Inspection Reports for
Brookdale at Home Santa Catalina

The facility failed to provide evidence that a resident's written service plan included the level of service the resident is expected to receive.

The facility failed to provide evidence that a resident's written service plan was reviewed and updated at least once every three months for a resident receiving directed care services.

The facility failed to provide evidence that a resident was treated with dignity, respect, and consideration.

The facility failed to provide evidence that medication administered to a resident was given in compliance with a medication order.

The manager failed to ensure a resident had a written service plan that included the level of service the resident was expected to receive for four of four resident records reviewed.

The manager failed to ensure a resident receiving directed care services had a written service plan reviewed and updated at least once every three months for one of six resident records reviewed.

The manager failed to ensure a resident was treated with dignity, respect, and consideration. The deficient practice posed a risk of physical and/or psychosocial harm and resulted in an acute fracture of the distal ulna.

The manager failed to ensure medication administered to a resident was administered in compliance with a medication order for one of six resident records reviewed.

The manager failed to ensure a resident was treated with dignity, respect, and consideration. A caregiver was rough during toileting and transferring, called a resident a baby, and caused the resident to be visibly upset and afraid to report the behavior.

A.R.S. § 36-411 — The governing authority failed to ensure documented good faith efforts to contact previous employers and verify fingerprint clearance cards for eight employees. Personnel records lacked documentation of compliance with all subsections of the fingerprint clearance requirements.

The manager failed to ensure current documentation of first aid and CPR training specific to adults was provided for one of four caregivers before providing assisted living services. No documentation was available for caregiver E2's training certifications.

R9-10-808 — The manager failed to ensure service plans for two directed care residents included required elements such as skin maintenance, hydration, incontinence care, cognitive stimulation, personal safety strategies, encouragement to eat, and weight documentation.

The manager failed to ensure medications were stored in a separate locked room, closet, cabinet, or self-contained unit. Medications were found unlocked in a resident's room, posing a risk to residents.

The manager failed to ensure poisonous or toxic materials were maintained in labeled containers in a locked area inaccessible to residents. Several toxic products were found unlocked and accessible in the memory care unit.