Inspection Reports for
Overture North Scottsdale

A.R.S. § 36-420.B.2. — The facility failed to provide appropriate first aid before emergency medical services arrived to a non-injured resident who had fallen and was unable to recover independently. Staff were insufficient to meet the resident's safety and wellbeing needs.

R9-10-819 — The manager failed to ensure that a caregiver documented the emergency incident involving a resident requiring medical services. No incident report or documentation was available for review during the inspection.

A manager failed to ensure that a documented report was submitted to the governing authority identifying concerns about the delivery of services related to resident care and any changes made as a result.

A manager failed to ensure that individuals submitted required documentation dated within 90 days before acceptance, including medical and behavioral health service needs signed by appropriate professionals.

A manager failed to ensure that there is a means of exiting the facility for residents without keys or special knowledge that provides access to an outside area at least 30 feet away and alerts employees of egress.

A manager failed to ensure that medications administered to residents were given in compliance with medication orders.

A manager failed to ensure that a current drug reference guide was available for use by personnel members.

A manager failed to ensure that a current toxicology reference guide was available for use by personnel members.

A.R.S. § 36-420.04.A — The assisted living center failed to provide emergency responders with a written document including all required information such as reasons for the emergency responder request, medication details, pharmacy contact, allergies, primary care contacts, medical history, point-of-contact information, HIPAA release, and advance directives for residents R2, R4, and R5.

The manager failed to submit a documented quality management report to the governing authority that identified concerns about resident care and actions taken. The annual quality management program and reports had not been implemented.

The manager failed to ensure a resident submitted required documentation signed by a medical practitioner or registered nurse regarding the need for continuous medical services, nursing services, or restraints. This deficiency was a repeat from the prior year.

The manager failed to ensure a means of exiting the facility for residents without keys or special knowledge that provided access to an outside area at least 30 feet away and alerted employees of egress. Doors requiring codes and a courtyard less than 30 feet away did not meet requirements.

The manager failed to ensure medication was administered in compliance with a medication order for one resident. Medications were given per the MAR without signed written or verbal orders.

The manager failed to ensure a current drug reference guide was available for use by personnel. The facility used a 2022 edition instead of the current 2025-2026 edition.

The manager failed to ensure a current toxicology reference guide was available for use by personnel. The facility used the seventh edition instead of the current eighth edition.

36-420.01 — The manager failed to ensure the health care institution developed and administered a training program for all staff regarding fall prevention and fall recovery, and required documentation was not provided during the inspection.

The governing authority failed to ensure compliance with A.R.S. § 36-411 for three of four personnel records sampled, including lack of documentation of good faith efforts to contact previous employers and missing fingerprint clearance cards.

The manager failed to ensure caregivers' skills and knowledge were verified and documented before providing physical health services for four caregivers sampled, with no documentation available for review.

The manager failed to ensure written service plans were updated at least once every six months for two residents receiving personal care services, with no updated plans available for review.

The manager failed to ensure residents' medical records contained signed residency agreements and any amendments for five residents sampled, as these documents were not available for review.

The manager failed to ensure residents' medical records contained service plans and updates for one resident, with original service plans and updates missing from the record.

The manager failed to ensure residents' medical records contained documentation of assisted living services provided for five residents, as such documentation was not available for review.

The manager failed to ensure residents' medical records included documentation of medication administration for five residents, with records missing after January 2024.

The manager failed to ensure residents' medical records contained documentation showing influenza and pneumonia vaccinations were offered every 12 months for four residents, with no such documentation available.

36-420 — The facility failed to provide appropriate first aid to a non-injured resident who had fallen and was unable to recover independently, instead calling 911 and not assisting the resident off the floor as required.

Personnel record documentation — The manager failed to ensure a personnel record included documentation of caregiver certification for one of seven caregivers employed.

Documentation before acceptance — The manager failed to ensure required medical documentation dated within 90 days before acceptance was submitted for one resident, including whether continuous medical or nursing services or restraints were needed.

Service plan signatures — The manager failed to ensure residents' written service plans were signed and dated by the resident or representative, the manager, or the nurse or medical practitioner when initially developed and updated for six residents.

Evacuation drills — The manager failed to ensure evacuation drills for employees and residents were conducted at least once every six months, with no drills documented since the last inspection.