Inspection Reports for Agave Manor
5937 E Cactus Rd, Scottsdale, AZ 85254, United States, AZ, 85254
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Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 8
Oct 22, 2024
Visit Reason
State-compiled facility profile showing 1 annual compliance inspection from 2024 with deficiency history
Findings
The annual compliance inspection conducted on October 22, 2024, found 8 deficiencies related to documentation, personnel records, residency agreements, service plans, facility safety, and storage of medications and toxic materials.
Deficiencies (8)
| Description |
|---|
| A. A manager shall ensure that: 7. Documentation is maintained for at least 12 months after the last date on the documentation of the caregivers and assistant caregivers working each day, including the hours worked by each; - Failed to ensure documentation was maintained of the caregivers working each day, including the hours worked by each. |
| C. A manager shall ensure that a personnel record for each employee or volunteer: 1. Includes: a. The individual's name, date of birth, and contact telephone number; b. The individual's starting date of employment or volunteer service and, if applicable, the ending date; and c. Documentation of: i. The individual's qualifications, including skills and knowledge applicable to the individual's job duties; ii. The individual's education and experience applicable to the individual's job duties; iii. The individual's completed orientation and in-service education required by policies and procedures; iv. The individual's license or certification, if the individual is required to be licensed or certified in this Article or in policies and procedures; v. If the individual is a behavioral health technician, clinical oversight required in R9-10-115; vi. Evidence of freedom from infectious tuberculosis, if required for the individual according to subsection (A)(8); vii. Cardiopulmonary resuscitation training, if required for the individual in this Article or policies and procedures; viii First aid training, if required for the individual in this Article or policies and procedures; and ix. Documentation of compliance with the requirements in A.R.S. § 36-411(A) and (C); - Failed to have a personnel record for an employee. |
| D. Before or at the time of an individual's acceptance by an assisted living facility, a manager shall ensure that there is a documented residency agreement with the assisted living facility that includes: 1. The individual's name; 2. Terms of occupancy, including: a. Date of occupancy or expected date of occupancy, b. Resident responsibilities, and c. Responsibilities of the assisted living facility; 3. A list of the services to be provided by the assisted living facility to the resident; 4. A list of the services available from the assisted living facility at an additional fee or charge; 5. For an assisted living home, whether the manager or a caregiver is awake during nighttime hours; 6. The policy for refunding fees, charges, or deposits; 7. The policy and procedure for a resident to terminate residency, including terminating residency because services were not provided to the resident according to the resident's service plan; 8. The policy and procedure for an assisted living facility to terminate residency; 9. The complaint process; and 10. The manager's signature and date signed. - Failed to ensure there was a documented residency agreement with the assisted living facility. |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 1. Is completed no later than 14 calendar days after the resident's date of acceptance; - Failed to ensure a resident had a written service plan completed no later than 14 calendar days after the resident's date of acceptance. |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 3. Includes the following: b. The level of service the resident is expected to receive; - Failed to ensure a resident had a written service plan to include the level of service the resident was expected to receive. |
| 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 there was a means of exiting the facility that provided access to an outside area which controlled or alerted employees of the egress of a resident. |
| A. A manager shall ensure that: 1. The premises and equipment used at the assisted living facility are: b. Free from a condition or situation that may cause a resident or other individual to suffer physical injury; - Failed to ensure the facility was free from a condition or situation that could cause a resident or other individual to suffer physical injury related to unlocked medication storage accessible to residents. |
| 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; - Failed to ensure toxic materials stored by the facility were stored in a locked area and inaccessible to residents. |
Report Facts
Inspections on page: 1
Total deficiencies: 8
Capacity: 10
Census: 10
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