Inspection Reports for
The Watermark at Morrison Ranch

A.R.S. § 36-420.04.A.1-9 — The assisted living center failed to maintain a standardized emergency responder transfer form for three residents, missing point-of-contact information including telephone, cell phone, and email, and for one resident also missing medication service details and medication lists.

A.R.S. § 36-420.04.C — The assisted living center failed to maintain a standardized emergency responder form including all required information for three of eight residents sampled, missing HIPAA release authorization, primary care physician and power of attorney contact information, and advance directives documentation. This posed a risk if the facility was not prepared in case of an emergency.

36-420.04 — The facility failed to provide evidence regarding required documentation to emergency responders when contacted on behalf of a resident.

Resident orientation — The facility failed to ensure residents received orientation to the exits and evacuation routes within 24 hours of acceptance.

Notification procedures — The facility failed to ensure immediate notification of the resident's emergency contact and primary care provider following an accident, emergency, or injury requiring medical services.

36-420.04 — The facility failed to provide a written document to the emergency responder that included all required information, specifically lacking a copy of the resident's HIPAA release authorizing hospital communication for discharge planning.

Orientation to exits — The manager failed to ensure and document that five residents received orientation to the facility exits and evacuation routes within 24 hours of acceptance.

Notification failure — The manager failed to ensure immediate notification of a resident's emergency contact and primary care provider after an accident requiring medical services.

The governing authority failed to designate a manager who had either a temporary or permanent manager's certificate from the Arizona Board of Nursing Care Institution Administrators and Assisted Living Facility Managers, which posed a health and safety risk.

36-420.01 — The manager failed to ensure the facility administered a fall prevention and fall recovery training program for all staff, with no documentation that one employee completed the required training.

The governing authority failed to ensure employees had valid fingerprint clearance cards or applications within 20 working days of hire for three of twelve sampled personnel records, posing a safety risk.

The manager failed to establish, document, and implement a policy covering methods by which the facility is aware of the whereabouts of residents based on the level of assisted living services provided.

The manager failed to ensure personnel records contained documentation verifying caregivers' skills and knowledge before providing physical health services for two of four caregivers reviewed.

The manager failed to ensure caregivers provided current documentation of adult CPR training certification before providing assisted living services for two of eight personnel reviewed.

The manager failed to ensure a written service plan included how medication would be stored and controlled for one resident storing medication in their unit.

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

R9-10-814 — The manager failed to ensure that for two residents unable to ambulate even with assistance, a signed determination by a medical practitioner stating residents' needs were met was completed at least every six months based on current examinations.

The manager failed to ensure a current drug reference guide was available for use by personnel, posing a health and safety risk.

The manager failed to ensure the disaster plan was reviewed at least once every 12 months, posing a safety risk.

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

The manager failed to ensure evacuation drills for employees and residents were conducted at least once every six months, posing a safety risk.

The manager failed to ensure poisonous or toxic materials were maintained in a locked area, as an unlocked housekeeping cart contained such materials in a common hallway.

The manager failed to ensure one dog residing at the facility was licensed consistent with local ordinances.