Inspection Reports for
Touchmark at The Ranch

A.R.S. § 36-420.01.A — The manager failed to develop and administer a training program for all staff regarding fall prevention and fall recovery, including initial and continued competency training.

R9-10-820 — The manager failed to ensure poisonous or toxic materials were maintained in labeled containers in a locked area separate from food preparation, dining areas, and medications, making them accessible to residents.

A manager failed to ensure that a resident was treated with dignity, respect, and consideration, as evidenced by a disciplinary warning and interviews acknowledging unkind behavior.

E — The manager failed to ensure that a fire inspection was conducted by the local fire department or State Fire Marshal according to the required annual timeframe.

R9-10-113 — The manager failed to ensure tuberculosis infection control activities included annually providing training and education on TB signs and symptoms to employees, with missing documentation for required training.

The manager failed to ensure that medication administered to a resident was in compliance with the medication order. Specifically, a resident did not receive prescribed medications and instead was given medications prescribed to another resident.

36-420.01 — The facility failed to develop and administer a fall prevention and fall recovery training program for all staff, as evidenced by missing training documentation for multiple employees and staff acknowledgment that training had not been developed or administered. This is a repeat deficiency.

R9-10-113 — The manager failed to ensure that one of three sampled personnel records contained evidence of freedom from infectious tuberculosis on or before the date the individual began providing services, with missing documentation for the manager and acknowledgment of the deficiency.

Service plan documentation — The manager failed to ensure that one of two sampled resident service plans included how medication stored in the resident's bedroom would be stored and controlled, with acknowledgment of the omission.

Service plan signatures — The manager failed to ensure that three of four sampled resident service plans were signed and dated by the resident or representative when updated, with acknowledgment of the missing dated signatures.

R9-10-814 — The manager failed to obtain documentation reflecting that two non-ambulatory residents or their representatives requested to remain in the facility and that a medical practitioner stated their needs were met per the facility's scope of services, with acknowledgment of missing documentation.

Reference materials — The manager failed to ensure a current toxicology reference guide was available for personnel, with the available guide outdated and acknowledgment of the deficiency.

Disaster drills — The manager failed to ensure disaster drills for employees were conducted on each shift at least once every three months and documented, with last drill dated over a year prior and acknowledgment of missing documentation.

Evacuation drills — The manager failed to ensure evacuation drills for employees and residents were conducted at least once every six months, with last drill dated over a year prior and acknowledgment of missing documentation.

Pet licensing — The manager failed to ensure that three sampled pets residing at the facility were licensed consistent with local ordinances, with acknowledgment of missing licenses and this being a repeat deficiency.

Pet vaccinations — The manager failed to ensure that seven pets residing at the facility were vaccinated against rabies, with acknowledgment of missing vaccination documentation and this being a repeat deficiency.