Inspection Reports for ACOYA Mesa by Cogir
6502 E Brown Rd, Mesa, AZ 85205, United States, AZ, 85205
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Inspection Report
Complaint Investigation
Capacity: 188
Deficiencies: 11
May 30, 2025
Visit Reason
State-compiled facility profile showing 3 inspections from 2023 to 2025 with deficiency history including complaint and annual compliance inspections.
Findings
Across all inspections, multiple deficiencies were found including failures in service plan adherence, medication administration, caregiver training documentation, notification of resident deaths, and facility safety measures. Deficiencies posed risks related to resident care, documentation accuracy, and staff training.
Complaint Details
The inspections include complaint investigations with case IDs 00121881 and 00132145, and complaints #AZ00180422, #AZ00180532, #AZ00181566, and #AZ00187614.
Deficiencies (11)
| Description |
|---|
| R9-10-808.C.1.a-g. Service Plans: Manager failed to ensure a caregiver provided assisted living services in accordance with the resident's service plan for one of three sampled residents. |
| R9-10-816.B.3.a-c. Medication Services: Manager failed to ensure medication was administered in compliance with medication orders for one of three sampled residents. |
| 36-420.01. Health care institutions; fall prevention and fall recovery; training programs: Failed to administer a training program for all staff regarding fall prevention and fall recovery. |
| K. Manager failed to provide written notification to the Department of a resident's unexpected death within one working day after the resident's death. |
| K. Manager failed to provide written notification to the Department of a resident's unexpected death within one working day after the resident's death. |
| A. Manager failed to ensure a resident's written service plan included the amount, type and frequency of assisted living services to be provided. |
| C. Manager failed to ensure a caregiver documented the services provided to a resident in the resident's medical record. |
| A. Manager failed to ensure a caregiver provided documentation of completion of a caregiver training program approved by the Department or Board for three of nine individuals sampled. |
| C. Manager failed to ensure personnel records included documentation of compliance with fingerprint clearance card requirements for five of twelve employees sampled. |
| C. Manager failed to ensure a caregiver documented the services provided in the resident's medical record for one of five residents sampled. |
| F. Manager failed to ensure means of exiting the facility for residents without keys or special knowledge controlled or alerted employees of egress to outside area. |
Report Facts
Inspections on page: 3
Total deficiencies: 11
Complaint Inspections: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Cecil | Executive Director | Named in medication administration and service plan deficiency findings |
| Sheree Wilson | Resident Services Director | Named in medication administration and service plan deficiency findings |
| Brooklyn Harris | Compliance Officer | Named in medication administration deficiency findings |
| E1 | Interviewed in multiple deficiencies regarding documentation and training | |
| E2 | Interviewed and referenced in documentation review | |
| E3 | Referenced in personnel record deficiencies | |
| E4 | Referenced in training documentation deficiency | |
| E5 | Referenced in caregiver training and personnel record deficiencies | |
| E7 | Referenced in caregiver training deficiencies | |
| E8 | Referenced in caregiver training deficiencies | |
| E9 | Referenced in personnel record deficiencies | |
| E10 | Referenced in personnel record deficiencies | |
| E11 | Referenced in personnel record deficiencies |
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