Inspection Reports for AZ Ohana Care Home
1090 E Kaibab Pl, Chandler, AZ 85249, USA, AZ, 85249
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Inspection Report
Complaint Investigation
Capacity: 5
Deficiencies: 4
Nov 15, 2024
Visit Reason
State-compiled facility profile showing 2 inspections from 2023-07-05 to 2024-11-15 with deficiency history and complaint investigations.
Findings
Across two inspections, one complaint investigation in 2023 found four deficiencies related to management qualifications, documentation, and incident reporting, while the most recent 2024 complaint inspection found no deficiencies.
Complaint Details
The inspections included complaint investigations for complaints AZ00216750 (2024) with no deficiencies found, and AZ00196834 and AZ00193031 (2023) with four deficiencies found related to management qualifications, documentation, and incident reporting.
Deficiencies (4)
| Description |
|---|
| A. A manager shall ensure that: 5. An assisted living facility has a manager, caregivers, and assistant caregivers with the qualifications, experience, skills, and knowledge necessary to: a. Provide the assisted living services, behavioral health services, behavioral care, and ancillary services in the assisted living facility's scope of services; b. Meet the needs of a resident; and c. Ensure the health and safety of a resident; - Based on record review and documentation review, the manager failed to ensure the assisted living facility had a manager, caregivers, and assistant caregivers with the qualifications, experience, skills, and knowledge necessary to meet the needs of a resident and ensure the health and safety of a resident. The deficient practice posed a risk as employees were unable to ensure the health and safety of a resident. Findings include lack of wound care qualifications and scope of practice not including wound care. |
| 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; - Based on documentation review, observation, and interview, the manager failed to ensure documentation of the caregivers and assistant caregivers who worked each day, including the hours worked by each, was maintained. |
| D. When a resident has an accident, emergency, or injury that results in the resident needing medical services, a manager shall ensure that a caregiver or an assistant caregiver: 1. Immediately notifies the resident's emergency contact and primary care provider; - Based on record review and interview, the manager failed to ensure when a resident had an incident resulting in the resident needing medical services, a caregiver immediately notified the resident's emergency contact and primary care provider (PCP), for one of one residents sampled. |
| D. When a resident has an accident, emergency, or injury that results in the resident needing medical services, a manager shall ensure that a caregiver or an assistant caregiver: 2. Documents the following: a. The date and time of the accident, emergency, or injury; b. A description of the accident, emergency, or injury; c. The names of individuals who observed the accident, emergency, or injury; d. The actions taken by the caregiver or assistant caregiver; e. The individuals notified by the caregiver or assistant caregiver; and f. Any action taken to prevent the accident, emergency, or injury from occurring in the future. - Based on documentation review, interview, and record review, the manager failed to ensure when a resident had an incident resulting in the resident needing medical services, the names of individuals who observed the incident, the individuals notified by the caregiver, and any action taken to prevent the incident from occurring in the future were documented. |
Report Facts
Inspections on page: 2
Total Deficiencies: 4
Complaint Inspections: 2
Total Capacity: 5
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