Inspection Reports for
Vineyard Park of Surprise

R9-10-815 — The manager failed to ensure there was a means of exiting the facility that provided access to an outdoor area and controlled or alerted employees to a resident’s egress, posing a risk if the facility was unaware of the resident’s whereabouts.

Caregiver training documentation — The facility failed to provide evidence of completion of a caregiver training program approved by the Department or Board.

Resident service plan review — The facility failed to ensure that a resident's written service plan was reviewed and updated within 14 calendar days after a significant change in condition.

Resident service plan review — The facility failed to ensure that a resident's written service plan was reviewed at least once every six months for those receiving personal care services.

Medication administration compliance — The facility failed to ensure that medication was administered in compliance with a medication order.

Accident documentation — The facility failed to document required details following a resident's accident, emergency, or injury needing medical services.

R9-10-817 — The manager failed to ensure medication administered to residents was in compliance with medication orders, resulting in missed doses for two of three sampled residents. This posed a risk of adverse health outcomes.

A manager failed to ensure that a caregiver or assistant caregiver documented the services provided in the resident's medical record.

The manager failed to ensure the caregiver documented the services provided in the residents' medical records for two of three residents sampled, posing a risk as services could not be verified against service plans. Interviews confirmed that services were provided but not documented correctly.

The manager failed to ensure a caregiver provided documentation of completing a caregiver training program approved by the Department or the NCIA Board for one of four caregivers reviewed. The deficient practice posed a health and safety risk to residents.

The manager failed to ensure a written service plan was updated no later than 14 days after a significant change in a resident's physical, cognitive, or functional condition for one resident. This posed a health and safety risk if caregivers did not know the resident's needs.

The manager failed to ensure a written service plan was updated at least once every six months for one of three residents receiving personal care services. This posed a health and safety risk if employees did not know the services needed.

The manager failed to ensure a medication was administered in compliance with a medication order for one of six residents reviewed. This posed a risk if the resident experienced a change in condition due to improper medication administration.

The manager failed to ensure that when a resident had an incident resulting in needing medical services, the caregiver documented the date and time, description, observers, actions taken, notifications, and prevention measures for one of two residents. This posed a health and safety risk.

R9-10-113 — The manager failed to ensure an employee provided documentation of freedom from infectious tuberculosis for two of five caregivers, posing a potential TB exposure risk to residents.

Written service plan update — The manager failed to update a resident's written service plan within 14 days after a significant change in the resident's physical condition, risking inadequate care.

R9-10-807(D)(1-10) — The manager failed to ensure there was a documented residency agreement including all required elements for two of four residents sampled, posing a risk that residents were not informed of the terms of residency.