Inspection Reports for Comfort Assisted Living Home
9003 W. Charleston Avenue, Peoria, AZ 85382, AZ, 85382
Back to Facility ProfileDeficiencies per Year
12
9
6
3
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Enforcement
Deficiencies: 0
Dec 24, 2024
Visit Reason
State-compiled enforcement action report for COMFORT ASSISTED LIVING HOME, LLC detailing enforcement action and payment schedule.
Findings
The report documents an enforcement action completed with a penalty payment of $1,750.00. No specific deficiencies or inspection findings are detailed on this page.
Report Facts
Total fines: 1750
Inspection Report
Enforcement
Deficiencies: 2
Nov 12, 2024
Visit Reason
The inspection was conducted to address enforcement concerns related to violations found at Comfort Assisted Living Home, LLC, as detailed in the civil fines table and event ID EPDV11.
Findings
The facility was found to have deficiencies including incomplete personnel records for one of three employees and inadequate means of exiting the facility that would alert employees to a resident's egress. These violations posed health and safety risks and resulted in civil fines.
Deficiencies (2)
| Description |
|---|
| The manager failed to ensure a complete personnel record was available for one of three employees reviewed. |
| The manager failed to ensure there was a means of exiting the facility that provided access to an outside area which controlled or alerted employees of the egress of a resident from the facility. |
Report Facts
Civil fines total amount: 1750
Civil fine amount: 1000
Civil fine amount: 750
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dawn Butler | Bureau Chief | Attendee at enforcement agreement meeting. |
| Thomas Salow | Assistant Director | Attendee at enforcement agreement meeting. |
| Aaron Telles | Deputy Bureau Chief | Attendee at enforcement agreement meeting. |
| Sean Thompson | Compliance Officer Supervisor | Attendee at enforcement agreement meeting. |
Inspection Report
Enforcement
Deficiencies: 0
Sep 26, 2023
Visit Reason
State-compiled enforcement action report for COMFORT ASSISTED LIVING HOME, LLC detailing enforcement action #00112481 with payment and penalty information.
Findings
The document reports an enforcement action completed with a penalty payment of $500.00. No specific deficiencies or inspection findings are detailed on the page.
Report Facts
Total fines: 500
Inspection Report
Annual Inspection
Capacity: 10
Deficiencies: 9
Sep 14, 2023
Visit Reason
State-compiled facility profile showing 1 inspection from 2023 with deficiency history
Findings
The annual compliance inspection found 9 deficiencies related to tuberculosis screening, medication administration, resident acceptance criteria, and facility safety measures, indicating multiple areas of non-compliance and repeat issues from prior inspections.
Deficiencies (9)
| Description |
|---|
| A. Except as provided in R9-10-808(B)(2), a manager shall ensure that a resident provides evidence of freedom from infectious tuberculosis: 1. Before or within seven calendar days after the resident's date of occupancy, and 2. As specified in R9-10-113. - Manager failed to ensure a resident provided documentation of freedom from infectious tuberculosis as specified in R9-10-113. |
| B. A manager shall ensure that before or at the time of acceptance of an individual, the individual submits documentation that is dated within 90 calendar days before the individual is accepted by an assisted living facility and: 1. If an individual is requesting or is expected to receive supervisory care services, personal care services, or directed care services: a. Includes whether the individual requires: i. Continuous medical services, ii. Continuous or intermittent nursing services, or iii. Restraints; and b. Is dated and signed by a: i. Physician, ii. Registered nurse practitioner, iii. Registered nurse, or iv. Physician assistant; and - Manager failed to ensure a resident submitted required documentation signed by a medical practitioner or nurse. |
| B. A manager of an assisted living facility authorized to provide directed care services shall not accept or retain a resident who, except as provided in R9-10-814(B)(2): 1. Is confined to a bed or chair because of an inability to ambulate even with assistance; or - Manager failed to ensure facility did not accept a resident confined to a bed or chair without required medical practitioner written determination. |
| 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 for a resident who does not have a key, special knowledge for egress, or the ability to expend increased physical effort that meets one of the following: a. Provides access to an outside area that: i. Allows the resident to be at least 30 feet away from the facility, and ii. Controls or alerts employees of the egress of a resident from the facility; - Manager failed to ensure means of exiting the facility provided access and alerted employees of resident egress. |
| 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 - Manager failed to ensure medication was administered in compliance with medication order. |
| B. If an assisted living facility provides medication administration, a manager shall ensure that: 3. A medication administered to a resident: c. Is documented in the resident's medical record. - Manager failed to ensure medication administration was documented in the resident's medical record. |
| F. When medication is stored by an assisted living facility, a manager shall ensure that: 1. Medication is stored in a separate locked room, closet, cabinet, or self-contained unit used only for medication storage; - Manager failed to ensure medications were stored in a locked area. |
| R9-10-113. Tuberculosis Screening A. If a health care institution is subject to the requirements of this Section, as specified in an Article in this Chapter, the health care institution's chief administrative officer shall ensure that the health care institution establishes, documents, and implements tuberculosis infection control activities that: 2. Include: c. Annually providing training and education related to recognizing the signs and symptoms of tuberculosis to individuals employed by or providing volunteer services for the health care institution; - Health care institution failed to provide annual TB training and education to employees. |
| R9-10-113. Tuberculosis Screening A. If a health care institution is subject to the requirements of this Section, as specified in an Article in this Chapter, the health care institution's chief administrative officer shall ensure that the health care institution establishes, documents, and implements tuberculosis infection control activities that: 2. Include: d. Annually assessing the health care institution's risk of exposure to infectious tuberculosis; - Health care institution failed to annually assess risk of exposure to infectious TB. |
Report Facts
Inspections on page: 1
Total deficiencies: 9
Complaint inspections: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E1 | Manager | Named in multiple deficiency findings related to resident records, medication administration, and tuberculosis training |
Loading inspection reports...
