Inspection Reports for
The Cottages of Tucson

R9-10-808 — The manager failed to ensure a written service plan was updated at least once every three months for one of three residents receiving directed care services. This repeat deficiency posed a health and safety risk if employees did not know the resident's needed services.

R9-10-808 — The manager failed to ensure service plans were signed and dated by the resident or representative, the manager, and the nurse or medical practitioner for three residents. Attempts to obtain signatures from the POA were documented but incomplete.

R9-10-815 — The manager failed to ensure service plans included documentation of the resident's weight or a medical practitioner's statement that weighing was contraindicated for three residents receiving directed care services.

R9-10-820 — The manager failed to ensure poisonous or toxic materials were stored in a locked, labeled area inaccessible to residents. An unlocked laundry room contained a cleaning product accessible to residents, posing a physical health risk.

R9-10-803 — The governing authority failed to ensure documented good faith efforts were made to contact previous employers to obtain information relevant to a person's fitness to work in a residential care institution.

R9-10-804 — The manager failed to ensure a documented report identifying concerns about service delivery and any resulting actions was submitted to the governing authority as required by the facility’s quality management program.

R9-10-806 — The manager failed to ensure verification and documentation of skills and knowledge before two certified caregivers provided physical or behavioral health services.

R9-10-806 — The manager failed to ensure personnel records included documentation of current cardiopulmonary resuscitation training for one caregiver.

R9-10-815 — The manager failed to ensure the means of exiting the facility controlled or alerted employees of a resident’s egress when the door was propped open, compromising safety.

R9-10-816 — The manager failed to ensure medication was administered in compliance with orders and properly documented, including failure to document a verbal hold order and incomplete medication administration records.

R9-10-818 — The manager failed to ensure immediate notification of residents’ primary care providers following accidents or emergencies requiring medical services.

A.R.S. § 36-420.04.D — The facility failed to maintain copies of documentation provided to emergency responders for four residents, as required by state law.

R9-10-803 — The governing authority failed to document good faith efforts to contact previous employers for one employee, posing a risk to resident safety.

R9-10-806 — The manager failed to ensure a caregiver provided current documentation of first aid and CPR training before providing services.

R9-10-806 — The manager failed to ensure a caregiver provided evidence of freedom from infectious tuberculosis before beginning work.

R9-10-808 — The manager failed to ensure a caregiver documented services provided in a resident's medical record for January 2025.

R9-10-803 — The manager failed to implement policies protecting resident health and safety regarding medication administration and documentation.

R9-10-806 — The manager failed to verify and document caregivers' skills and knowledge before providing physical or behavioral health services.

R9-10-808 — The manager failed to ensure residents' written service plans included the level of service expected for three residents.

R9-10-814 — The manager failed to include offering sufficient fluids to maintain hydration in a resident's personal care service plan.

R9-10-816 — The manager failed to ensure medication was administered in compliance with orders and provided false and misleading documentation.

R9-10-818 — The manager failed to ensure caregivers documented accidents and emergencies fully, including notifications and preventive actions.

R9-10-115 — The manager failed to ensure a personnel record was established and maintained with all required documentation for one of five personnel records reviewed, including missing employment start date, contact information, verification of skills, compliance documentation, and job description.

Service plan completion — The manager failed to ensure a resident had a written service plan completed no later than 14 calendar days after the resident's date of acceptance for three of three sampled residents.

Service plan update — The manager failed to ensure a written service plan was updated at least once every three months for one of three residents receiving directed care services.

R9-10-808 — The manager failed to ensure the service plan for residents receiving directed care services included required elements such as incontinence care, cognitive stimulation activities, and documentation of resident weight for three sampled residents.