Inspection Reports for ACOYA Mesa by Cogir

6502 E Brown Rd, Mesa, AZ 85205, United States, AZ, 85205

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Inspection Report Summary

The most recent inspection on May 30, 2025, identified deficiencies related to service plans and medication administration during a complaint investigation. Earlier inspections showed a pattern of issues including caregiver documentation, service plan completeness, fall prevention training, and notification of resident deaths. The facility faced enforcement actions including fines of $2,000 and $250 for repeat deficiencies and documentation failures, which were paid in full. Most complaint investigations were substantiated, focusing mainly on documentation and service delivery. The inspection history indicates ongoing challenges with documentation and service plans, with enforcement actions reflecting repeated concerns over time.

Deficiencies (last 2 years)

Deficiencies (over 2 years) 5.5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

49% worse than Arizona average
Arizona average: 3.7 deficiencies/year

Deficiencies per year

8 6 4 2 0
2023
2025

Inspection Report

Complaint Investigation
Capacity: 188 Deficiencies: 2 Date: May 30, 2025

Visit Reason
Deficiencies found related to service plans and medication administration during investigation of case IDs 00121881 and 00132145.

Complaint Details
Investigation of Case IDs 00121881 and 00132145
Findings
Deficiencies found related to service plans and medication administration during investigation of case IDs 00121881 and 00132145.

Deficiencies (2)
R9-10-808.C.1.a-g. — Service Plans
R9-10-816.B.3.a-c. — Medication Services

Enforcement Action

Enforcement
Fines: 1 Total: $250.00 Date: Apr 29, 2025

Summary
The enforcement outcome resulted in a civil fine for the facility due to failure to document services provided to a resident, which was a repeat deficiency from a prior inspection and complaint investigation.

Fines & Penalties (1)
AmountReasonStatus
$250.00Failure to ensure that services provided to one resident were documented in the resident's medical record, a repeat deficiency.

Enforcement Action

Enforcement
Fines: 1 Total: $250.00 Date: Apr 1, 2025

Summary
A fine of $250.00 was imposed and has been paid in full as of 2025-05-07.

Fines & Penalties (1)
AmountReasonStatus
$250.00Fine imposed as part of enforcement actionPaid

Inspection Report

Complaint Investigation
Capacity: 188 Deficiencies: 5 Date: Feb 6, 2025

Visit Reason
Multiple deficiencies including fall prevention training, notification of resident deaths, service plan completeness, and caregiver documentation.

Findings
Multiple deficiencies including fall prevention training, notification of resident deaths, service plan completeness, and caregiver documentation.

Deficiencies (5)
36-420.01. — Fall prevention and training programs
K. — Notification of resident death
K. — Notification of resident death
A. — Resident written service plan requirements
C. — Caregiver documentation of services provided

Enforcement Action

Enforcement
Fines: 2 Total: $2,000.00 Date: Jul 5, 2023

Summary
The facility was found to have deficiencies in caregiver training documentation and resident safety related to egress, resulting in civil fines totaling $2000.

Fines & Penalties (2)
AmountReasonStatus
$1,500.00Failure to ensure a caregiver provided documentation of completion of a caregiver training program for three of nine individuals hired as caregivers.
$500.00Failure to ensure the means of exiting the facility for a resident without a key, special knowledge, or ability to expended physical effort, including failure to control or alert employees of the egress.

Enforcement Action

Enforcement
Fines: 1 Total: $2,000.00 Date: Jun 13, 2023

Summary
The facility was fined $2,000.00 which has been paid in full as part of the enforcement resolution.

Fines & Penalties (1)
AmountReasonStatus
$2,000.00Fine imposed as part of enforcement actionPaid

Inspection Report

Complaint Investigation
Capacity: 188 Deficiencies: 4 Date: Mar 29, 2023

Visit Reason
Deficiencies found related to caregiver training documentation, personnel record compliance, caregiver documentation, and facility exit means.

Findings
Deficiencies found related to caregiver training documentation, personnel record compliance, caregiver documentation, and facility exit means.

Deficiencies (4)
A. — Caregiver training documentation
C. — Personnel record documentation compliance
C. — Caregiver documentation of services provided
F. — Means of exiting the facility

Enforcement Action

Enforcement
Total: $0.00 Date: Nodate Enforcement

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