Inspection Report
Complaint Investigation
Capacity: 163
Deficiencies: 6
Dec 18, 2024
Visit Reason
State-compiled facility profile showing 2 inspections from 2024 with deficiency history including complaint investigations and compliance inspections.
Findings
Across two inspections, multiple deficiencies were found including failure to provide appropriate first aid after a resident fall, delayed notification of resident death, incomplete written service plans, lack of required medical determinations for residents unable to ambulate, and missing posted pre-planned snacks on menus.
Complaint Details
An on-site investigation of complaints AZ00216731, AZ00217260, and AZ00220242 was conducted on December 18, 2024. Additionally, complaint AZ00205613 was investigated during the February 7-8, 2024 inspection.
Deficiencies (6)
| Description |
|---|
| 36-420. Health care institutions; cardiopulmonary resuscitation; first aid; immunity; falls; definition - Failed to provide appropriate first aid to a non-injured resident who had fallen and was unable to recover independently. |
| K. A manager shall provide written notification to the Department of a resident's death within one working day after the resident's death as required by A.R.S. § 11-593 - Failed to notify within one working day after unexpected resident death. |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that includes how medication will be stored and controlled - Failed to include medication storage and control in service plan for one resident. |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan reviewed and updated at least once every three months for residents receiving directed care services - Failed to update service plans every three months for two residents. |
| B. A manager of an assisted living facility authorized to provide directed care services shall not accept or retain a resident without required medical determinations - Failed to have documented medical determinations for four residents unable to ambulate even with assistance. |
| A. A manager shall ensure that meals and snacks provided by the assisted living facility are served according to posted menus - Failed to post pre-planned snacks with the meal menu. |
Report Facts
Inspections on page: 2
Total deficiencies: 6
Complaint inspections: 2
Total capacity: 163
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