Inspection Reports for
Copper Creek Inn Memory Care

A.R.S. § 36-420.04.A.1-9 — The manager failed to ensure that emergency responders were provided a copy of the resident's accountability act release authorizing hospital communication to plan for the resident's discharge.

R9-10-803 — The governing authority failed to ensure compliance with A.R.S. § 36-411.C.4 by not documenting adult protective services registry checks for three of six personnel reviewed.

R9-10-806 — The manager failed to ensure that three of six personnel provided evidence of freedom from infectious tuberculosis on or before their start date, posing a potential TB exposure risk to residents.

A.R.S. § 36-420.01.A — The manager failed to ensure the facility developed and administered a fall prevention and fall recovery training program for all staff, as two staff members lacked required documentation of this training.

A.R.S. § 36-420.04.A.1-9 — The assisted living center failed to provide a written document to emergency responders covering all required patient information when contacting EMS for a resident sent to the hospital.

R9-10-815 — The manager failed to ensure a resident's service plan included skin maintenance to prevent and treat bruises, injuries, pressure sores, and infections, posing a risk to resident health and safety. This was a repeat deficiency from a prior complaint investigation.

R9-10-803 — The governing authority failed to ensure documented good-faith efforts to contact previous employers for two of four personnel sampled.

R9-10-806 — The manager failed to ensure a caregiver provided evidence of freedom from infectious tuberculosis as required, posing a potential illness risk to residents.

R9-10-817 — The manager failed to ensure medications were administered in compliance with orders and documented in medical records for three of four residents sampled.

R9-10-819 — The manager failed to maintain evacuation drill documentation for at least 12 months including identification of residents needing assistance and those not evacuated.

The facility failed to provide evidence that staff had current first aid and CPR training certification specific to adults before providing assisted living services.

The facility failed to provide evidence that resident service plans were signed and dated by required parties when initially developed and updated.

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

R9-10-808 — A manager failed to ensure that the service plan for a resident receiving directed care services included required elements as specified in related regulations.

A manager failed to ensure that medication administered to a resident was accurately documented in the resident's medical record, with multiple instances of missing documentation for various medications in October 2024. This finding was confirmed by record review and interview.

The manager failed to ensure the caregiver documented the services provided in the resident's medical record for two residents, risking verification of services against the service plan.

R9-10-808 — The manager failed to ensure the service plan included skin maintenance to prevent and treat bruises, injuries, pressure sores, and infections for two residents, posing a health risk.

The manager failed to ensure that one of two sample resident records contained a written service plan completed within 14 calendar days after the resident's date of acceptance. This deficiency was uncorrected from a prior inspection.

The manager failed to ensure caregivers immediately notified residents' primary care providers after incidents requiring medical services for two residents, posing a health and safety risk. Incident reports lacked documentation of primary care provider notification.

The manager failed to ensure that one caregiver had current documentation of first aid and CPR training before providing assisted living services. The expired certifications posed a risk during emergencies.

The manager failed to ensure that two residents had written service plans signed and dated by the resident or representative and the manager when initially developed and updated. The service plans were undated and missing required signatures.

R9-10-113 — The manager failed to ensure that two of four employees provided evidence of freedom from infectious tuberculosis as required, including missing annual documentation and risk assessments.

The manager failed to ensure a resident had a written service plan completed within 14 calendar days after acceptance, posing a risk due to lack of service direction.

The manager failed to ensure a caregiver documented the services provided in the resident's medical record for one resident, with multiple shifts lacking documentation of services rendered.

B.3.c — The manager failed to ensure medication administration was documented in the resident's medical record for two residents, with multiple dates lacking documentation of medication given.