Inspection Reports for
East Valley Mansion Assisted Living

The manager failed to ensure a written service plan was reviewed and updated at least once every three months for a resident receiving directed care services. The last service plan was dated September 11, 2023 with no updates thereafter.

The manager failed to ensure a resident's medical record contained documentation of notification of the availability of influenza and pneumonia vaccinations. The record showed no documentation that vaccinations were received or refused.

R9-10-808 — The manager failed to ensure a service plan included skin maintenance to prevent and treat bruises, injuries, pressure sores, and infections for a resident receiving personal care services.

R9-10-808 — The manager failed to ensure a service plan for a resident receiving directed care services included strategies to ensure personal safety, documentation of weight or contraindication, and coordination of communications with the resident's representatives.

The manager failed to ensure medications were stored in a separate locked room, closet, cabinet, or self-contained unit. Medications were found in an unlocked file cabinet accessible to residents.

The manager failed to ensure poisonous or toxic materials were stored in a locked area inaccessible to residents. Multiple cleaning and insecticide products were found in unlocked cabinets accessible to residents.

36-420.01 — The facility failed to administer a fall prevention and fall recovery training program for all staff as required, with personnel records lacking current annual training documentation.

Policies and procedures review — The manager failed to ensure policies and procedures were reviewed at least once every three years and updated as needed, with the last review dated February 3, 2020.

Assistant caregiver supervision — The manager failed to ensure assistant caregivers interacted with residents under supervision, as two assistant caregivers were observed providing care without supervision and lacked approved training documentation.

Caregiver skills verification — The manager failed to verify and document the skills and knowledge of four caregivers or assistant caregivers before they provided physical health services.

Caregiver first aid and CPR certification — The manager failed to ensure a caregiver had current documentation of first aid and CPR training before providing assisted living services, with one caregiver's certification expired as of September 4, 2023.

Activity calendar — The manager failed to ensure a calendar of planned activities was prepared at least one week in advance, posted where residents could see it, updated as needed, and maintained for at least 12 months.

Medication administration policies — The manager failed to ensure medication administration policies and procedures were reviewed and approved by a medical practitioner, registered nurse, or pharmacist.

Food menu posting — The manager failed to ensure a food menu was prepared at least one week in advance and conspicuously posted at least one calendar day before the first meal was served.

Sleeping area bed frame — The manager failed to ensure each sleeping area not furnished by a resident had a bed frame; one resident's bed lacked a frame per family request.