Inspection Reports for
Copper Canyon Memory Care

R9-10-806 — The manager failed to ensure an employee provided evidence of freedom from infectious tuberculosis on or before the date the individual began providing services, including failure to read a TB skin test within the required 48 to 72 hours. This posed a potential TB exposure risk to residents.

R9-10-820 — The manager failed to ensure the premises were free from a condition that may cause physical injury, as an exposed towel rod bracket with sharp edges was found in a resident’s bathroom. The hazard was immediately corrected by replacing the hardware.

A manager failed to ensure a resident was treated with dignity, respect, and consideration; an employee was overheard raising their voice and using profanity toward a resident, resulting in the employee's administrative leave and termination.

A manager failed to ensure an entry in a resident's medical record was not changed to make the initial entry illegible; correction fluid was used to obscure original entries in the resident's record.

A manager failed to ensure medication was administered in compliance with a medication order; medications were stopped as ordered but not restarted on the correct date.

A manager failed to implement a policy and procedure to protect residents from harm by ensuring caregivers respond appropriately to sudden, intense, or out-of-control behavior. An incident report documented staff slapping a resident and failing to use the facility's approved techniques or timely report the aggressive behavior.

A.R.S. § 36-411 — The governing authority failed to ensure compliance with fingerprint clearance card requirements for three of five employees, including lack of good faith efforts to contact previous employers and allowing an employee to work after their clearance card expired.

Staffing and recordkeeping — The manager failed to establish, document, and implement policies and procedures covering staffing and recordkeeping, including referencing an unavailable policy needed to determine if staffing levels met requirements.

Documentation — The manager failed to ensure caregivers documented services provided in residents' medical records for five sampled residents, resulting in false or misleading entries and inability to verify services against service plans.

Dietary needs — The manager failed to ensure residents were provided diets meeting their nutritional needs as specified in service plans, including missing allergy orders and failure to post or include dietary restrictions on staff checklists.

36-420.04 — The assisted living home failed to provide required documentation to emergency responders for two sampled residents after emergency transport to the hospital.

Policies and procedures — The manager failed to establish, document, and implement policies covering staffing and recordkeeping, including an unavailable referenced staffing policy.

Documentation provision — The manager failed to provide all requested documentation to the Department within two hours of the request, with partial records provided late.

Medical record accuracy — The manager failed to ensure a resident's medical record contained the updated name, address, and telephone number of the current primary care provider.

Medical record completeness — The manager failed to ensure two former residents' medical records contained the date of termination of residency.

R9-10-808 — The manager failed to ensure service plans for residents receiving directed care services included documentation of the resident's weight or a medical practitioner's statement that weighing was contraindicated.

The manager failed to establish and document policies and procedures covering termination of residency initiated by the manager or the resident, and the existing policy did not comply with termination rules or provide specific timeframes.

The manager failed to ensure resident service plans included the level of service each resident was expected to receive for seven of seven residents sampled.

The manager failed to ensure resident service plans accurately included the amount, type, and frequency of assisted living services provided, with diet orders in service plans contradicting physician orders for two residents.

R9-10-808 — The manager failed to ensure service plans for residents receiving directed care included required elements such as documentation of weight, incontinence care, hydration, skin maintenance, and communication coordination for five of seven residents sampled.

The manager failed to ensure a current therapeutic diet manual was available for use by personnel, and the manual was not provided within two hours after a Department request.