Inspection Reports for
ACOYA Mesa by Cogir

R9-10-815 — The manager failed to ensure the service plan for a resident receiving directed care services included cognitive stimulation and activities to maximize functioning, strategies to ensure personal safety, documentation of weight, and coordination of communication with representatives and family.

R9-10-819 — The manager failed to ensure caregivers documented all required details of incidents resulting in medical services, including date and time, description, observers, actions taken, notifications, and preventive measures.

R9-10-806 — The manager failed to ensure that a manager, caregiver, assistant caregiver, or volunteer provided documentation of freedom from infectious tuberculosis as specified in R9-10-113, posing a potential TB exposure risk to residents.

36-420.01 — No evidence was provided regarding the development and administration of a fall prevention and fall recovery training program for all staff.

36-420.01 — No evidence was provided regarding the development and administration of a fall prevention and fall recovery training program for all staff.

Notification requirement — No evidence was provided that the manager gave written notification to the Department of a resident's death within one working day as required.

Notification requirement — No evidence was provided that the manager gave written notification to the Department of a resident's death within one working day as required.

Written service plan — No evidence was provided that the resident's written service plan included the amount, type, and frequency of assisted living services provided, including medication assistance.

Written service plan — No evidence was provided that the resident's written service plan included the amount, type, and frequency of assisted living services provided, including medication assistance.

Documentation of services — No evidence was provided that a caregiver or assistant caregiver documented the services provided in the resident's medical record.

Documentation of services — No evidence was provided that a caregiver or assistant caregiver documented the services provided in the resident's medical record.

R9-10-808 — The manager failed to ensure a caregiver provided assisted living services according to the resident's service plan, including bathing, dressing, and skin maintenance, as documented in the resident's monthly task log and confirmed by interview.

R9-10-816 — The manager failed to ensure medication was administered in compliance with medication orders for one resident, as multiple doses were not given according to the medication administration record and confirmed by interview.

36-420.01 — The facility failed to administer a training program for all staff regarding fall prevention and fall recovery, with no documentation that key staff received such training.

The manager failed to provide written notification to the Department of a resident's unexpected death within one working day, delaying the Department's ability to assess potential dangers to other residents.

The manager failed to provide written notification to the Department of a resident's unexpected death within one working day, delaying the Department's ability to assess potential dangers to other residents.

The manager failed to ensure a resident's written service plan included the amount and frequency of assisted living services to be provided, risking insufficient care.

The manager failed to ensure a caregiver documented the services provided to a resident in the medical record, including toileting assistance and weight monitoring.