Inspection Reports for American Care Homes, Inc.
4148 North 36th Street, Phoenix, AZ 85018, AZ, 85018
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Inspection Report
Annual Inspection
Capacity: 5
Deficiencies: 20
May 8, 2025
Visit Reason
State-compiled facility profile showing 3 annual compliance inspections from 2023 to 2025 with deficiency history
Findings
Across three annual inspections from 2023 to 2025, multiple deficiencies were identified including failures in tuberculosis screening and infection control, incomplete treatment plans, missing documentation of behavioral health services, unsafe storage of toxic materials, inadequate staff training, and incomplete personnel records. These deficiencies posed risks to resident health and safety and were often repeated from prior inspections.
Deficiencies (20)
| Description |
|---|
| R9-10-113.A.2.a-f. Tuberculosis Screening: Failed to implement tuberculosis infection control activities including baseline screening for personnel |
| R9-10-707.A.13.b. Admission; Assessment: Failed to ensure residents provided evidence of freedom from infectious tuberculosis before or within seven days after admission |
| R9-10-712.C.15. Medical Records: Failed to ensure resident medical records contained documentation of behavioral health services provided |
| R9-10-721.A.14. Environmental Standards: Failed to ensure poisonous or toxic materials were stored in locked, labeled containers inaccessible to residents |
| R9-10-113.A.1-2. Tuberculosis Screening: Failed to provide annual training and education on tuberculosis signs and symptoms to personnel |
| R9-10-703.C.5.a-b. Administration: Failed to provide required documentation to the Department within two hours of request |
| R9-10-705.1-2. Contracted Services: Failed to maintain documentation of current contracted services including descriptions |
| R9-10-708.A.4.c. Treatment Plan: Failed to ensure treatment plans included resident or representative signature and date signed or refusal documentation |
| R9-10-716.C.2.e. Behavioral Health Services: Failed to document signature and date of personnel member providing counseling in resident records |
| R9-10-720.B.4. Emergency and Safety Standards: Failed to conduct and document disaster drills for employees on each shift at least quarterly |
| 36-420.01. Health care institutions; fall prevention and fall recovery; training programs: Failed to administer fall prevention and recovery training including continued competency |
| M. Administrator shall ensure conspicuous posting of location where inspection reports are available: Failed to post location for inspection reports |
| M. Administrator shall ensure conspicuous posting of visitor calendar days and times: Failed to post visitor calendar days and times |
| G. Personnel records must include documentation of completed orientation and in-service education: Failed to maintain orientation documentation for personnel |
| G. Personnel records must include documentation of license or certification: Failed to maintain current license documentation for personnel |
| G. Personnel records must include documentation of compliance with fingerprint clearance requirements: Failed to maintain current fingerprint clearance documentation |
| G. Personnel records must include documentation of CPR training: Failed to maintain current CPR training documentation |
| G. Personnel records must include documentation of first aid training: Failed to maintain current first aid training documentation |
| K. Administrator shall ensure daily staffing schedule indicates date, work hours, and employee names including on-call personnel: Failed to maintain current and complete staffing schedule |
| A. Administrator shall ensure medical history and physical or nursing assessment performed and documented within required timeframe: Failed to document required assessments for residents |
Report Facts
Inspections on page: 3
Total deficiencies: 30
Complaint inspections: 0
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