Inspection Reports for Copper Creek Inn Memory Care
2200 W Fairview St, Chandler, AZ 85224, United States, AZ, 85224
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Inspection Report
Complaint Investigation
Capacity: 67
Deficiencies: 13
Aug 4, 2025
Visit Reason
State-compiled facility profile showing 13 inspections from 2023-01-09 to 2025-08-04 with deficiency history and complaint investigations.
Findings
Across multiple inspections, deficiencies were found related to personnel documentation, medication administration, service plan completeness and documentation, emergency and safety standards, and training programs. Several deficiencies were repeats from prior inspections, indicating ongoing compliance challenges.
Complaint Details
Multiple complaint investigations were conducted, including complaints numbered 00137841, 00136247, AZ00216580, AZ00217769, AZ00217888, AZ00218156, AZ00215924, AZ00215777, AZ00215567, AZ00213674, AZ00213700, AZ00212984, AZ00212502, AZ00210959, AZ00206224, AZ00180618, and AZ00181925.
Deficiencies (13)
| Description |
|---|
| R9-10-803.A.9. Administration: Governing authority failed to ensure compliance with A.R.S. § 36-411 regarding documented good-faith efforts to contact previous employers for personnel. |
| R9-10-806.A.8.a-b. Personnel: Manager failed to ensure caregiver provided evidence of freedom from infectious tuberculosis as required. |
| R9-10-817.B.3.a-c. Medication Services: Manager failed to ensure medication administered to residents was in compliance with orders and documented in medical records. |
| R9-10-819.A.6.a-e. Emergency and Safety Standards: Manager failed to maintain documentation of evacuation drills including resident assistance and evacuation status. |
| B. Medication administration: Manager failed to ensure medication administered to a resident was documented in the resident's medical record. |
| C. Documentation of services: Manager failed to ensure caregiver documented services provided in resident's medical record. |
| C. Service plan requirements: Manager failed to ensure service plans included skin maintenance to prevent and treat bruises, injuries, pressure sores, and infections. |
| A. Service plan completion: Manager failed to ensure residents had written service plans completed within 14 calendar days of acceptance. |
| D. Incident notification: Manager failed to ensure caregivers immediately notified primary care providers after incidents requiring medical services. |
| A. First aid and CPR training: Manager failed to ensure caregivers had current documentation of first aid and CPR training certification. |
| A. Service plan signatures: Manager failed to ensure service plans were signed and dated by resident or representative and manager when developed or updated. |
| 36-420.01. Fall prevention training: Health care institution failed to develop and administer a fall prevention and recovery training program including initial and continued competency training. |
| E. Documentation provision: Manager failed to provide required documentation to the Department within two hours after request. |
Report Facts
Inspections on page: 13
Total deficiencies: 17
Complaint inspections: 12
Total capacity: 67
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Shea Rambow | Manager | Named as person responsible in multiple deficiency findings including personnel documentation, tuberculosis evidence, medication administration, evacuation drill documentation, and training compliance. |
| Jason Konrad | Manager at time of inspection | Named in tuberculosis evidence deficiency as having completed blood test to get in compliance. |
| E1 | Interviewed and acknowledged multiple deficiencies including medication documentation, service plan issues, and training documentation. | |
| E2 | Interviewed regarding findings in personnel and evacuation drill deficiencies. | |
| E3 | Interviewed regarding personnel records and service plan documentation. | |
| E4 | Personnel record reviewed for tuberculosis and CPR/First Aid training deficiencies. | |
| E5 | Personnel record reviewed for tuberculosis evidence deficiency. | |
| E6 | Personnel record reviewed for tuberculosis evidence deficiency and medication administration. |
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