Inspection Reports for
A Caring Manor
18642 E Cloud Rd, Queen Creek, AZ 85142, United States, AZ, 85142
Back to Facility Profile6 Reports
Inspection Report — Jun 12, 2025
Enforcement
Date: Jun 12, 2025
Visit Reason
Civil monetary penalty, action 00128272 (invoice INV-278326), assessed 12 June 2025.
Findings
A $1,000.00 penalty was assessed and paid in full on 12 June 2025.
Report Facts
Penalty amount: 1000
Amount paid: 1000
Amount remaining: 0
Inspection Report — Apr 2, 2025
Annual Inspection
Date: Apr 2, 2025
Visit Reason
On-site compliance (annual) inspection of Assisted Living Home conducted on April 2, 2025.
Findings
The inspection found nine deficiencies related to quality management, personnel orientation, resident tuberculosis documentation, admission documentation, medication records, directed care services, medication administration compliance, medication storage, and environmental safety. Plans of correction were provided for all deficiencies.
Deficiencies (9)
R9-10-804 — The manager failed to implement the facility's quality management program as no documentation or reports were available for review.
R9-10-806 — The manager failed to ensure a personnel record included documentation of completed orientation for one employee.
R9-10-807 — The manager failed to ensure a resident provided evidence of freedom from infectious tuberculosis as required.
R9-10-807 — The manager failed to ensure required documentation dated within 90 days before acceptance was submitted for one resident.
R9-10-811 — The manager failed to ensure a resident's medical record contained documentation of medication administered with the correct strength.
R9-10-815 — The manager failed to ensure a means of exiting the facility controlled or alerted employees of resident egress as the alarm was not turned on.
R9-10-816 — The manager failed to ensure medication was administered in compliance with a medication order for one resident.
R9-10-816 — The manager failed to ensure medication was stored in a separate locked area used only for medication storage.
R9-10-819 — The manager failed to ensure poisonous or toxic materials were stored in a locked area inaccessible to residents.
Report Facts
Deficiencies cited: 9
Inspection Report — Nov 28, 2023
Enforcement
Date: Nov 28, 2023
Visit Reason
Civil monetary penalty, action 00112140 (invoice INV-258708), assessed 28 November 2023.
Findings
A $6000 penalty was assessed and paid in full on 6 September 2024.
Report Facts
Penalty amount: 6000
Amount paid: 6000
Amount remaining: 0
Inspection Report — Aug 18, 2023
Annual Inspection
Date: Aug 18, 2023
Visit Reason
On-site complaint investigation of complaint AZ00199469 combined with an annual compliance inspection at an Assisted Living Home, conducted 18 August 2023.
Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaint #AZ00199469 conducted on August 18, 2023.
Findings
This inspection found 17 deficiencies related to staff training, personnel records, resident documentation, medication administration, disaster planning, incident documentation, and safety hazards. Several deficiencies were repeats from a prior inspection.
Deficiencies (17)
36-420.01 — The administrator failed to ensure the facility developed and administered a fall prevention and fall recovery training program for all staff, with no documentation of such training found for multiple employees. This posed a risk to resident safety.
Policies and procedures implementation — The manager failed to implement staffing policies requiring awake night staff for a resident who frequently wandered at night, despite documented need and prior arrangements.
Caregiver training documentation — The manager failed to ensure three of five sampled caregivers provided documentation of completion of a department-approved caregiver training program, risking unqualified care.
Personnel record compliance — The manager failed to ensure four of five personnel records included valid fingerprint clearance card documentation, with some cards expired or missing.
R9-10-115 — The manager failed to ensure complete personnel records were available for all five employees sampled, preventing verification of required information.
Documentation of acceptance requirements — The manager failed to ensure two of three residents submitted required documentation dated within 90 days before acceptance, including medical service needs and signatures by authorized professionals.
Residency agreement documentation — The manager failed to ensure one of three residents had a documented residency agreement at or before acceptance, risking uninformed residency terms.
Resident rights provision — The manager failed to provide copies of resident rights to three sampled residents or their representatives at acceptance.
Health care directives policy provision — The manager failed to provide three sampled residents with a copy of the facility's policy and procedure on health care directives at acceptance.
Written service plan completion — The manager failed to complete a written service plan within 14 days of acceptance for one of two residents sampled, leaving services undirected.
Written service plan content — The manager failed to include a description of medical or health problems in one of two residents' service plans, limiting clarity of care needs.
Medication administration compliance — The manager failed to ensure medications were administered according to orders for two of three residents, including undocumented refusals and missing orders.
Medication administration documentation — The manager failed to document medication administration in residents' medical records for two of three residents, preventing verification of actual administration.
Disaster plan availability — The manager failed to maintain a documented disaster plan accessible to caregivers that included relocation, medical record availability, medication access, and food and water provisions.
Disaster plan review documentation — The manager failed to document the date, participants, critique, and recommendations of the disaster plan review, risking outdated emergency preparedness.
Accident documentation — The manager failed to ensure documentation of a resident's accident requiring medical services included date, description, observers, actions taken, notifications, and prevention measures.
Premises safety — The manager failed to ensure the premises were free from conditions that could cause physical injury, including use of a baby gate that posed a fall risk to a resident.
Report Facts
Deficiencies cited: 17
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