Inspection Reports for
The Forum at Tucson

R9-10-808 — The manager failed to ensure service plans for two residents requiring behavioral care included psychosocial interactions, psychotropic medications, planned strategies, and goals for behavior changes.

R9-10-808 — The manager failed to ensure service plans for two residents receiving personal care services were updated at least once every six months.

R9-10-808 — The manager failed to ensure service plans for two residents were signed and dated by the resident or representative, manager, and medical or behavioral health professional.

R9-10-808 — The manager failed to ensure a caregiver documented services provided in a resident's medical record accurately, with documentation after the resident was hospitalized being inaccurate.

R9-10-811 — The manager failed to ensure medication orders from a medical practitioner were present for each medication administered to three residents.

R9-10-812 — The manager retained two residents requiring behavioral care without documentation of required evaluations, scope of services review, and signed determinations.

R9-10-817 — The manager failed to ensure medications were administered in compliance with orders for three residents, including missing orders and failure to hold medication per parameters.

R9-10-818 — The manager failed to ensure food was stored free from spoilage; moldy and spoiled lunchmeats were found in a refrigerator in the secured memory care unit.

R9-10-819 — The manager failed to ensure immediate notification of a resident's primary care provider after an accident requiring medical services.

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 for one of five sampled residents. Documentation of safety checks, housekeeping, and laundry services did not match the service plan requirements.

The facility failed to provide evidence for the requirement that a resident has a written service plan completed no later than 14 calendar days after acceptance.

The facility failed to provide evidence that the resident's written service plan includes the level of service the resident is expected to receive.

The facility failed to provide evidence that the resident's written service plan includes the amount, type, and frequency of assisted living services provided, including medication administration or assistance.

The facility failed to provide evidence that the resident's written service plan is reviewed and updated within 14 calendar days after a significant change in the resident's condition.

The facility failed to provide evidence that the resident's written service plan is reviewed and updated at least once every six months for residents receiving personal care services.

The facility failed to provide evidence that the resident's written service plan is reviewed and updated at least once every three months for residents receiving directed care services.

The facility failed to provide evidence that caregivers provide assisted living services as specified in the resident's service plan.

The facility failed to provide evidence that medications administered to residents comply with medication orders.

The facility failed to provide evidence that evacuation drills for employees and residents are conducted at least once every six months.

The facility failed to provide evidence that evacuation drills include all individuals on the premises except residents with medical documentation that evacuation would cause harm.

R9-10-120 — The facility failed to provide evidence that the effect of administered opioids or assistance in self-administration is documented in the patient's medical record.

The manager failed to ensure a resident had a written service plan completed no later than 14 calendar days after the resident's date of acceptance, resulting in no timely service plan to direct services for one resident.

The manager failed to ensure a resident's written service plan accurately included the level of service the resident was expected to receive for two residents.

The manager failed to ensure each resident's written service plan accurately included the amount, type, and frequency of assisted living services provided, including medication administration, for two residents.

The manager failed to ensure a resident's written service plan was reviewed and updated within 14 calendar days after a significant change in condition, specifically after enrollment in hospice services for one resident.

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

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

The manager failed to ensure a caregiver provided a resident with the assisted living services specified in the resident's service plan for one resident.

The manager failed to ensure a medication administered to a resident was administered in compliance with a medication order, including lack of documentation for one medication, posing a risk of improper administration.

The manager failed to ensure an evacuation drill for employees and residents was conducted at least once every six months, with missing documentation and incomplete drills.

The manager failed to ensure an evacuation drill included all individuals on the premises, with drills missing residents and incomplete documentation.

R9-10-120 — The manager failed to ensure documentation of the effect of an administered opioid in the resident's medical record for one resident receiving opioid medication.

The manager failed to ensure a caregiver documented the services provided in the resident's medical record for six of eight residents sampled, including inconsistent or unavailable documentation of safety checks each shift.

The manager failed to ensure a resident had a written service plan signed and dated by all required parties when initially developed and updated for four of nine residents sampled.

B. If an assisted living facility provides medication administration, a manager shall ensure that: 3. A medication administered to a resident: b. Is administered in compliance with a medication order, and

The manager failed to ensure a medication was administered in compliance with a medication order for three of nine residents sampled. Medication administration records showed omissions and discrepancies in documentation and compliance.

The manager failed to ensure a resident was provided a diet to meet the resident's nutritional needs as specified in the resident's service plan for two of nine residents sampled.

The manager failed to ensure the premises were free from a situation that may cause a resident to suffer physical injury. An unlocked medicine cabinet contained poisonous nail polish remover accessible to residents in a secured memory care unit.