Inspection Reports for Catalina Springs Memory Care
9685 N Oracle Rd, Oro Valley, AZ 85704, United States, AZ, 85704
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Inspection Report
Complaint Investigation
Capacity: 56
Deficiencies: 9
Mar 24, 2025
Visit Reason
State-compiled facility profile showing 8 inspections from 2022-12-05 to 2025-03-24 with deficiency history and complaint investigations.
Findings
Across multiple complaint and annual inspections, deficiencies were found related to medication administration, service plan updates, documentation of care, staff training, and notification requirements. Some inspections found no deficiencies, while others cited multiple violations posing risks to resident care and safety.
Complaint Details
Multiple complaint investigations were conducted including complaints AZ00214947, AZ00212465, AZ00212128, AZ00208102, AZ00197685, AZ00197642, AZ00193608, AZ00190308, AZ00185712, AZ00186685, and AZ00187705 with findings of deficiencies in some investigations and no deficiencies in others.
Deficiencies (9)
| Description |
|---|
| B. If an assisted living facility provides medication administration, a manager shall ensure that: 3. A medication administered to a resident: b. Is administered in compliance with a medication order, and |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 4. Is reviewed and updated based on changes in the requirements in subsections (A)(3)(a) through (f): b. As follows: iii. At least once every three months for a resident receiving directed care services; and |
| C. In addition to the requirements in R9-10-808(A)(3), a manager shall ensure that the service plan for a resident receiving directed care services includes: 1. The requirements in R9-10-814(F)(1) through (3); 2. If applicable, the determination in R9-10-814(B)(2)(b)(iii); 3. Cognitive stimulation and activities to maximize functioning; 4. Strategies to ensure a resident's personal safety; 5. Encouragement to eat meals and snacks; 6. Documentation: a. Of the resident's weight, or b. From a medical practitioner stating that weighing the resident is contraindicated; and 7. Coordination of communications with the resident's representative, family members, and, if applicable, other individuals identified in the resident's service plan. |
| K. A manager shall provide written notification to the Department of a resident's: 2. Self-injury, within two working days after the resident inflicts a self-injury that requires immediate intervention by an emergency services provider. |
| A. A manager shall ensure that: 10. Before providing assisted living services to a resident, a manager or caregiver provides current documentation of first aid training and cardiopulmonary resuscitation training certification specific to adults. |
| E. A manager shall ensure that, unless otherwise stated: 1. Documentation required by this Article is provided to the Department within two hours after a Department request; and |
| A. A manager shall ensure that: 4. A caregiver's or assistant caregiver's skills and knowledge are verified and documented: a. Before the caregiver or assistant caregiver provides physical health services or behavioral health services, and |
| 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 |
| F. When medication is stored by an assisted living facility, a manager shall ensure that: 3. Policies and procedures are established, documented, and implemented for: a. Receiving, storing, inventorying, tracking, dispensing, and discarding medication including expired medication; |
Report Facts
Inspections on page: 8
Total deficiencies: 11
Complaint inspections: 7
Total capacity: 56
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E1 | Acknowledged multiple deficiencies including medication administration, service plan issues, documentation, and personnel record issues | |
| E2 | Personnel record reviewed with deficiencies in verification of skills and knowledge | |
| E3 | Personnel record reviewed with deficiencies in verification of prior employer references | |
| E4 | Caregiver | Lacked current documentation of first aid training |
| E5 | Personnel record reviewed with deficiencies in verification of prior employer references | |
| E6 | RCC | Improper medication disposal practices |
| E7 | HSD | Reported medication disposal investigation |
| E8 | Involved in training related to medication disposal |
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