The most recent inspection on November 19, 2024, resulted in an enforcement action with a $500 fine that has been paid in full. Earlier inspections showed a pattern of deficiencies related primarily to caregiver skills verification, documentation, and compliance with governing authority requirements. Complaint investigations included one substantiated case that identified multiple issues such as orientation, resident service plans, and emergency notifications. Enforcement actions were noted several times, including fines and agreements to comply with corrective measures. The facility’s record shows ongoing challenges with staff training and documentation, with some enforcement actions indicating areas needing continued attention.
Deficiencies (last 1 years)
Deficiencies (over 1 years)8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
One deficiency found related to means of exiting the facility for directed care services.
Findings
One deficiency found related to means of exiting the facility for directed care services.
Deficiencies (1)
Description
F. A manager of an assisted living facility authorized to provide directed care services shall ensure that: 2. There is a means of exiting the facility
The facility was found non-compliant with regulations regarding verification and documentation of caregiver skills, resulting in a civil fine and an enforcement agreement to pay the fine and comply with corrective actions.
Fines & Penalties (1)
Amount
Reason
Status
$250.00
Failure to ensure a caregiver's or assistant caregiver's skills and knowledge were verified and documented before providing physical health services, posing a health and safety risk to residents.
Seven deficiencies found related to governing authority compliance, caregiver skills verification, tuberculosis documentation, orientation, resident service plan, medical record documentation, and emergency notification.
Findings
Seven deficiencies found related to governing authority compliance, caregiver skills verification, tuberculosis documentation, orientation, resident service plan, medical record documentation, and emergency notification.
Complaint Details
Complaint AZ00211178
Deficiencies (7)
Description
A. A governing authority shall: 9. Ensure compliance with A.R.S. § 36-411.
A. A manager shall ensure that: 4. A caregiver's or assistant caregiver's skills and knowledge are verified and documented
A. A manager shall ensure that: 8. A manager, a caregiver, and an assistant caregiver, or an employee or a volunteer who has or is expected to have mo...
A. A manager shall ensure that: 9. Before providing assisted living services to a resident, a caregiver or an assistant caregiver receives orientation
A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 5. When initially developed and when ...
C. A manager shall ensure that: 1. A caregiver or an assistant caregiver: g. Documents the services provided in the resident's medical record; and
D. When a resident has an accident, emergency, or injury that results in the resident needing medical services, a manager shall ensure that a caregive...
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