9 Reports
Inspection Report — Apr 17, 2025
Complaint Investigation State
Date: Apr 17, 2025
Visit Reason
On-site complaint investigation of complaint 00127377 at an Assisted Living Center, conducted 17 April 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaint 00127377 conducted on April 17, 2025.
Findings
No deficiencies were found during the complaint investigation.
Report Facts
Complaints investigated: 1
Inspection Report — Apr 16, 2025
Complaint Investigation State
Date: Apr 16, 2025
Visit Reason
On-site complaint investigation of complaints 00127007 and 00126984 at an Assisted Living Center, conducted 16 April 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaints 00127007 and 00126984 conducted on April 16, 2025.
Findings
No deficiencies were found during the inspection.
Report Facts
Complaints investigated: 2
Inspection Report — Apr 15, 2025
Complaint Investigation State
Date: Apr 15, 2025
Visit Reason
On-site complaint investigation of complaint 00124888 at an Assisted Living Center, conducted 15 April 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaint 00124888 conducted on April 15, 2025.
Findings
No deficiencies were found during the inspection.
Report Facts
Complaints investigated: 1
Inspection Report — Mar 17, 2025
Annual Inspection State
Date: Mar 17, 2025
Visit Reason
On-site complaint investigation of complaint 00106621 combined with an annual compliance inspection at an Assisted Living Center, conducted 17 March 2025.
Complaint Details
The deficiencies were found during the on-site compliance inspection and investigation of complaint 00106621 conducted on March 17, 2025.
Findings
The inspection found three deficiencies related to personnel documentation and resident service plan signatures. The facility failed to verify caregiver skills before service, ensure tuberculosis freedom documentation, and obtain required signatures on resident service plans.
Deficiencies (3)
R9-10-806 — The manager failed to ensure a caregiver's skills and knowledge were verified and documented before providing physical health or behavioral health services for one of four sampled caregivers. This posed a risk if employees were unable to meet resident needs.
R9-10-806 — The manager failed to ensure two employees provided documentation of freedom from infectious tuberculosis on or before their start date, posing a potential TB exposure risk to residents.
R9-10-808 — The manager failed to ensure that written service plans for two residents were signed by the resident or representative, the manager, and the nurse who reviewed the plan.
Report Facts
Deficiencies cited: 3
Complaints investigated: 1
Inspection Report — Jan 16, 2025
Complaint Investigation State
Date: Jan 16, 2025
Visit Reason
On-site complaint investigation of complaint AZ00211152 at an Assisted Living Center, conducted 16 January 2025.
Complaint Details
An on-site investigation of complaint AZ00211152 was conducted on January 16, 2025, and no deficiencies were cited.
Findings
No deficiencies were cited during this inspection.
Inspection Report — Jun 3, 2024
Complaint Investigation State
Date: Jun 3, 2024
Visit Reason
On-site complaint investigation at an Assisted Living Center, conducted 3 June 2024.
Findings
This inspection resulted in no citations or deficiency findings.
Inspection Report — Apr 9, 2024
Enforcement State
Date: Apr 9, 2024
Visit Reason
Civil monetary penalty, action 00111440 (invoice INV-258185), assessed 9 April 2024.
Findings
A $500.00 penalty was assessed and paid in full by 13 June 2024.
Report Facts
Penalty amount: 500
Amount paid: 500
Amount remaining: 0
Inspection Report — Mar 26, 2024
Annual Inspection State
Date: Mar 26, 2024
Visit Reason
On-site complaint investigation of complaint AZ00199453 combined with an annual compliance inspection at an Assisted Living Center, conducted 26 March 2024.
Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaint AZ00199453 conducted on March 26, 2024.
Findings
This inspection found six deficiencies related to personnel record documentation, caregiver service documentation, facility egress alert systems, notification of medical providers after incidents, documentation of preventive actions, and bathroom ventilation.
Deficiencies (6)
Documentation of fingerprint clearance — The manager failed to ensure personnel records for two employees included documentation verifying the current status of their fingerprint clearance cards at hire.
Caregiver documentation — The manager failed to ensure a caregiver documented services provided in the medical record for one discharged resident, leaving multiple shifts without required initials.
F.2.a — The manager failed to ensure a means of exiting the facility for residents without keys or special knowledge included an alert device to notify employees of egress.
R9-10-101.110 — The manager failed to ensure immediate notification of the resident's primary care provider after an accident requiring medical services.
Documentation of preventive actions — The manager failed to ensure documentation of actions taken to prevent future accidents after a resident's injury requiring medical services.
Bathroom ventilation — The manager failed to ensure bathrooms in two residential units had working ventilation, as fans were broken and windows did not open.
Report Facts
Deficiencies cited: 6
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