Inspection Reports for Eternal Life Care Center
3730 E Calle Barcelona, Tucson, AZ 85716, United States, AZ, 85716
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Inspection Report
Annual Inspection
Capacity: 10
Deficiencies: 8
Jun 12, 2024
Visit Reason
State-compiled facility profile showing 2 annual compliance inspections from 2023-06-26 to 2024-06-12 with deficiency history
Findings
Across two annual compliance inspections, multiple deficiencies were identified including failure to designate a certified manager, incomplete tuberculosis screening documentation for residents and personnel, missing signatures on resident service plans, lack of backup staffing policies, and incomplete residency agreements regarding nighttime staffing.
Deficiencies (8)
| Description |
|---|
| A. A governing authority shall: 3. Designate, in writing, a manager who: b. Except for the manager of an adult foster care home, has either a: i. Certificate as an assisted living facility manager issued under A.R.S. § 36-446.04(C), or ii. A temporary certificate as an assisted living facility manager issued under A.R.S. § 36-446.06; - Failed to designate a manager with required certification |
| 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. - Failed to ensure resident TB documentation |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 5. When initially developed and when updated, is signed and dated by: a. The resident or resident's representative; b. The manager; c. If a review is required in subsection (A)(3)(d), the nurse or medical practitioner who reviewed the service plan; and d. If a review is required in subsection (A)(3)(e)(ii), the medical practitioner or behavioral health professional who reviewed the service plan. - Failed to ensure service plans were properly signed and dated |
| 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: a. For each individual who is employed by the health care institution, provides volunteer services for the health care institution, or is admitted to the health care institution and who is subject to the requirements of this Section, baseline screening, on or before the date specified in the applicable Article of this Chapter, that consists of: i. Assessing risks of prior exposure to infectious tuberculosis, ii. Determining if the individual has signs or symptoms of tuberculosis, and iii. Obtaining documentation of the individual's freedom from infectious tuberculosis according to subsection (B)(1); - Failed to implement baseline TB screening for personnel |
| B. A manager of an assisted living home shall ensure that: 3. As part of the policies and procedures required in R9-10-803(C)(1)(h), a plan is established, documented, and implemented to ensure that the manager or a caregiver is available as back-up to provide assisted living services to a resident if the manager or a caregiver assigned to work is not available or not able to provide the required assisted living services; and - Failed to establish backup staffing policy |
| 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 - Failed to ensure documentation of restraints for residents |
| D. Before or at the time of an individual's acceptance by an assisted living facility, a manager shall ensure that there is a documented residency agreement with the assisted living facility that includes: 5. For an assisted living home, whether the manager or a caregiver is awake during nighttime hours; - Residency agreements missing nighttime awake staff documentation |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 5. When initially developed and when updated, is signed and dated by: a. The resident or resident's representative; - Failed to ensure resident service plans were signed and dated by resident or representative |
Report Facts
Inspections on page: 2
Total deficiencies: 8
Total capacity: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E1 | Named in multiple findings including manager designation and TB screening | |
| E2 | Named in findings related to backup staffing policy, documentation of restraints, residency agreements, and service plans | |
| E3 | Referenced in TB screening deficiency | |
| E4 | Mentioned as taking manager course but without temporary license |
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