Inspection Reports for All Stars Assisted Living
16477 West Yucatan Drive, Surprise, AZ 85388 , AZ, 85388
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Inspection Report
Annual Inspection
Capacity: 8
Deficiencies: 5
Aug 22, 2024
Visit Reason
State-compiled facility profile showing 3 inspections from 2023-04-17 to 2024-08-22 with deficiency history
Findings
Across three inspections, the facility had a total of five deficiencies primarily related to documentation, safety, and storage practices. Two recent annual compliance inspections identified failures in resident documentation and safety protocols, while one inspection found no deficiencies.
Deficiencies (5)
| Description |
|---|
| B. A manager shall ensure that before or at the time of acceptance of an individual, the individual submits documentation that is dated within 90 calendar days before the individual is accepted by an assisted living facility and: 1. If an individual is requesting or is expected to receive supervisory care services, personal care services, or directed care services: a. Includes whether the individual requires: i. Continuous medical services, ii. Continuous or intermittent nursing services, or iii. Restraints; and b. Is dated and signed by a: i. Physician, ii. Registered nurse practitioner, iii. Registered nurse, or iv. Physician assistant; and — Based on record review and interview, the manager failed to ensure a resident accepted by the assisted living facility submitted documentation signed by a medical practitioner or a registered nurse stating whether the individual required intermittent nursing services or restraints, for one of three residents reviewed. |
| B. A manager shall ensure that: 1. A resident receives orientation to the exits from the assisted living facility and the route to be used when evacuating the assisted living facility within 24 hours after the resident's acceptance by the assisted living facility — Based on record review and interview, the manager failed to ensure a resident received orientation to the exits from the assisted living facility and the route to be used when evacuating the assisted living facility within 24 hours of acceptance, for one of three residents reviewed. |
| A. A manager shall ensure that: 10. Oxygen containers are secured in an upright position; — Based on observation and interview, the manager failed to ensure oxygen containers were secured in an upright position. The deficient practice posed a potential explosion or leak of a compressed gas. |
| 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; — Based on observation and interview, the manager failed to ensure toxic materials stored by the facility were stored in a locked area and inaccessible to residents. The deficient practice posed a risk to the physical health and safety of a resident. |
| D. A manager shall ensure that: 3. Except as provided in subsection (E), no more than two individuals reside in a residential unit or bedroom; — Based on observation, documentation review, and interview, the manager allowed more than two individuals to reside in a bedroom. |
Report Facts
Inspections on page: 3
Total deficiencies: 5
Complaint inspections: 0
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