Inspection Reports for
Fairbrook Grove Assisted Living Home Mesa AZ
3916 E Fairbrook Cir, Mesa, AZ 85205, United States, AZ, 85205
Back to Facility Profile5 Reports
Inspection Report — Jan 8, 2025
State
Date: Jan 8, 2025
Visit Reason
On-site Change of Service inspection of an Assisted Living Home conducted on 8 January 2025 to modify the floor plan.
Findings
No deficiencies were found during the inspection.
Inspection Report — Oct 15, 2024
Enforcement State
Date: Oct 15, 2024
Visit Reason
Civil monetary penalty, action 00110386 (invoice INV-257444), assessed 15 October 2024.
Findings
A $1,250.00 penalty was assessed and paid in full on 21 November 2024.
Report Facts
Penalty amount: 1250
Amount paid: 1250
Amount remaining: 0
Inspection Report — Sep 16, 2024
Annual Inspection State
Date: Sep 16, 2024
Visit Reason
On-site complaint investigation of complaints AZ00215638 and AZ00215591 combined with a compliance (annual) inspection at an Assisted Living Home, conducted 16 September 2024.
Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaints AZ00215638 and AZ00215591 conducted on September 16, 2024.
Findings
This inspection found 13 deficiencies related to personnel record compliance, policy reviews, abuse reporting, tuberculosis documentation, resident care documentation, resident dignity and privacy, facility modifications, and safety measures. Plans of correction were provided for all deficiencies.
Deficiencies (13)
The governing authority failed to ensure compliance with A.R.S. § 36-411.C by not documenting good faith efforts to contact previous employers for one of four personnel records reviewed.
The manager failed to ensure policies and procedures were reviewed at least once every three years and updated as needed, with no documentation available to confirm such review.
The manager failed to ensure compliance with abuse reporting requirements under A.R.S. § 46-454, lacking documentation of investigation and preventive actions for a suspected abuse incident.
R9-10-113 — The manager failed to ensure an employee provided documentation of freedom from infectious tuberculosis on or before the date services began, posing a potential TB exposure risk.
The manager failed to ensure caregivers documented services provided in residents' medical records for two residents, posing a health and safety risk.
The manager failed to ensure a resident was treated with dignity, respect, and consideration, as a resident's bedroom lacked a window and did not meet minimum size requirements.
The manager failed to ensure the means of exiting the facility for residents without keys or special knowledge controlled or alerted employees of egress; the alert device was switched off.
The manager failed to ensure a current toxicology reference guide was available for use by personnel members; the facility had an outdated 2nd edition instead of the current 4th edition.
The manager failed to ensure a current therapeutic diet manual was available for use by employees, risking inadequate dietary information for residents.
The manager failed to ensure hot water temperatures were maintained between 95º F and 120º F in resident areas; observed temperature was 142º F, posing a health and safety risk.
R9-10-110 — The licensee failed to submit a request for approval of facility modifications, including converting rooms not reflected in the Department's floor plan records.
The manager failed to ensure a resident's bedroom was not used as a passageway to a common area or another sleeping area, potentially violating the resident's privacy rights.
The manager failed to ensure a resident's bedroom had at least 80 square feet of floor space; the measured room was 73.5 square feet and not part of the approved floor plan.
Report Facts
Deficiencies cited: 13
Inspection Report — Aug 15, 2023
Enforcement State
Date: Aug 15, 2023
Visit Reason
Civil monetary penalty, action 00112734 (invoice INV-259166), assessed 15 August 2023.
Findings
A $1,500.00 penalty was assessed and paid in full on 5 October 2023.
Report Facts
Penalty amount: 1500
Amount paid: 1500
Amount remaining: 0
Report
State
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