Inspection Reports for
Active Care Home LLC
16212 N 55th PI, Scottsdale, AZ 85254, Scottsdale, AZ, 85254
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Inspection Report — Mar 26, 2025
Complaint Investigation
Date: Mar 26, 2025
Visit Reason
On-site complaint investigation at an Assisted Living Home, conducted 26 March 2025.
Findings
The inspection found 11 deficiencies. No evidence was provided for any of the deficiencies cited.
Deficiencies (11)
No evidence was provided to show that the governing authority reviewed and evaluated the effectiveness of the quality management program at least once every 12 months.
No evidence was provided to show that a manager designated in writing a caregiver at least 21 years of age who is present and accountable when the manager is not on the premises.
No evidence was provided to show that an assistant caregiver interacts with residents under supervision of a manager or caregiver.
No evidence was provided to show that a resident has a written service plan including a description of medical or health problems.
No evidence was provided to show that the resident's written service plan was signed and dated by the resident or representative when developed or updated.
R9-10-814 — No evidence was provided to show that the manager did not accept or retain a resident confined to a bed or chair due to inability to ambulate even with assistance.
No evidence was provided to show that the manager ensured a means of exiting the facility for residents without keys or special knowledge that meets required criteria.
No evidence was provided to show that a current toxicology reference guide was available for use by personnel members.
No evidence was provided to show that policies and procedures for storing, inventorying, and dispensing controlled substances were established, documented, and implemented.
No evidence was provided to show that poisonous or toxic materials were maintained in labeled containers in a locked area separate from food, dining areas, and medications and inaccessible to residents.
R9-10-120 — No evidence was provided to show that individuals authorized to administer opioids identified the patient's need, monitored response, and documented appropriately in the medical record.
Report Facts
Deficiencies cited: 11
Inspection Report — Feb 18, 2025
Enforcement
Date: Feb 18, 2025
Visit Reason
Civil monetary penalty, action 00121434 (invoice INV-266593), assessed 18 February 2025.
Findings
A $500.00 penalty was assessed and paid in full on 17 April 2025.
Report Facts
Penalty amount: 500
Amount paid: 500
Amount remaining: 0
Inspection Report — Feb 6, 2025
Annual Inspection
Date: Feb 6, 2025
Visit Reason
On-site complaint investigation of complaint AZ00215298 combined with an annual compliance inspection at an Assisted Living Home, conducted 6 February 2025.
Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaint AZ00215298, conducted on July 7, 2025.
Findings
This inspection found 11 deficiencies related to quality management, caregiver designation, supervision, service plans, resident acceptance criteria, exit controls, toxicology references, controlled substance inventory, toxic material storage, and opioid administration documentation.
Deficiencies (11)
The manager failed to review and evaluate the effectiveness of the quality management program at least once every 12 months, with no documentation of such review or evaluation.
The manager failed to designate in writing a caregiver who was present and accountable for the facility when the manager was not present, and the posted delegation did not include the designated caregivers.
The manager failed to ensure an assistant caregiver interacted with residents under supervision, as one assistant caregiver was observed providing services unsupervised.
The manager failed to ensure a resident's written service plan included a description of the resident's medical or health problems, such as skin conditions.
The manager failed to ensure a resident's written service plan was signed and dated by the resident or their representative.
R9-10-814 — The manager failed to ensure the facility did not retain a resident confined to a bed or chair without a written determination from a medical provider that the resident's needs could be met by the facility.
The manager failed to ensure there was a means of exiting the facility that controlled or alerted employees of a resident's egress, as alarms on exit doors were turned off or ineffective.
The manager failed to ensure a current toxicology reference guide was available for use by personnel members.
The manager failed to implement policies and procedures for inventorying controlled substances, as no inventory was maintained for medications including Morphine, Oxycodone, and Fentanyl.
The manager failed to ensure toxic materials were stored in a locked area inaccessible to residents, with bleach and insect spray accessible in unlocked locations.
R9-10-120 — The manager failed to ensure authorized individuals documented the resident's need for opioid medication before administration and monitored the effect, as required for residents without active malignancy or end-of-life conditions.
Report Facts
Deficiencies cited: 11
Inspection Report — Jul 30, 2024
Enforcement
Date: Jul 30, 2024
Visit Reason
Civil monetary penalty, action 00110790 (invoice INV-257711), assessed 30 July 2024.
Findings
A $1,500.00 penalty was assessed and paid in full on 3 October 2024.
Report Facts
Penalty amount: 1500
Amount paid: 1500
Amount remaining: 0
Inspection Report — Jul 15, 2024
Complaint Investigation
Date: Jul 15, 2024
Visit Reason
On-site complaint investigation of complaints AZ00212960, AZ00205363 and AZ00212996 at an Assisted Living Home, conducted 15 July 2024.
Complaint Details
An on-site investigation of complaint AZ00212960, AZ00205363 and AZ00212996 was conducted on July 15, 2024 the following deficiency was cited :
Findings
The inspection found one deficiency related to the failure to maintain medical records for residents as required by Arizona law.
Deficiencies (1)
The manager failed to ensure a medical record was maintained for each resident according to A.R.S. Title 12, Chapter 13, Article 7.1. Medical records for three residents were not available for review during the inspection.
Report Facts
Deficiencies cited: 1
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