Inspection Reports for
Rock Creek at The Park

A.R.S. § 36-420.04.A.1-9 — The assisted living center failed to provide a written document including all required information to emergency responders when contacting them on behalf of a resident during an emergency transfer.

R9-10-803 — The manager failed to ensure the health, safety, or welfare of a resident after a fall, resulting in fractured ribs and insufficient ongoing documentation and monitoring.

R9-10-808 — The manager failed to ensure a resident had a written service plan reviewed and updated no later than 14 calendar days after a significant change in the resident's physical, cognitive, or functional condition. This failure was confirmed by record review and interviews with staff and the resident.

R9-10-806 — The manager failed to ensure a caregiver provided current documentation of CPR training that included a hands-on demonstration before providing assisted living services. The deficient practice posed a health and safety risk if the employee did not know how to properly perform CPR.

R9-10-808 — The manager failed to ensure the caregiver documented the services provided in the resident's medical record for one of eight residents reviewed. The deficient practice posed a health and safety risk.

R9-10-819 — The manager failed to ensure poisonous or toxic materials were maintained in labeled containers in a locked area inaccessible to residents. This posed a risk to the physical health and safety of a resident.

The manager failed to ensure the caregiver documented the services provided in the resident's medical record for four residents, posing a risk as services could not be verified against the service plan.

The manager failed to ensure food was protected from potential contamination, as uncovered and opened food items were observed in the walk-in refrigerator and dry storage area, posing a health and safety risk.

36-420.01 — The manager failed to ensure the facility developed and administered a fall prevention and fall recovery training program for all staff, as documentation was missing for multiple employees.

The governing authority failed to ensure documented good faith efforts were made to contact previous employers and verify fingerprint clearance cards for six of eight employees reviewed.

R9-10-113 — The manager failed to ensure three caregivers provided documentation of freedom from infectious tuberculosis, including risk assessments and symptom determinations.

R9-10-808 — The manager failed to ensure a resident provided documentation of freedom from infectious tuberculosis, including risk assessment and symptom determination.

The manager failed to ensure a documented residency agreement was available for one of eight residents reviewed, posing a risk of uninformed residency terms.

The manager failed to ensure the policy, procedure, and residency agreements contained provisions allowing termination of residency in compliance with R9-10-807(G) for two residents.

The manager failed to ensure a written service plan was updated at least once every six months for one resident receiving personal care services.

The manager failed to ensure a written service plan was available for one of eight residents reviewed, risking caregivers not knowing required services.

The manager failed to ensure written service plans were signed and dated by required parties for seven residents, risking lack of acknowledgment of services to be provided.

The manager failed to obtain a written determination from a behavioral health professional or medical practitioner that a resident's behavioral care needs were met by the facility and within its scope of services.

The manager failed to ensure the facility did not accept or retain a resident unable to direct self-care, posing a health and safety risk.

The manager failed to ensure written determinations were obtained at acceptance and every six months thereafter stating that residents confined to bed or chair had needs met within the facility's scope of services.

The manager failed to ensure medication was administered in compliance with a medication order for one resident, risking adverse effects from improper administration.

The manager failed to ensure the facility's disaster plan was reviewed at least once every 12 months, risking unpreparedness.

The manager failed to ensure employee disaster drills were conducted on each shift at least once every three months and documented.

The manager failed to ensure a fire inspection was conducted by the local fire department according to the required time-frame.

R9-10-113 — The facility failed to establish, document, and implement tuberculosis infection control activities including training and annual risk assessments.

R9-10-120 — The manager failed to ensure documentation in residents' medical records identified the need for opioids and the effect of opioids administered for two residents.