Inspection Reports for Evergreen Village Prescott
211 Bradshaw Dr, Prescott, AZ 86303, United States, AZ, 86303
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Inspection Report
Complaint Investigation
Capacity: 122
Deficiencies: 5
Jul 14, 2025
Visit Reason
State-compiled facility profile showing 4 inspections from 2023-04 to 2025-07 with deficiency history and complaint investigations.
Findings
Across four inspections, multiple deficiencies were found including expired CPR/First Aid certifications, food contamination risks, incomplete tuberculosis screening documentation, and medication administration errors. One inspection cited no deficiencies.
Complaint Details
Complaints investigated include 00135464, 00105429, 00105289, 00104652, 00104446, 00108476, AZ00210591, AZ00211370, AZ00197815, AZ00199570, AZ00182392, AZ00182690, AZ00183668, and AZ00190497 across multiple inspections.
Deficiencies (5)
| Description |
|---|
| R9-10-806.A.10. Personnel: Failed to ensure personnel records included current documentation of first aid and CPR training for one of six employees reviewed. |
| R9-10-818.C.2. Food Services: Failed to ensure stored food was protected from potential contamination; uncovered foods observed in refrigerators. |
| A. A manager shall ensure that: 8. Evidence of freedom from infectious tuberculosis was not provided for six of seven employees reviewed as specified in R9-10-113. |
| B. Medication administration: Failed to ensure medication administered to a resident was documented in the resident's medical record for one of nine residents reviewed. |
| B. Medication administration: Failed to ensure a resident's medication was administered in compliance with a medication order for one of ten residents sampled. |
Report Facts
Inspections on page: 4
Total deficiencies: 5
Complaint inspections: 4
Total capacity: 122
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alyssa Brandon | Executive Director | Named as person responsible for deficiency related to CPR/First Aid certification |
| E1 | Interviewed and acknowledged findings related to multiple deficiencies including CPR/FA certification, food contamination, tuberculosis documentation, and medication administration | |
| E2 | Interviewed regarding medication administration deficiency | |
| Dining Services Director | Named as person responsible for food contamination deficiency |
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