Inspection Reports for
Kaydie’s Assisted Living Home, LLC

16566 W. Woodlands Ave., Goodyear, AZ 85338, AZ, 85338

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3 Reports

2023–2025

Inspection Report — Mar 10, 2025

Annual Inspection
Date: Mar 10, 2025

Visit Reason
On-site complaint investigation and annual compliance inspection of case #00121644 at an Assisted Living Home, conducted 10 March 2025.

Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of case # 00121644 conducted on March 10, 2025:
Findings
The inspection found three deficiencies related to service plan adherence, facility safety measures, and medication administration compliance.

Deficiencies (3)
R9-10-808 — The manager failed to ensure a caregiver provided a resident with the assisted living services in the resident's service plan and documented the services provided in the resident's medical record, specifically regarding nail care assistance.
R9-10-815 — The manager failed to ensure the facility had a means of exiting that alerted employees when a resident exited through the patio door, which lacked an operational alarm system.
R9-10-816 — The manager failed to ensure a medication was administered in compliance with a medication order, as blood pressure was not checked before administering Norvasc as ordered.
Report Facts
Deficiencies cited: 3

Inspection Report — Jun 19, 2023

Annual Inspection
Date: Jun 19, 2023

Visit Reason
On-site compliance (annual) inspection of Kaydies Assisted Living Home LLC conducted on June 19, 2023.

Findings
This inspection found nine deficiencies related to staff training, notification of management changes, documentation submission, tuberculosis evidence, medication storage, and disaster plan drills and reviews.

Deficiencies (9)
36-420.01 — The facility failed to develop and administer a fall prevention and fall recovery training program for all staff, posing a risk to resident care and safety.
The governing authority failed to notify the Department of changes in the manager and provide documentation of such notifications, risking noncompliance with notification requirements.
The manager failed to provide required documentation to the Department within two hours of a request, preventing determination of substantial compliance.
R9-10-808 — The manager failed to ensure a resident provided evidence of freedom from infectious tuberculosis within seven days of occupancy, posing a TB exposure risk.
The manager failed to ensure that before or at acceptance, an individual submitted required medical documentation dated within 90 days and signed by an authorized healthcare professional.
The manager failed to ensure medication was stored in a separate locked area, with medications observed unsecured and accessible to residents.
The manager failed to ensure the disaster plan was reviewed at least once every 12 months, as no disaster plan review was available.
The manager failed to ensure disaster drills for employees were conducted on each shift at least once every three months, with incomplete documentation of drills.
The manager failed to ensure evacuation drills for employees and residents were conducted at least once every six months, with insufficient documentation.
Report Facts
Deficiencies cited: 9

Inspection Report — Feb 23, 2023

Enforcement
Date: Feb 23, 2023

Visit Reason
Civil monetary penalty, action 00113785 (invoice INV-260049), assessed 23 February 2023.

Findings
A $250.00 penalty was assessed and paid in full on 23 March 2023.

Report Facts
Penalty amount: 250 Amount paid: 250 Amount remaining: 0

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