review. The facility's assessment and policy indicated the responsibility to ensure all staff have the necessary certifications, which was confirmed by the business office manager. This deficiency could affect the facility's ability to meet resident needs during emergencies.
The facility failed to maintain a clean kitchen and ensure food items were dated when opened, risking food-borne illness. Observations revealed undated and improperly stored food, including wilted lettuce, exposed cream cheese, and dusty lamps. Staff interviews highlighted lapses in responsibility for food safety and cleanliness, with the Nutrition Director absent during the inspection.
A facility failed to implement enhanced barrier precautions for a resident with an indwelling catheter and wounds, as required by their care plan and CDC guidelines. Observations showed no EBP signs or PPE outside the resident's room. The DON admitted to misinterpreting CMS guidelines, resulting in the oversight.
Failure to Care Plan for Resident on Anticoagulant Therapy
Penalty
Summary
The facility failed to develop and implement a comprehensive, person-centered care plan addressing anticoagulant therapy for a resident who was receiving Enoxaparin Sodium for DVT prevention. The resident had a history of falling, unspecified dementia, and unspecified anemia, and an MDS assessment showed a BIMS score of 02, indicating severe cognitive impairment. The MDS also documented that the resident was receiving an anticoagulant. A physician order directed daily subcutaneous Enoxaparin Sodium injections for 19 days, and the MAR showed the medication was administered on multiple days in January in the resident’s abdomen. Despite this ongoing anticoagulant therapy, the clinical record and care plan report contained no anticoagulant therapy focus area or anticoagulant-specific interventions, contrary to the facility’s anticoagulation management policy requiring that anticoagulant use be reflected in the care plan. During interviews, a CNA stated that staff rely on the care plan to identify resident-specific needs and that residents on blood thinners require extra caution due to prolonged bleeding and easy bruising, with monitoring for bruising and blood in urine being important. An RN confirmed that staff depend on care plans to identify resident-specific risks and interventions, acknowledged that anticoagulant therapy requires individualized care planning, and verified that there was no anticoagulant-related care planning in the resident’s record. A rehab staff member stated that residents on anticoagulants are at higher risk for bleeding and bruising and that care plans should include monitoring vital signs, symptoms, and blood loss, and coordination among departments to minimize fall risks. The DON stated that care plans are expected to guide staff in implementing fall prevention interventions and to be reviewed and revised after any incident, and confirmed that the resident who experienced a fall while on Enoxaparin had no care plan interventions addressing anticoagulant therapy, which did not meet facility expectations or its care planning and anticoagulation management policies.
Failure to Accurately Record and Reconcile Controlled Medications
Penalty
Summary
The facility failed to ensure that controlled medications were properly recorded, stored, and reconciled for a resident with multiple diagnoses, including hypothyroidism, diabetes, anxiety disorder, chronic pain, heart failure, and dementia. The resident had moderate cognitive impairment and was care planned for anxiety, with interventions including administration of anti-anxiety medications as ordered. Documentation showed that controlled medications, specifically Lorazepam and Morphine, were delivered and signed for by an LPN, but there was no physician order for Lorazepam prior to a certain date, despite it being added to the shift count earlier. The medication administration record (MAR) for Lorazepam was also missing. Interviews with staff revealed that the medication delivery occurred during a shift change, and the count verification was completed with the incoming nurse. The LPN who signed for the medications later worked on a different hall and was unaware of when the Lorazepam went missing. It was noted that both nurses and medication aides had access to the medication carts, and approximately 10-15 staff members had access to the cart since the medication was received. Facility policy required that only nurses accept medications and that controlled substances be counted at the end of every shift, but this process was not consistently followed. A review of the controlled substance inventory count sheets revealed multiple deficiencies, including missing second signatures, blank spaces, numbers written over other numbers, and missing pages. There were several instances where both on-coming and off-going staff did not sign the count sheets, and gaps in documentation were observed. The DON confirmed that staff were not consistently filling out the forms as required and that a page was missing and could not be found. The facility's policy required detailed record-keeping and reconciliation of controlled substances, but these procedures were not adhered to, resulting in incomplete and inaccurate records.
Failure to Secure and Account for Controlled Medications
Penalty
Summary
The facility failed to ensure the safe and secure storage of controlled medications for one resident, resulting in a deficiency related to the handling of controlled substances. On a specific date, an LPN received and signed for a delivery of Lorazepam and Morphine from hospice, with the transaction documented on a receipt. The LPN reported that the medication delivery occurred during a shift change and that the count verification was completed with the incoming nurse. However, the LPN later stated they were unsure when the Lorazepam went missing, as they were assigned to a different hall after a few days. It was also revealed that both nurses and medication aides had access to the medication carts, and that approximately 10-15 staff members had access to the cart containing the controlled substances since the date of delivery. Further review showed that there was no physician order for Lorazepam for the resident prior to a certain date, despite the medication being added to the shift count. Additionally, the medication administration record (MAR) sheet for the Lorazepam was missing, and staff were not consistently or completely filling out the required shift change controlled substance inventory count sheets. The facility's policy required a count of controlled substances at each shift change, but documentation was incomplete and a page was missing from the records. The DON confirmed that the lack of accurate recordkeeping and the number of staff with access to the medication cart contributed to the inability to account for the missing Lorazepam.
Failure to Safeguard and Accurately Document Controlled Medications
Penalty
Summary
The facility failed to ensure that medication records were properly completed and safeguarded, resulting in incomplete medical records that do not meet accepted professional standards. A resident with multiple diagnoses, including hypothyroidism, type 2 diabetes mellitus, anxiety disorder, chronic pain, heart failure, and dementia, was admitted and had a care plan addressing anxiety with interventions for anti-anxiety medication administration. However, there was no physician order for Lorazepam prior to a certain date, despite the medication being added to the shift count and signed for by an LPN. The medication administration record (MAR) sheet for Lorazepam was missing, and the facility was unable to account for when the medication went missing. Interviews with staff revealed that the medication delivery occurred during a shift change, and the count verification was completed with the incoming nurse. The LPN responsible for accepting the medication stated that documentation was completed and a MAR sheet was created, but could not specify when the Lorazepam went missing due to being assigned to a different hall. The DON confirmed that multiple staff members, including 10-15 nurses and medication aides, had access to the medication cart, and that policy required staff to count controlled substances at the end of every shift. However, review of the controlled substance inventory count sheets showed numerous deficiencies, including missing signatures, blank spaces, numbers written over each other, and gaps in documentation. Facility documentation and policy review further revealed that the process for medication orders from hospice involved faxing orders to the nursing station, with the responsible nurse documenting the medications. Despite this, the required documentation for Lorazepam was not present, and the controlled substance sheets were not consistently or accurately completed. The facility's abuse and neglect policy emphasized the need to prevent misappropriation of resident property, but the lack of accurate recordkeeping and control over medication access led to the deficiency.
Failure to Timely Report Allegation of Sexual Abuse
Penalty
Summary
The facility failed to ensure that an allegation of sexual abuse involving a resident with severe cognitive impairment was reported to the State Agency within the required two-hour timeframe. The resident, who had diagnoses including unspecified dementia and depression, communicated an allegation of sexual abuse to a nurse during medication pass. The nurse, after calming the resident, discussed the allegation with the accused CNA and decided not to move forward with reporting at that time, citing the resident's mental capacity. The CNA continued working the remainder of the shift, and the incident was not immediately escalated. Multiple staff interviews revealed that the facility's policy and annual training require immediate reporting of abuse allegations to the designated abuse coordinator, who is then responsible for notifying the appropriate authorities within two hours. Despite this, the Director of Nursing, who was the designated abuse coordinator, was informed of the allegation but did not report it to the State Agency until the following day. The DON acknowledged awareness of the two-hour reporting requirement but could not provide a reason for the delay. Further review of facility records and staff statements confirmed that the delay in reporting was not in accordance with facility expectations or policy. Staff members, including the Social Services Director and other department heads, reiterated that timely reporting is essential and that the delay could compromise the investigation. The facility's policies clearly define the types of abuse and the required reporting procedures, which were not followed in this instance.
Failure to Immediately Restrict Staff Access Following Abuse Allegation
Penalty
Summary
The facility failed to implement its policy regarding the immediate restriction of staff access to residents following an allegation of abuse. A resident with severe cognitive impairment, multiple comorbidities including COPD, dementia, depression, and CHF, and who was dependent on staff for all activities of daily living, made an allegation of sexual abuse against a staff member. The allegation was reported to the LPN and subsequently to the DON, who instructed that the accused staff member be removed from the resident's assignment and reassigned to another hall, rather than being immediately suspended and sent home as required by facility policy. Despite the policy requiring immediate suspension of the alleged perpetrator to prevent further interaction with the resident, the staff member continued to work the remainder of the shift on a different hall, which still allowed potential access to the resident. Multiple interviews with facility staff, including the Staff Coordinator, Social Services Director, and the DON's proxy, confirmed that the expectation was for immediate suspension and removal from the premises, which did not occur. Documentation showed that the staff member was not suspended until the following morning, several hours after the initial allegation was reported. The resident expressed feeling safer after learning that the staff member was no longer employed at the facility and reported previous pain during peri-care provided by the accused staff member. The facility's own policies on abuse prevention and resident rights were not followed, as the alleged perpetrator was not immediately removed from the facility, thereby placing the resident at continued risk during the investigation period.
Failure to Investigate and Document Abuse and Neglect Allegations
Penalty
Summary
The facility failed to follow its own policies and procedures regarding the prevention and investigation of abuse, neglect, and injuries of unknown origin for three residents. For one resident with dementia and severe cognitive impairment, and another resident who was cognitively intact, the facility did not complete a thorough five-day investigation or update clinical records following a reported resident-to-resident altercation. Documentation was lacking, and staff interviews were inconclusive or unavailable, leaving no evidence of what occurred during the incident. In a separate incident involving a resident with a periprosthetic fracture and Alzheimer's disease, the facility again failed to conduct a thorough five-day investigation or update the clinical record after an allegation of neglect was reported when a therapist discovered a leg length discrepancy and pain. The facility did not follow its policy, and there was no documentation or recollection from staff regarding the incident. In both cases, the facility did not provide evidence that all alleged violations were thoroughly investigated or that results were reported as required by federal regulations.
Failure to Investigate Alleged Abuse and Injury of Unknown Origin
Penalty
Summary
The facility failed to thoroughly investigate two separate incidents involving three residents, as required by their own policy and federal regulations. In the first incident, a resident with dementia and severe cognitive impairment was involved in a resident-to-resident altercation, where it was alleged that this resident punched another cognitively intact resident in the back. The facility reported the incident to the State Agency, but did not complete a thorough five-day investigation, failed to update the clinical record, and could not provide documentation or reliable interviews regarding the event. In the second incident, a resident with a periprosthetic fracture and Alzheimer's disease reported hip and groin pain, and a therapist observed a leg length discrepancy. This was reported up the chain of command, but again, the facility did not complete a thorough five-day investigation, did not update the clinical record, and failed to follow their own policy. Attempts to gather information were unsuccessful due to lack of documentation and unavailable or uncooperative staff. In both cases, the facility did not have evidence of a complete investigation or documentation to determine what happened to the residents.
Failure to Update Care Plans After Resident Incidents
Penalty
Summary
The facility failed to update and revise care plans for four residents following significant incidents, as required by regulation. For one resident with Parkinson's Disease and a history of falls, the care plan was not updated after a witnessed fall where the resident reported vertigo. Another resident with dementia and severe cognitive impairment was involved in a resident-to-resident altercation, but there was no documentation of the incident or any updates to the care plan. Additionally, a resident with sepsis and chronic pain was involved in the same altercation, yet the care plan remained unchanged and lacked documentation regarding the event. A fourth resident, diagnosed with a periprosthetic fracture and Alzheimer's disease, reported hip and groin pain with a noted leg length discrepancy, but there was no evidence in the clinical record to explain the incident or any care plan updates. Interviews with the DON and ADON confirmed that care plans for these residents were not updated after the incidents, and there was a lack of documentation and follow-up as per facility policy.
Failure to Maintain Accurate and Complete Medical Records
Penalty
Summary
The facility failed to ensure accurate and complete medical documentation for four residents, resulting in incomplete clinical records. For one resident with chronic pain, there was no documentation in the medical record regarding the lack of a required handwritten prescription for a controlled substance upon admission, the communication with the discharging facility, or the resident's subsequent request to go to the emergency room for pain management. Interviews with staff confirmed that these events occurred, but none were recorded in the resident's clinical record. Additionally, the facility did not document incidents involving other residents, including a resident-to-resident altercation and an allegation of neglect related to pain and a possible injury. In both cases, the facility reported the incidents to the State Agency, but there was no evidence in the clinical records to indicate what happened to the residents involved. Attempts to gather further information through interviews were unsuccessful due to lack of recollection or staff turnover. The facility's own policy requires thorough record review and documentation of such incidents, but this was not followed.
Neglect of Resident's Basic Needs and Inadequate Fall Management
Penalty
Summary
The facility failed to ensure that a resident's basic needs were met, resulting in neglect. The resident, who had Alzheimer's disease, depression, and osteoporosis, was dependent on staff assistance for activities of daily living (ADLs) such as bathing, nail clipping, and hair washing. Documentation revealed that the resident did not receive assistance with bathing for extended periods, and there was no record of nail clipping or hair washing. The facility's shower lists did not document the condition of the resident's skin, and there was no evidence that the resident refused care. Additionally, the facility did not adequately assess the resident's needs after falls or update the care plan with new interventions. The resident experienced multiple falls, some of which were unwitnessed, and there was a lack of documentation regarding interdisciplinary team meetings or care plan updates following these incidents. The facility's policy required fall risk assessments and care plan updates after each fall, but these were not consistently completed. Interviews with staff revealed that there was an expectation for showers twice a week and for skin issues to be reported and documented. However, there was a lack of communication and documentation regarding the resident's care, including the absence of interdisciplinary meetings and care plan updates after falls. The facility's failure to adhere to its policies and procedures contributed to the neglect of the resident's needs and the lack of appropriate interventions following falls.
Failure to Implement Nutritional Care Plan for Resident
Penalty
Summary
The facility failed to develop and implement a care plan to meet the assessed nutritional needs of a resident who was admitted with multiple diagnoses, including hemiplegia, type 2 diabetes mellitus, dysphagia, and malnutrition. Upon admission, the resident was identified as malnourished with a mini nutritional assessment score of 6. Despite being on a mechanically altered diet and having a physician's order for fortified foods and 1:1 supervision during meals, the resident experienced significant weight loss of approximately 20 pounds within a short period. The deficiency was identified when it was found that no care plan addressing the resident's nutritional risk was developed or implemented until nearly a month after admission, despite the resident triggering for weight loss. Interviews with the registered dietitian and the director of nursing revealed that the nutritional status of the resident was not care-planned in a timely manner, which was acknowledged as an oversight by the staff involved.
CNA Lacked Required CPR Certification
Penalty
Summary
The facility failed to ensure that a Certified Nursing Assistant (CNA), identified as staff #64, possessed the necessary cardiopulmonary resuscitation (CPR) certification required to provide nursing and related services. This deficiency was identified through a review of the personnel file, which showed no evidence of current CPR certification for the CNA, despite being hired on a specific date. The facility's assessment indicated a staffing plan that included 13 licensed nurses and 27 CNAs to care for an average of 86 residents daily, including during emergencies. The lack of CPR certification for staff #64 could potentially impact the facility's ability to meet resident needs during emergencies. An interview with the business office manager (BOM/staff #12) confirmed that it was the facility's responsibility to ensure that all staff and contracted individuals have the necessary licenses and certifications as outlined in their job descriptions. The facility's policy on License and CPR Certification Verifications further emphasized this responsibility, stating that the facility must ensure all associates requiring a license or certification have the necessary credentials to fulfill their roles. The Compliance department assists in monitoring professional licensure, including the licenses and certifications of nurses and CNAs employed by the facility.
Kitchen Cleanliness and Food Dating Deficiencies
Penalty
Summary
The facility failed to maintain a clean kitchen and ensure food items were dated when opened, which could result in residents having food-borne illness. During an observation of the kitchen, a large walk-in refrigerator was found to contain a 5lb opened and undated bag of green leaf lettuce with wilted and discolored lettuce heads. Inside the bag was a white plate with turkey, chicken, and potato salad, which staff could not account for. Additionally, an opened and exposed three-pound box of cream cheese was found with dried-out ends, and the refrigerator floor had spilled milk. The walk-in freezer had frozen corn kernels on the floor and an opened bucket of frozen mashed potatoes. Other observations included opened loaves of bread and dinner rolls without open or use-by dates, and a cooking area with stringy particles and dust-covered lamps. Further observations revealed an open container of butter and a bag of shredded cheese without open or use-by dates. Another inspection found a partially open container of strawberries, wilted cucumbers, and a mix of lemons and soft tomatoes in the refrigerator. The same bag of green leaf lettuce and dusty lamps were still present. Staff interviews indicated that it was the cook's responsibility to clean the lamps and manage food storage to prevent contamination. The administrator expected the Nutrition Director to ensure daily quality checks, but the director was on vacation at the time. The facility's policy on food safety requires food to be stored in a clean and sanitary manner to minimize contamination and bacterial growth.
Failure to Implement Enhanced Barrier Precautions
Penalty
Summary
The facility failed to adhere to infection control standards related to enhanced barrier precautions (EBP) for a resident with an indwelling catheter and wounds, potentially leading to the transmission of multi-drug resistant organisms. The resident, who was admitted with multiple diagnoses including obstructive uropathy, type 2 diabetes, and dementia, had an indwelling catheter and open lesions on the coccyx and buttocks. Despite the care plan indicating the need for EBP, observations on two separate days revealed the absence of EBP signs and readily available personal protective equipment (PPE) outside the resident's room. Interviews with the Director of Nursing (DON) revealed a misunderstanding of the Centers for Medicare & Medicaid Services (CMS) guidelines regarding EBP, resulting in the resident not being placed on the necessary precautions. The facility's policy, which was revised shortly before the observations, indicated that EBP should be implemented for residents with wounds and indwelling medical devices, even if they are not known to be infected or colonized with multi-drug resistant organisms. The CDC guidelines emphasize the importance of gown and glove use during high-contact care activities for such residents.
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Illustrative
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
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Nursing homes near Yuma
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Yuma Nursing Center | 0.1 mi | — | 0 | 0 |
| Welbrook Yuma Opco Llc | 0.3 mi | — | 5 | 0 |
| Haven Of Sandpointe, Llc | 0.7 mi | — | 1 | 0 |
| Haven Of Yuma | 1.2 mi | — | 0 | 0 |
| Arizona State Veteran Home - Yuma | 7.1 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.