Inspection Report
Annual Inspection
Capacity: 10
Deficiencies: 4
Aug 6, 2024
Visit Reason
State-compiled facility profile showing 1 annual compliance inspection from 2024 with deficiency history
Findings
The inspection found four deficiencies related to documentation of resident acceptance, vaccination notification, resident orientation to evacuation routes, and storage of poisonous or toxic materials, posing risks to resident health and safety.
Deficiencies (4)
| 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 - Based on record review and interview, the manager failed to ensure before or at the time of acceptance of an individual, the individual submitted documentation dated within 90 calendar days before the individual was accepted by an assisted living facility to include whether the individual required continuous medical services, continuous or intermittent nursing services, or restraints, for one of two residents sampled. The deficient practice posed a risk if the facility was unable to meet a resident's needs. |
| C. A manager shall ensure that a resident's medical record contains: 17. Documentation of notification of the resident of the availability of vaccination for influenza and pneumonia, according to A.R.S. § 36-406(1)(d); - Based on documentation review, record review, and interview, the manager failed to ensure a resident medical record contained documentation of notification of the resident of the availability of vaccination for influenza (flu), according to A.R.S. 'a7 36-406(1)(d), to one of two residents reviewed. The deficient practice posed a potential illness risk to residents. |
| 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's orientation to the assisted living facility's evacuation plan and the route to be used was documented, for one of two residents reviewed. The deficient practice posed a health and safety risk if the resident needed to exit the facility in an emergency. |
| 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 poisonous or toxic materials stored by the assisted living facility were maintained in a locked area and inaccessible to residents. The deficient practice posed a risk to the physical health and safety of the residents. |
Report Facts
Inspections on page: 1
Total Deficiencies: 4
Complaint Inspections: 0
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