Deficiencies (last 3 years)
Deficiencies (over 3 years)
5 deficiencies/year
Deficiencies are regulatory findings recorded during state inspections.
35% worse than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Sep 27, 2024
Visit Reason
The inspection was conducted based on complaints regarding failure to maintain resident dignity and privacy, and concerns about medication administration practices.
Complaint Details
The complaint investigation was substantiated with findings that the facility failed to maintain dignity and privacy for resident #338 and failed to follow physician orders for opioid administration for patient #8.
Findings
The facility failed to ensure dignity and privacy for one resident (#338) by staff entering the bathroom without knocking and withholding certain information citing HIPAA. Additionally, the facility failed to ensure opioid medication was administered according to physician-ordered parameters for one patient (#8), with multiple instances of oxycodone given outside prescribed pain level parameters without physician notification or documentation.
Deficiencies (2)
Failure to maintain resident dignity and privacy for resident #338, including staff entering bathroom without knocking and withholding information citing HIPAA.
Failure to ensure opioid medication regimen was administered according to physician's ordered parameters for patient #8, with oxycodone given outside pain level parameters without physician notification or documentation.
Report Facts
Medication administration outside ordered parameters: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nurse #28 | Nurse | Provided information about opioid medication administration practices and confirmed six instances of oxycodone given outside ordered parameters. |
| Director of Nursing | Director of Nursing | Discussed facility expectations for medication administration and confirmed no documentation of physician notification for parameter changes. |
Inspection Report
Routine
Deficiencies: 3
Date: Sep 27, 2024
Visit Reason
The inspection was conducted to assess compliance with resident rights, privacy, dignity, and medication administration practices at Advanced Health Care of Glendale.
Findings
The facility failed to maintain dignity and privacy for one resident (#338) by not knocking before entering the bathroom and improperly handling personal information. Additionally, the facility failed to ensure opioid medication was administered according to physician-ordered parameters for one patient (#8), with oxycodone given outside prescribed pain level parameters without physician notification or documentation.
Deficiencies (3)
Failed to ensure dignity and privacy for resident #338, including entering bathroom without knocking and improper disclosure of staff information.
Failed to keep residents' personal and medical records private and confidential for resident #338.
Failed to ensure opioid medication regimen was administered according to physician's ordered parameters for patient #8, with oxycodone given outside pain level parameters without physician notification.
Report Facts
Medication administration outside ordered parameters: 6
Dates of medication administration outside parameters: 9/04/2024, 9/11/2024, 9/12/2024, 9/16/2024, 9/18/2024, 9/19/2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nurse #28 | Nurse | Discussed opioid medication administration and policy adherence for patient #8 |
| Staff #27 | Unspecified staff | Involved in privacy and dignity issues with resident #338 |
| Staff #100 | Certified Nursing Assistant (CNA) | Described responsibilities and admission procedures |
| Staff #119 | Director of Nursing | Provided interview on admission process and opioid medication policy |
| Staff #126 | Regional Nurse | Present during interview with Director of Nursing |
| Staff #12 | Assistant Director of Nursing | Present during interview with Director of Nursing |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Sep 10, 2024
Visit Reason
The inspection was conducted due to complaints from residents regarding inappropriate behavior and lack of respect by a Certified Nursing Assistant (CNA) towards residents.
Complaint Details
The complaint investigation was substantiated based on resident interviews and staff statements. Residents reported the CNA entered rooms without proper communication, failed to provide peri-care, and exhibited rude and uncaring behavior. The CNA was reassigned to another hallway. Residents expressed dissatisfaction with the facility's follow-up.
Findings
The facility failed to ensure residents were treated with dignity and respect, as evidenced by multiple resident complaints about a CNA's rude and uncaring behavior, including incidents of inadequate care and perceived inappropriate touching. The facility reassigned the CNA but did not adequately follow up with residents.
Deficiencies (1)
Failure to honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Report Facts
Date of survey completion: Sep 10, 2024
Date of grievance filing: Sep 9, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff #42 | Certified Nursing Assistant | Named in multiple resident complaints regarding inappropriate care and behavior |
| Staff #101 | Administrator | Interviewed regarding complaints and grievance follow-up |
| Staff #105 | Director of Nursing | Interviewed regarding complaints and management response |
| Staff #108 | Registered Nurse | Received complaints from residents and communicated with management |
Inspection Report
Deficiencies: 0
Date: Sep 27, 2023
Visit Reason
The document is a statement of deficiencies and plan of correction for Advanced Health Care of Glendale, summarizing the results of a regulatory survey completed on 09/27/2023.
Findings
No health deficiencies were found during the survey.
Inspection Report
Deficiencies: 0
Date: Aug 3, 2023
Visit Reason
The document is a statement of deficiencies and plan of correction for Advanced Health Care of Glendale, summarizing the findings of a facility survey completed on 08/03/2023.
Findings
No health deficiencies were found during the survey.
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Aug 3, 2023
Visit Reason
Annual inspection survey conducted to assess compliance with health and safety regulations at Advanced Health Care of Glendale.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Deficiencies: 1
Date: Apr 25, 2023
Visit Reason
The inspection was conducted to evaluate the facility's compliance with professional standards of quality, specifically regarding the monitoring and treatment of a resident (#15) with low oxygen levels.
Findings
The facility failed to ensure that resident #15's low oxygen level was properly monitored and treated, which could result in residents not receiving necessary care and developing complications. Documentation and staff interviews revealed lapses in oxygen level monitoring and delayed hospital transfer despite physician orders.
Deficiencies (1)
Failure to ensure one resident's (#15) low oxygen level was monitored and treated according to physician orders.
Report Facts
Oxygen saturation level: 85
Oxygen saturation level: 92
Oxygen saturation level: 88
Oxygen flow rate: 1
Time of hospital transport: 21
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN staff #13 | Registered Nurse | Wrote progress notes regarding resident #15's condition and oxygen administration |
| CNA staff #5 | Certified Nursing Assistant | Reported taking resident #15's vitals and concerns about breathing |
| Director of Nursing | Director of Nursing | Interviewed regarding resident #15's care and oxygen monitoring |
| LPN staff #42 | Licensed Practical Nurse | Interviewed about shift during resident #15's hospital transport and documentation |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Apr 25, 2023
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to ensure that a resident (#15) with low oxygen levels was properly monitored and treated.
Complaint Details
The complaint investigation found that the resident was hypoxic with oxygen saturation dropping to 85% without appropriate monitoring or intervention by staff. The resident was transported to the hospital after a delay, and the facility's oxygen administration policy was not fully followed. The complaint was substantiated based on clinical record review and staff interviews.
Findings
The facility failed to monitor and treat resident #15's low oxygen levels as ordered, resulting in potential harm. Documentation showed oxygen saturation dropped to 85% without timely intervention, and staff did not adequately check or document oxygen levels after 4:37 p.m. on the day of the incident. The resident was eventually sent to the hospital where congestive heart failure was diagnosed.
Deficiencies (1)
Failed to ensure one resident's (#15) low oxygen level was monitored and treated according to physician orders.
Report Facts
Oxygen saturation level: 85
Oxygen saturation level: 92
Oxygen saturation level: 88
Oxygen flow rate: 1
Date of baseline care plan: Feb 10, 2023
Date of physician oxygen order: Feb 14, 2023
Date of incident: Feb 14, 2023
Date of interviews: Feb 25, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse (RN) | RN (staff #13) documented resident's condition and oxygen administration. | |
| Certified Nursing Assistant (CNA) | CNA (staff #5) worked with resident #15 and reported vitals to nurse. | |
| Director of Nursing (DON) | DON (staff #7) reviewed clinical record and oxygen monitoring procedures. | |
| Licensed Practical Nurse (LPN) | LPN (staff #42) provided shift details and clinical record documentation. |
Inspection Report
Routine
Deficiencies: 7
Date: Aug 18, 2022
Visit Reason
The inspection was conducted to evaluate compliance with professional standards of quality in medication administration, resident care including activities of daily living, skin assessment and treatment, and infection prevention and control practices at the nursing facility.
Findings
The facility failed to ensure medications were administered per professional standards for multiple residents, resulting in potential medication errors and adverse effects. Additionally, the facility did not provide adequate showers or timely skin assessments and treatments for a resident, risking altered skin integrity and psychosocial impact. Infection control practices during medication administration were also deficient, risking transmission of infections including COVID-19.
Deficiencies (7)
Failure to administer medications per pharmacy directions, including administering metformin without food and not observing residents taking medications.
Failure to hold blood pressure medication metoprolol tartrate when systolic blood pressure was below ordered parameters.
Failure to administer insulin as ordered due to medication unavailability and lack of physician notification.
Late administration of antibiotic medication doses beyond scheduled times.
Failure to provide adequate showers as scheduled, resulting in poor hygiene risk.
Failure to perform timely and documented nursing skin assessments despite documented skin alterations and CNA observations.
Failure to maintain infection control standards during medication administration, including improper gown securing and failure to perform hand hygiene and glove changes after handling contaminated items.
Report Facts
Medication doses administered late: 3
Metformin dosage: 1000
Metformin dosage: 500
Blood pressure medication dosage: 75
Insulin dosage: 100
Scheduled showers: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse | RN (staff #52) acknowledged not following pharmacy directions during medication administration | |
| Director of Nursing | DON (staff #40) stated expectations for medication administration and infection control | |
| Licensed Practical Nurse | LPN (staff #64) acknowledged medication administration errors and infection control breaches | |
| Certified Nursing Assistant | CNA (staff #33) described shower scheduling and skin observation documentation | |
| Licensed Practical Nurse | LPN (staff #58) described skin assessment and follow-up process |
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