Inspection Reports for Active Care Home LLC
16212 N 55th PI Scottsdale, AZ 85254, AZ, 85254
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Inspection Report
Complaint Investigation
Capacity: 10
Deficiencies: 12
Feb 6, 2025
Visit Reason
State-compiled facility profile showing 2 inspections from 2024-07 to 2025-02 with deficiency history including complaint investigations and annual compliance.
Findings
Across two inspections, multiple deficiencies were found including failures in quality management review, caregiver designation, supervision, service plan completeness, medication management, and medical record maintenance.
Complaint Details
Complaint investigations AZ00215298, AZ00212960, AZ00205363, and AZ00212996 were conducted with deficiencies cited related to compliance and complaint issues.
Deficiencies (12)
| Description |
|---|
| A. A governing authority shall: 5. Review and evaluate the effectiveness of the quality management program at least once every 12 months; - Failed to review and evaluate the quality management program annually. |
| B. A manager: 3. Except as provided in subsection (A)(6), designates, in writing, a caregiver who is: a. At least 21 years of age, and b. Present on the assisted living facility's premises and accountable for the assisted living facility when the manager is not present on the assisted living facility premises. - Failed to designate in writing a caregiver accountable when manager was absent. |
| A. A manager shall ensure that: 2. An assistant caregiver: b. Interacts with residents under the supervision of a manager or caregiver; - Assistant caregiver interacted with residents unsupervised. |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 3. Includes the following: a. A description of the resident's medical or health problems, including physical, behavioral, cognitive, or functional conditions or impairments; - Resident service plan lacked description of medical or health problems. |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 5. When initially developed and when updated, is signed and dated by: a. The resident or resident's representative; - Service plan was not signed and dated by resident or representative. |
| B. A manager of an assisted living facility authorized to provide directed care services shall not accept or retain a resident who, except as provided in R9-10-814(B)(2): 1. Is confined to a bed or chair because of an inability to ambulate even with assistance; or - Facility retained a bedbound resident without required written determination from PCP or medical practitioner. |
| F. A manager of an assisted living facility authorized to provide directed care services shall ensure that: 2. There is a means of exiting the facility for a resident who does not have a key, special knowledge for egress, or the ability to expend increased physical effort that meets one of the following: a. Provides access to an outside area that: i. Allows the resident to be at least 30 feet away from the facility, and ii. Controls or alerts employees of the egress of a resident from the facility; - Failed to ensure means of exit that controlled or alerted employees of resident egress. |
| D. A manager shall ensure that: 2. A current toxicology reference guide is available for use by personnel members. - No current toxicology reference guide available for personnel. |
| F. When medication is stored by an assisted living facility, a manager shall ensure that: 3. Policies and procedures are established, documented, and implemented for: d. Storing, inventorying, and dispensing controlled substances. - Failed to maintain inventory of controlled substances. |
| A. A manager shall ensure that: 11. Poisonous or toxic materials stored by the assisted living facility are maintained in labeled containers in a locked area separate from food preparation and storage, dining areas, and medications and are inaccessible to residents; - Toxic materials were not stored in a locked area and were accessible to residents. |
| R9-10-120. Opioid Prescribing and Treatment F. For a health care institution where opioids are administered as part of treatment or where a patient is provided assistance in the self-administration of medication for a prescribed opioid, including a health care institution in which an opioid may be prescribed or ordered as part of treatment, a medical director, a manager as defined in R9-10-801, or a provider, as applicable to the health care institution, shall: 4. Except as provided in subsection (H), ensure that an individual authorized by policies and procedures to administer an opioid in treating a patient or to provide assistance in the self-administration of medication for a prescribed opioid: a. Before administering an opioid or providing assistance in the self-administration of medication for a prescribed opioid in compliance with an order as part of the treatment for a patient, identifies the patient's need for the opioid; b. Monitors the patient's response to the opioid; and c. Documents in the patient's medical record: i. An identification of the patient ' s need for the opioid before the opioid was administered or assistance in the self-administration of medication for a prescribed opioid was provided, and ii. The effect of the opioid administered or for which assistance in the self-administration of medication for a prescribed opioid was provided. - Failed to document resident's need for opioid before administration and monitoring of effect. |
| A. A manager shall ensure that: 1. A medical record is established and maintained for each resident according to A.R.S. Title 12, Chapter 13, Article 7.1; - Failed to maintain medical records for residents as required. |
Report Facts
Inspections on page: 2
Total deficiencies: 12
Complaint inspections: 2
Total capacity: 10
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