Inspection Reports for American Care Homes, Inc.
4144 North 36th Street, Phoenix, AZ 85018, AZ, 85018
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Inspection Report
Complaint Investigation
Capacity: 5
Deficiencies: 25
May 7, 2025
Visit Reason
State-compiled facility profile showing 5 inspections from 2023-07-13 to 2025-05-07 with deficiency history including complaint investigations and annual compliance inspections.
Findings
Across multiple inspections, numerous deficiencies were found including failures in personnel record maintenance, medication order compliance, resident safety, environmental hazards, and training requirements. Deficiencies posed risks to resident health and safety and included both complaint investigations and annual compliance inspections.
Complaint Details
The page includes multiple complaint investigations including complaint numbers 129792, AZ00222239, AZ00209516, and AZ00201766 with deficiencies cited during on-site investigations.
Deficiencies (25)
| Description |
|---|
| R9-10-706.H.1.a. Personnel H. An administrator shall ensure that personnel records are maintained throughout an individual's period of providing services in or for the behavioral health residential facility, and Findings: Personnel records for three of five sampled personnel were not maintained. |
| R9-10-712.C.9. Medical Records C. An administrator shall ensure that a resident's medical record contains orders; Findings: One of two residents' medical records lacked medication orders for administered medications. |
| R9-10-716.A.7.a. Behavioral Health Services A resident does not use or have access to any materials that may present a threat to health or safety based on diagnosis or history; Findings: A resident had access to substances posing a threat to health and safety. |
| R9-10-718.C.6.a. Medication Services Assistance in self-administration of medication must comply with an order; Findings: Assistance provided was not in compliance with medication orders for one of two residents. |
| R9-10-721.A.1.c. Environmental Standards Premises and equipment must be free from conditions causing physical injury; Findings: A broken window with jagged glass posed a physical injury risk. |
| R9-10-722.B.8.e. Physical Plant Standards Resident bedroom must have window or door covers providing privacy; Findings: A bedroom door window did not provide privacy as coverings were removed by residents. |
| A.R.S. § 36-407. Prohibited acts; required acts Facility must maintain valid license for class and capacity; Findings: Facility operated outside scope of licensed behavioral health residential facility subclass. |
| 36-420.01. Health care institutions; fall prevention and fall recovery; training programs Facility failed to develop and administer fall prevention and recovery training; Findings: Training documentation was not available for sampled personnel. |
| G. An administrator shall ensure personnel records include documentation of individual's qualifications; Findings: Documentation of qualifications was missing for sampled personnel. |
| G. An administrator shall ensure personnel records include documentation of individual's education and experience; Findings: Documentation missing for sampled personnel. |
| G. An administrator shall ensure personnel records include documentation of individual's license or certification if required; Findings: Expired registered dietician license found; current valid license not available. |
| G. An administrator shall ensure personnel records include documentation of compliance with A.R.S. §§ 36-411, 36-411.01, and 36-425.03; Findings: Documentation missing for sampled personnel. |
| G. An administrator shall ensure personnel records include documentation of evidence of freedom from infectious tuberculosis; Findings: Documentation missing for sampled personnel posing TB exposure risk. |
| A. An administrator shall ensure resident provides evidence of freedom from infectious tuberculosis before or within seven days after admission; Findings: Documentation missing in resident medical record. |
| C. An administrator shall ensure resident medical record contains documented general and informed consent for treatment; Findings: Documentation missing for resident. |
| C. An administrator shall ensure personnel complete training before providing assistance in self-administration of medication; Findings: Documentation of training missing for sampled personnel. |
| B. Registered dietitian or director of food services shall ensure meals and snacks are served according to posted menus; Findings: Meals and snacks were not served as indicated on posted menus. |
| B. Registered dietitian or director of food services shall ensure food menu is posted at least one day before first meal; Findings: Food menu was not conspicuously posted. |
| C. An administrator shall maintain documentation of current fire inspection; Findings: Documentation of current fire inspection was not available. |
| A. An administrator shall ensure premises and equipment are free from conditions causing physical injury; Findings: Uncovered electrical outlet behind resident's bed posed injury risk. |
| A. An administrator shall ensure hot water temperatures are maintained between 95°F and 120°F in resident areas; Findings: Water temperature measured at 127.9°F in kitchen. |
| A. An administrator shall ensure poisonous or toxic materials are stored in labeled containers in locked areas separate from food and medications; Findings: Food and cleaning chemicals were stored together in a closet. |
| R9-10-113. Tuberculosis Screening Facility failed to provide annual training on recognizing signs and symptoms of tuberculosis; Findings: Training documentation missing for sampled personnel. |
| K. An administrator shall ensure at least one personnel member is present and awake when a resident is on premises; Findings: Personnel member was not present and awake during some shifts. |
| G. An administrator shall ensure personnel records include documentation of clinical oversight for behavioral health technicians; Findings: Clinical oversight documentation missing for two behavioral health technicians. |
Report Facts
Inspections on page: 5
Total deficiencies: 28
Complaint inspections: 4
Total capacity: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kaitlan Taylor | Admin | Named as person responsible for multiple deficiencies including personnel records, medication orders, environmental safety, and policy implementations |
| Kaitlan Taylor | President/CEO/Admin | Named as person responsible for medication order deficiencies |
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