Inspection Reports for
Mosaic Gardens Memory Care at Scottsdale

R9-10-803 — The manager failed to report suspected abuse of a resident according to Arizona Revised Statutes § 46-454, delaying the report by more than 20 hours after the incident. This deficient practice posed a risk to the physical health and safety of a resident.

R9-10-817 — The manager failed to ensure medications were administered in compliance with orders for three residents, including missed doses due to unavailable medication and incorrect documentation of administration. This posed a risk of harm if residents experienced changes in condition.

R9-10-803 — The manager failed to report suspected abuse of a resident immediately as required by Arizona law, delaying the report until over a month after the incidents occurred. This failure to report posed a risk to the resident's physical health and safety.

R9-10-803 — The manager failed to ensure the health, safety, or welfare of a resident was not placed at risk of harm when a staff member slapped a resident, causing pain and loss of personal dignity.

R9-10-803 — After having a reasonable basis to believe abuse occurred, the manager failed to report the suspected abuse immediately, delaying the report until after awaiting corporate instructions.

R9-10-810 — The manager failed to ensure a resident was treated with dignity, respect, and consideration when a staff member slapped the resident, causing pain and loss of personal dignity.

R9-10-806 — The manager failed to ensure a caregiver provided evidence of freedom from infectious tuberculosis on or before the date the individual began providing services at or on behalf of the assisted living facility.

R9-10-807 — The manager failed to ensure that residents provided evidence of freedom from infectious tuberculosis before or within seven calendar days after their dates of occupancy.

No evidence text provided for the deficiency related to emergency responders and patient information documentation.

R9-10-808 — No evidence text provided for the deficiency related to the manager ensuring the service plan includes required elements for residents receiving directed care services.

No evidence text provided for the deficiency related to caregiver notification requirements following a resident's accident, emergency, or injury.

R9-10-807 — The manager failed to ensure residency agreements included terms of occupancy, including the date of occupancy or expected date of occupancy, for two sampled residents.

36-420.04 — The manager failed to provide emergency responders with a written document containing all required resident information for two incidents involving residents R1 and R3, missing critical details such as reasons for emergency response, pharmacy contacts, medical history, point-of-contact information, and HIPAA release authorizations.

R9-10-808 — The manager failed to ensure the service plans for residents receiving directed care services included offering sufficient fluids to maintain hydration for two of three sampled residents.

The manager failed to ensure a caregiver or assistant caregiver immediately notified the resident's primary care provider after an accident, emergency, or injury requiring medical services, resulting in delayed notifications for residents R1 and R3.

J. If a manager has a reasonable basis, according to A.R.S. § 46-454 , to believe abuse, neglect or exploitation has occurred on the premises or while a resident is receiving services from an assisted living facility's manager, caregiver, or assistant caregiver, the manager failed to report the suspected abuse of a resident immediately and document witness names and actions taken to prevent future abuse. The report was made more than 20 hours after the incident, violating the requirement for immediate reporting.

The manager failed to ensure policies and procedures were established and documented to cover methods by which the facility was aware of the general or specific whereabouts of a resident, posing a risk to resident safety.

The manager failed to ensure staff had the necessary qualifications and skills to meet resident needs and ensure health and safety, as evidenced by an employee terminated for failing to check on a resident every two hours, resulting in a fall.

The manager failed to ensure a caregiver provided services according to the resident's service plan, as a resident was not checked on every two hours and was found on the floor after staff failed to complete hourly checks.

The manager failed to ensure a caregiver documented services provided in the resident's medical record accurately, including false documentation of assistance on a day the resident was hospitalized and the staff member was not scheduled to work.

A.R.S. § 36-411 — The governing authority failed to ensure documented good faith efforts to contact previous employers for four of five sampled employees, including new hires after a prior correction date, resulting in missing reference checks.

Abuse reporting — The manager failed to immediately report suspected abuse and did not document witness names or preventive actions, despite having a reasonable basis to believe abuse occurred, posing a risk to resident safety.

The manager failed to verify and document a caregiver's skills and knowledge before providing physical health services for one of four sampled caregivers, risking inadequate care.

The manager failed to ensure a caregiver provided current first aid and CPR training certification before delivering assisted living services, with one caregiver working months without valid certification.

R9-10-808 — The manager failed to include coordination of communications with residents' representatives and family members in service plans for residents receiving directed care services.

The manager failed to document medication administration accurately, with caregivers marking medications as given when they were not delivered, risking resident health and misleading the Department.

R9-10-113 — The chief administrative officer failed to implement tuberculosis infection control activities including timely baseline screening and documentation for sampled residents and employees, posing a potential TB exposure risk.

The manager failed to make good faith efforts to contact previous employers to obtain information relevant to a caregiver's fitness to work in the facility for five of seven employees reviewed. This posed a risk to residents due to lack of verification of caregiver fitness.

The manager failed to establish and document policies and procedures on how a caregiver will respond to a resident's sudden, intense, or out-of-control behavior to prevent harm. No such policy was provided during the inspection or within two hours of request.

The manager failed to ensure verification and documentation of caregivers' skills and knowledge before providing services for five caregivers reviewed. This posed a health and safety risk to residents.

R9-10-113 — The manager failed to ensure caregivers provided evidence of freedom from infectious tuberculosis as required. Personnel records lacked documentation of required TB tests and screenings for five caregivers, posing a potential health risk.

The manager failed to ensure caregivers received orientation specific to their duties before providing services for five caregivers reviewed. This posed a health and safety risk to residents.

The manager failed to ensure two caregivers provided documentation of first aid and CPR training including a demonstration. One caregiver had only online CPR training without demonstration, and another lacked first aid training documentation. This posed a health and safety risk.

The manager failed to ensure policies and procedures for medication services included procedures for assisting a resident in procuring medication. The facility lacked such a policy, posing a health risk to residents.

A governing authority failed to ensure verification of the current status of fingerprint clearance cards and contact with previous employers for three personnel members, posing a safety risk to residents.

The manager failed to implement policies and procedures covering recordkeeping for personnel, despite having a staffing policy.

The manager failed to ensure two caregivers provided CPR certification documentation that included a demonstration of their ability to perform CPR, posing a health and safety risk.

The manager failed to ensure two residents' written service plans included descriptions of their medical or health problems, risking inadequate care.

The manager failed to ensure one resident or their representative received a written copy of admission requirements and resident rights, posing a health and safety risk.

R9-10-814 — The manager failed to ensure a resident unable to ambulate had a signed and dated determination by a medical practitioner that the resident's needs were met by the facility, posing a health risk.