Inspection Reports for
The Gardens of Sun City

R9-10-113 — The chief administrative officer failed to implement tuberculosis infection control activities including annually assessing the health care institution’s risk of exposure to infectious TB, posing a potential exposure risk to residents.

R9-10-806 — The manager failed to ensure a caregiver provided documentation of completion of a caregiver training program approved by the Department or NCIA Board for one of five caregivers sampled, posing a risk of unqualified service provision.

R9-10-806 — The manager failed to verify and document caregivers' skills and knowledge before they provided physical health services for four of five sampled caregivers, posing a risk that caregivers lacked necessary skills.

R9-10-806 — The manager failed to ensure caregivers provided evidence of freedom from infectious tuberculosis on or before the date they began providing services, for five of five sampled caregivers, posing a potential TB exposure risk.

R9-10-807 — The manager failed to ensure that four of six residents provided evidence of freedom from infectious tuberculosis before or within seven days after occupancy, posing a TB exposure risk.

R9-10-817 — The manager failed to ensure medications were administered in compliance with orders for five of six residents, including missed doses and administration without orders, posing a risk of resident harm.

R9-10-819 — The manager failed to ensure disaster drills for employees were conducted on each shift at least once every three months and documented, posing a risk if employees were unable to implement a disaster plan.

R9-10-803 — The governing authority failed to designate, in writing, a manager who had a certificate as an assisted living facility manager, leaving the facility without a certified manager for over one month.

R9-10-113 — The facility failed to establish, document, and implement tuberculosis infection control activities, including providing annual training and education on TB to staff and volunteers, posing a TB exposure risk to residents and staff.

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

R9-10-807 — The manager failed to ensure a resident submitted documentation dated within 90 days before acceptance indicating the need for supervisory care or nursing services, and the documentation was incomplete and marked "unknown."

R9-10-808 — The manager failed to ensure a caregiver documented the services provided in a resident's medical record, preventing verification of services against the service plan.

The manager failed to ensure a caregiver documented services provided to residents in their medical records, with gaps in bathing assistance documentation for two residents on multiple dates. This lack of documentation prevented verification that required services were provided as per service plans.

R9-10-818 — The manager failed to ensure residents' medical records contained documentation of their orientation to exits from the assisted living facility for all residents sampled.

Disaster plan documentation — The manager failed to ensure the disaster plan review documentation included the time of review, names of participants, a critique, and recommendations for improvement.