Inspection Reports for Copper Canyon Memory Care

5901 N La Cholla Blvd, Tucson, AZ 85741, United States, AZ, 85741

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Inspection Report Summary

The most recent inspection on October 11, 2024, found no deficiencies during complaint investigations. Earlier inspections showed a pattern of deficiencies related mainly to documentation, policies and procedures, medication administration, and resident dignity. Enforcement actions in April 2024 included a $1,000 fine for failure to ensure employee compliance and inadequate documentation of services, which was fully paid. Most complaint investigations were unsubstantiated, with no deficiencies cited in several cases. The facility’s record shows some improvement with no deficiencies noted in the latest inspection after a period of citations and enforcement.

Deficiencies (last 2 years)

Deficiencies (over 2 years) 9.5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

157% worse than Arizona average
Arizona average: 3.7 deficiencies/year

Deficiencies per year

8 6 4 2 0
2023
2024

Inspection Report

Complaint Investigation
Capacity: 66 Deficiencies: 0 Date: Oct 11, 2024

Visit Reason
An on-site investigation of complaint AZ00217149 and AZ00217227 was conducted and no deficiencies were cited.

Complaint Details
AZ00217149, AZ00217227
Findings
An on-site investigation of complaint AZ00217149 and AZ00217227 was conducted and no deficiencies were cited.

Inspection Report

Complaint Investigation
Capacity: 66 Deficiencies: 3 Date: Aug 7, 2024

Visit Reason
Deficiencies found during compliance inspection and complaint investigation including resident dignity, medical record entries, and medication administration.

Complaint Details
AZ00212059, AZ00214142, AZ00214156, AZ00214241
Findings
Deficiencies found during compliance inspection and complaint investigation including resident dignity, medical record entries, and medication administration.

Deficiencies (3)
B. A manager shall ensure that: 1. A resident is treated with dignity, respect, and consideration
A. A manager shall ensure that: 2. An entry in a resident's medical record is: c. Not changed to make the initial entry illegible
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

Inspection Report

Complaint Investigation
Capacity: 66 Deficiencies: 0 Date: Jun 20, 2024

Visit Reason
Investigation of complaint AZ00212022 with no deficiencies cited.

Complaint Details
AZ00212022
Findings
Investigation of complaint AZ00212022 with no deficiencies cited.

Inspection Report

Complaint Investigation
Capacity: 66 Deficiencies: 0 Date: Jun 14, 2024

Visit Reason
Investigation of complaints AZ00211682, AZ00211764, and AZ00211761 with no deficiencies cited.

Complaint Details
AZ00211682, AZ00211764, AZ00211761
Findings
Investigation of complaints AZ00211682, AZ00211764, and AZ00211761 with no deficiencies cited.

Enforcement Action

Enforcement
Fines: 2 Total: $1,000.00 Date: Apr 24, 2024

Summary
The facility was found deficient in ensuring compliance with A.R.S. § 36-411 for three of five employees and failed to document services provided in residents' medical records for five of five residents, resulting in a total fine of $1,000.

Fines & Penalties (2)
AmountReasonStatus
$500.00Failure to ensure compliance with A.R.S. § 36-411 for three of five employees sampled.
$500.00Failure to ensure caregiver documented services provided in residents' medical records for five of five residents sampled.

Enforcement Action

Enforcement
Fines: 1 Total: $1,000.00 Date: Apr 23, 2024

Summary
A fine of $1,000.00 was imposed and has been fully paid, indicating resolution of the enforcement action.

Fines & Penalties (1)
AmountReasonStatus
$1,000.00Fine imposed as part of enforcement actionPaid

Inspection Report

Complaint Investigation
Capacity: 66 Deficiencies: 1 Date: Apr 8, 2024

Visit Reason
Investigation of complaint AZ00208459 with one deficiency cited related to policies and procedures to protect resident health and safety.

Complaint Details
AZ00208459
Findings
Investigation of complaint AZ00208459 with one deficiency cited related to policies and procedures to protect resident health and safety.

Deficiencies (1)
C. A manager shall ensure that policies and procedures are: 1. Established, documented, and implemented to protect the health and safety of a resident

Inspection Report

Complaint Investigation
Capacity: 66 Deficiencies: 4 Date: Apr 1, 2024

Visit Reason
Investigation of complaints AZ00208284, AZ00208282, and AZ00208015 with four deficiencies cited including compliance with A.R.S. § 36-411, policies, documentation, and diet provision.

Complaint Details
AZ00208284, AZ00208282, AZ00208015
Findings
Investigation of complaints AZ00208284, AZ00208282, and AZ00208015 with four deficiencies cited including compliance with A.R.S. § 36-411, policies, documentation, and diet provision.

Deficiencies (4)
A. A governing authority shall: 9. Ensure compliance with A.R.S. § 36-411
C. A manager shall ensure that policies and procedures are: 1. Established, documented, and implemented to protect the health and safety of a resident
C. A manager shall ensure that: 1. A caregiver or an assistant caregiver: g. Documents the services provided in the resident's medical record
A. A manager shall ensure that: 6. A resident is provided a diet that meets the resident's nutritional needs as specified in the resident's service plan

Inspection Report

Complaint Investigation
Capacity: 66 Deficiencies: 6 Date: Mar 22, 2024

Visit Reason
Investigation of complaints AZ00201902, AZ00206142, and AZ00208015 with six deficiencies cited related to emergency responder documentation, policies, timely documentation, medical record completeness, and service plan documentation.

Complaint Details
AZ00201902, AZ00206142, AZ00208015
Findings
Investigation of complaints AZ00201902, AZ00206142, and AZ00208015 with six deficiencies cited related to emergency responder documentation, policies, timely documentation, medical record completeness, and service plan documentation.

Deficiencies (6)
36-420.04. Emergency responders; patient information; hospitals; discharge planning; patient screenings; discharge document A. An assisted living center shall provide required documentation to emergency responders
C. A manager shall ensure that policies and procedures are: 1. Established, documented, and implemented to protect the health and safety of a resident
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
C. A manager shall ensure that a resident's medical record contains: 2. The names, addresses, and telephone numbers of: a. The resident's primary care provider
C. A manager shall ensure that a resident's medical record contains: 4. The date of acceptance and, if applicable, date of termination of residency
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 required documentation

Inspection Report

Complaint Investigation
Capacity: 66 Deficiencies: 5 Date: Sep 12, 2023

Visit Reason
Investigation of complaints AZ00198480, AZ00200065, and AZ00200461 with five deficiencies cited related to policies, service plans, and therapeutic diet manual availability.

Complaint Details
AZ00198480, AZ00200065, AZ00200461
Findings
Investigation of complaints AZ00198480, AZ00200065, and AZ00200461 with five deficiencies cited related to policies, service plans, and therapeutic diet manual availability.

Deficiencies (5)
C. A manager shall ensure that policies and procedures are: 1. Established, documented, and implemented to protect the health and safety of a resident
A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 3. Includes the following: b. The level of service the resident is expected to receive
A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 3. Includes the following: c. The amount, type and frequency of assisted living services
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 required documentation
B. If the assisted living facility offers therapeutic diets, a manager shall ensure that: 1. A current therapeutic diet manual is available for use by personnel

Inspection Report

Annual Inspection
Capacity: 66 Deficiencies: 0 Date: Jul 24, 2023

Visit Reason
No deficiencies were found during the off-site initial inspection for a change of ownership.

Findings
No deficiencies were found during the off-site initial inspection for a change of ownership.

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