Inspection Reports for
Majestic Rose Care Home

A.R.S. § 36-420.01.A — The facility failed to develop and administer a fall prevention and fall recovery training program including initial and continued competency training for all staff, with missing or incomplete training documentation for three personnel.

R9-10-113 — The chief administrative officer failed to provide annual tuberculosis training and education to staff and did not conduct an annual TB risk assessment, resulting in a risk of TB exposure to residents and staff.

R9-10-803 — The governing authority failed to ensure compliance with fingerprint clearance card requirements and verification against the adult protective services registry for sampled personnel, posing a risk to vulnerable residents.

R9-10-806 — The manager failed to ensure an assistant caregiver interacted with residents only under supervision, with observed instances of unsupervised care by an unqualified assistant caregiver.

R9-10-806 — The manager failed to ensure a caregiver provided current documentation of first aid and adult CPR training before providing assisted living services, posing a risk during emergencies.

R9-10-817 — The manager failed to ensure medication was stored in a separate locked area, with multiple instances of unattended and unlocked medication observed, posing a risk to residents.

R9-10-819 — The manager failed to ensure evacuation drills were conducted at least every six months, with documentation missing for drills after November 2024, risking employee preparedness.

R9-10-820 — The manager failed to maintain hot water temperatures between 95º F and 120º F in resident areas, with observed temperature at 128º F, posing a risk to resident safety.

The manager failed to maintain documentation of caregivers and assistant caregivers working each day, including hours worked, posing a risk to resident health and safety. This was a repeat deficiency from a prior inspection.

The manager failed to ensure caregivers documented services provided in residents' medical records for two residents, risking inability to verify services against service plans.

The manager failed to ensure a resident received privacy during care for personal needs, as a live video feed of residents receiving care was visible in a common area.

The manager failed to ensure means of exiting the facility for residents without keys or special knowledge included functioning alert devices, posing a risk of unawareness of resident egress. This was a repeat deficiency.

The manager failed to ensure medication administered to a resident was documented in the medical record, risking inability to verify medication administration. This was a repeat deficiency.

The manager failed to ensure medications were stored in a separate locked area used only for medication storage, posing a risk of resident access to medications.

The manager failed to ensure oxygen containers were secured in an upright position.

The manager failed to ensure poisonous or toxic materials were stored in locked areas inaccessible to residents, risking resident safety.