Inspection Reports for
Brookdale Union Hills

R9-10-803 — The governing authority failed to notify the Department immediately when there was a change in the manager, resulting in the Department being unaware if the facility maintained a qualified manager.

R9-10-808 — The manager failed to ensure a written service plan was updated at least once every three months for one resident receiving directed care services. Required updates dated on or before December 31, 2024 and March 31, 2025 were missing.

R9-10-808 — The manager failed to ensure the caregiver documented the services provided in the resident's medical record for one resident. Catheter care was provided but left undocumented on multiple dates, posing a risk of unverifiable care.

J. If a manager has a reasonable basis, according to A.R.S. § 46-454, to believe abuse, neglect or exploitation has occurred, the manager failed to immediately report suspected abuse. Documentation and interviews showed the facility did not notify authorities promptly after a July 19, 2024 incident.

Failure to immediately report suspected abuse of a resident according to A.R.S. § 46-454, despite having a reasonable basis to believe abuse occurred on April 30, 2024, with the report delayed until May 2, 2024.

36-420.01 — The manager failed to ensure the facility administered a fall prevention and fall recovery training program for all staff including initial and continued competency training.

The governing authority failed to ensure compliance with A.R.S. § 36-411 by not documenting good faith efforts to contact previous employers for one employee.

R9-10-113 — The manager failed to ensure two employees provided evidence of freedom from infectious tuberculosis as required.

The manager failed to ensure three caregivers provided current documentation of first aid and CPR training including a demonstration of CPR ability before providing services.

R9-10-808 — The manager failed to ensure one resident provided documentation of freedom from infectious tuberculosis as required.

The manager failed to ensure a resident's written service plan was updated within 14 days after a significant change in condition.

The manager failed to ensure two residents had written service plans signed and dated by required individuals including the resident or representative, manager, and medical reviewer.

The manager failed to ensure two residents' medical records contained documentation of notification of availability of influenza and pneumonia vaccinations.

R9-10-814 — The manager failed to ensure the facility did not retain a resident confined to a bed or chair without a semiannual written determination from a medical practitioner that needs could be met and were within scope of services.

R9-10-814 — The manager failed to ensure the facility did not retain a resident with a stage 3 or 4 pressure sore without a written determination from a medical practitioner upon onset and every six months thereafter.

R9-10-808 — The manager failed to ensure a service plan included skin maintenance to prevent and treat bruises, injuries, pressure sores, and infections for one resident receiving directed care.

The manager failed to ensure medications were administered in compliance with medication orders for two residents, including holding doses based on vital sign parameters.

The manager failed to ensure a caregiver immediately notified a resident's emergency contact and primary care provider after an incident requiring medical services.

The manager failed to ensure a caregiver documented all required details of an incident resulting in medical services for a resident, including date, description, witnesses, notifications, and preventive actions.

R9-10-113 — The facility failed to provide annual training and education on recognizing signs and symptoms of tuberculosis to employees and volunteers.

R9-10-113 — The facility failed to conduct an annual assessment of the risk of exposure to infectious tuberculosis.

The manager failed to ensure a resident submitted documentation signed by a medical practitioner or registered nurse stating whether the resident required continuous medical services, nursing services, or restraints. This posed a risk if the facility was unable to meet the resident's needs.

The manager failed to ensure a resident's written service plan was updated within 14 days after a significant change in the resident's physical condition, specifically a new wound. This posed a health and safety risk if caregivers were unaware of the needed services.