Inspection Reports for
Brookdale North Gilbert

R9-10-808 — The manager failed to ensure a caregiver documented services provided to residents in their medical records for two of three sampled residents, risking verification of services against the service plan.

R9-10-120 — The manager failed to ensure that documentation identified the resident's need for opioid administration and the effect of the opioid administered before and after administration for one resident receiving opioids.

R9-10-803 — The manager failed to ensure personnel records for five employees included required documentation verifying valid fingerprint clearance cards and documented efforts to contact previous employers for fitness to work.

R9-10-806 — The manager failed to ensure a caregiver’s skills and knowledge were verified and documented before providing physical health services, as evidenced by one employee working alone without documented competency verification.

R9-10-807 — The manager failed to ensure four residents provided evidence of freedom from infectious tuberculosis signed by authorized personnel as required, posing a TB exposure risk.

R9-10-808 — The manager failed to ensure residents' medical records contained documentation verifying assisted living services were provided on multiple days for five residents.

R9-10-816 — The manager failed to ensure staff obtained required memory care services training certificates within 30 days of hire or provided qualifying certificates, as required for five employees.

A.R.S. § 36-420.04.D — The manager failed to ensure the facility maintained a copy of the document provided to emergency responders and required documentation for two years after the emergency, resulting in false and misleading information being provided to the Department.

R9-10-803 — The manager failed to ensure the health, safety, or welfare of residents by not implementing measures to prevent harm from aggressive resident behavior, including lack of monitoring and absence of a documented plan following incidents.

R9-10-811 — The manager failed to ensure safeguards existed to prevent unauthorized access to electronic resident medical records, as a laptop with open resident records was left unattended in a common area accessible to visitors.

R9-10-815 — The manager failed to ensure the facility had a means of alerting employees when residents exited to a secured outside area, as doors lacked alarms or delayed egress systems, posing a risk of unmonitored resident egress.

A.R.S. § 36-420.04.A.1-9 — The facility failed to provide emergency responders with a written document including all required elements such as the reason for the emergency responder request and the resident's HIPAA release authorization.

R9-10-803 — The manager failed to report suspected abuse, neglect, or exploitation in a timely manner as required by A.R.S. § 46-454, with a delay in notifying Adult Protective Services.

A manager failed to ensure personnel records included documentation of completed orientation for six of nine employees sampled, posing a risk to meeting residents' needs.