Inspection Reports for
Armada Care Homes II

10038 E Glencove Cir, Mesa, AZ 85207, United States, AZ, 85207

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4 Reports

2023–2024

Inspection Report — Dec 19, 2024

Annual Inspection
Date: Dec 19, 2024

Visit Reason
On-site compliance (annual) inspection of an Assisted Living Home conducted on December 19, 2024.

Findings
The inspection found three deficiencies related to resident documentation, service provision records, and medication administration compliance. Plans of correction were provided for all deficiencies.

Deficiencies (3)
36-420.04 — The manager failed to ensure the assisted living home maintained a standardized form for each resident including all required information, as the 'Resident Face Sheet' was missing pharmacy contact and HIPAA release details, and the 'Assisted Living Resident Transfer Checklist' was blank for all residents.
Documentation — The manager failed to ensure the caregiver documented the services provided in the resident's medical record for one resident, despite observation that services such as nail care appeared to be provided.
Medication administration — The manager failed to ensure medications were administered in compliance with medication orders for two residents, including administration of a medication not ordered and lack of documentation on the MAR.
Report Facts
Deficiencies cited: 3

Inspection Report — Jun 20, 2023

Enforcement
Date: Jun 20, 2023

Visit Reason
Civil monetary penalty, action 00113161 (invoice INV-259526), assessed 20 June 2023.

Findings
A $500.00 penalty was assessed and paid in full on 29 June 2023.

Report Facts
Penalty amount: 500 Amount paid: 500 Amount remaining: 0

Inspection Report — May 31, 2023

Annual Inspection
Date: May 31, 2023

Visit Reason
On-site annual compliance inspection at an Assisted Living Home conducted on May 31, 2023.

Findings
Six deficiencies were found related to staff training, documentation, resident service plans, resident retention criteria, and medication storage. The Department was unable to determine substantial compliance during the inspection.

Deficiencies (6)
36-420.01 — The facility failed to develop and administer a fall prevention and fall recovery training program for all staff, and no policy or training program was available for review.
The manager failed to implement policies and procedures covering cardiopulmonary resuscitation training, including demonstration of CPR skills, as required by facility policy.
The manager failed to ensure personnel records included documentation of CPR training with demonstration for one caregiver, with only online training documented.
The manager failed to ensure a resident's written service plan was signed and dated by the resident or representative and the manager when updated.
R9-10-814 — The manager retained a resident unable to ambulate even with assistance without meeting required medical documentation and review criteria.
The manager failed to ensure medication was stored in a separate locked room, closet, cabinet, or self-contained unit used only for medication storage; an unlocked lock box was observed containing medications.
Report Facts
Deficiencies cited: 6

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