Inspection Reports for
The Ranch Estates of Tucson

R9-10-806 — The manager failed to ensure a personnel record for one employee included documentation of compliance with fingerprint clearance requirements, as the employee's Fingerprint Clearance Card expired and renewal was delayed.

R9-10-808 — The manager failed to ensure a resident's service plan was signed and dated by the resident’s representative, the manager, and the nurse when initially developed and updated, resulting in delayed signatures.

R9-10-819 — The manager failed to ensure an evacuation drill was conducted at least once every six months, with a missing drill for January 2025.

R9-10-804 — The manager failed to ensure a documented report identifying concerns about the delivery of services and any changes or actions taken was submitted to the governing authority as required by the facility's quality management program.

The manager failed to ensure a caregiver provided current documentation of first aid training before providing assisted living services. This posed a risk if employees were unable to meet resident needs during an emergency.

The manager failed to ensure two residents submitted required documentation dated within 90 days before acceptance, including necessary medical service authorizations. This posed a risk if the facility was unable to meet resident needs.

The manager failed to ensure a written service plan was updated at least once every three months for a resident receiving directed care services. The service plan was not signed or dated by required parties, posing a health and safety risk.

The manager failed to ensure an evacuation drill for employees and residents was conducted at least once every six months. This posed a risk as emergency exit procedures were not adequately posted or practiced.

A manager failed to ensure a resident was not subjected to misappropriation of personal and private property by facility staff. Missing Hydrocodone narcotics were reported for three residents, and the facility notified law enforcement and investigated the incident.

36-420.01 — The manager failed to ensure the health care institution administered a fall prevention and fall recovery training program for all staff, with no documentation for multiple employees. This posed a risk to resident safety.

The manager failed to ensure individuals submitted required documentation dated within 90 days before acceptance, including medical service needs and signatures, for four of nine residents sampled. This posed a risk if the facility was unable to meet residents' needs.

The manager failed to ensure a resident's written service plan included how medication stored in the resident's bedroom would be stored and controlled. Medications were observed unsecured in the resident's bathroom.

The manager failed to ensure written service plans were reviewed and updated at required intervals for residents receiving personal and directed care services. This posed a health and safety risk if employees were unaware of needed services.

The manager failed to ensure written service plans were signed and dated by the resident's representative, the manager, and required medical personnel for five of nine residents sampled. This posed a risk to clear documentation of decisions.

R9-10-808 — The manager failed to ensure service plans for residents receiving directed care included required elements such as hydration, personal safety strategies, cognitive stimulation, encouragement to eat, and weight documentation for five residents. This was a repeat citation.

The manager failed to ensure evacuation drills for employees and residents were conducted at least once every six months, with no documentation available. Technical assistance was previously provided.