Most inspections found deficiencies related to fall prevention training, medication and toxic material storage, and incomplete personnel records documentation. The complaint investigation on July 23, 2024, confirmed repeated issues from earlier inspections, including unlocked medication and toxic materials accessible to residents and lack of required staff training. Enforcement action included a $250 fine, but no license suspensions or severe harm-level findings were reported. The most recent inspection on August 20, 2024, showed no deficiencies, indicating improvement in compliance. Several complaint investigations were unsubstantiated or minor aside from the noted issues.
The facility was found to have a repeat deficiency related to inadequate staff training on fall prevention and fall recovery, posing a risk to resident care and safety.
Fines & Penalties (1)
Amount
Reason
Status
$250.00
Failure to administer a training program for all staff regarding fall prevention and fall recovery, a repeat deficiency from a prior inspection.
Deficiencies found related to fall prevention training, medication storage, and poisonous material storage during complaint investigation.
Findings
Deficiencies found related to fall prevention training, medication storage, and poisonous material storage during complaint investigation.
Complaint Details
Complaint AZ00205141 investigated
Deficiencies (3)
Description
36-420.01. Health care institutions; fall prevention and fall recovery; training programs; definition — failure to administer staff training on fall prevention and fall recovery
F. Medication storage — failure to ensure medication stored in a separate locked room or unit
A. Poisonous or toxic materials storage — failure to maintain in locked area inaccessible to residents
Deficiencies found related to fall prevention training, documentation submission, and personnel records including qualifications, orientation, and CPR training.
Findings
Deficiencies found related to fall prevention training, documentation submission, and personnel records including qualifications, orientation, and CPR training.
Deficiencies (6)
Description
36-420.01. Health care institutions; fall prevention and fall recovery; training programs; definition — failure to develop/administer staff training on fall prevention and fall recovery
E. Documentation required by this Article — failure to provide documentation to Department within two hours after request
C. Personnel records — failure to include documentation of qualifications
C. Personnel records — failure to include documentation of completed orientation
C. Personnel records — failure to include documentation of CPR training
C. Personnel records — failure to ensure compliance documentation for one manager
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