Inspection Reports for
Rose Court Senior Living

R9-10-806 — The manager failed to ensure that personnel provided documentation of freedom from infectious tuberculosis on or before the date they began providing services, posing a potential TB exposure risk to residents.

R9-10-814 — The manager retained a resident confined to a bed or chair without required documentation that the resident or representative requested retention, that the primary care provider examined the resident at least every six months, reviewed the facility's scope of services, and confirmed the resident's needs were met.

R9-10-819 — The manager failed to ensure the disaster plan was reviewed at least once every 12 months, which poses a risk by not reinforcing expected employee standards.

R9-10-808 — The manager failed to ensure a caregiver or assistant caregiver documented the services provided in the residents’ medical records for three sampled residents, including missed documentation of wellness checks, dressing assistance, mobility, grooming, and toileting on multiple shifts.

R9-10-817 — The manager failed to ensure policies and procedures were established and documented for inventorying and dispensing controlled substances, as the medication policies did not cover these areas and no other policies were available.

R9-10-808 — The manager failed to ensure that a resident's written service plan included the amount and frequency of assisted living services to be provided for two of three sampled residents. This deficiency posed a risk if residents did not receive sufficient services as necessary.

A.R.S. § 36-420.04.A.1-9 — The manager failed to ensure the facility maintained a standardized form for emergency responders that included all required resident information, such as reasons for emergency response, medication lists, pharmacy contact, primary care physician information, physical condition details, and HIPAA release authorization.

When a resident had an accident requiring medical services, the manager failed to ensure the resident's primary care provider and emergency contact were immediately notified. This failure posed a risk of inadequate follow-up care.

The manager failed to ensure documentation of the date and time of the incident, names of observers, individuals notified, and preventive actions taken for a resident's emergency requiring medical services.

R3-8-20l — The manager failed to ensure a pest control program compliant with A.A.C. R3-8-201(C)(4) was implemented, as pest control was performed by maintenance staff without certification documentation.

36-420.01 — The facility failed to administer a fall prevention and fall recovery training program for all staff, posing a risk if staff were not properly trained to assist residents who had fallen. This was a repeat deficiency from a prior inspection.

The manager failed to ensure a caregiver provided valid documentation of completion of a caregiver training program approved by the Department or NCIA Board for one of three caregivers sampled.

The manager failed to ensure personnel records for two employees included documentation of completed orientation, posing a safety risk if new employees were not properly oriented.

The manager failed to ensure a caregiver provided residents with assisted living services as specified in their service plans, including wellness checks, toileting, oxygen management, and escorts.

The manager failed to ensure a caregiver was only assigned to provide services for which they had documented skills and knowledge, as caregiver E2 lacked valid certification for the services provided.

The manager failed to ensure the premises and equipment were cleaned and disinfected according to policies, as weekly housekeeping was not documented and grime and a dead bug were observed in a resident's bathtub. This deficiency posed a risk to residents' physical health and safety.

The manager failed to ensure the premises were free from conditions that could cause physical injury, as 23 holes and torn, lifting vinyl flooring were observed in a resident's unit, creating a trip hazard. Maintenance was acknowledged to be notified.

The manager failed to ensure one of three sampled medical records contained accurate documentation of assisted living services provided to a resident. The services documented were acknowledged by staff as not having been provided.

The manager failed to ensure two caregivers provided current documentation of CPR training that included a demonstration of their ability to perform CPR before providing assisted living services.

R9-10-101(29) — The manager failed to ensure that three residents' written service plans included required components for behavioral care such as psychosocial interactions, psychotropic medications, planned strategies, and goals for behavior changes.

36-420.01 — The facility failed to administer a training program including initial and continued competency training in fall prevention and fall recovery for one of four personnel sampled.

Manager failed to ensure that at admission, eight of nine residents or their representatives received a written copy of the requirements and resident rights.

Manager failed to ensure one resident's medical record contained current documentation of notification of the availability of influenza and pneumonia vaccinations.

R9-10-818 — Manager failed to ensure eight of nine residents' medical records contained documentation of orientation to facility exits.

Manager failed to ensure a means of exiting the facility for residents without keys or special knowledge was controlled and alerted employees of egress, posing a risk for residents receiving directed care services.

Manager failed to ensure disaster drills for employees were conducted on each shift at least once every three months, risking employee preparedness.

Manager failed to ensure an evacuation path was conspicuously posted in each hallway of the assisted living facility, posing a risk to resident safety.

Manager failed to ensure the premises were kept clean according to policies and procedures; clutter and unsanitary conditions were observed in a resident's unit.