Inspection Reports for Frances Residential Care Home #1
502 S Magnolia Ave, Tucson, AZ 85711, AZ, 85711
Back to Facility ProfileDeficiencies per Year
16
12
8
4
0
Unclassified
Inspection Report
Enforcement
Deficiencies: 0
Oct 29, 2024
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State-compiled enforcement action report for Frances Residential Care #1 detailing enforcement action #00110331 with payment and completion status.
Findings
The report documents an enforcement action completed with a $500 fine paid in full, with no additional inspection findings or deficiencies listed.
Report Facts
Total fines: 500
Inspection Report
Complaint Investigation
Capacity: 10
Deficiencies: 13
Sep 24, 2024
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State-compiled facility profile showing 3 inspections from 2023-04-17 to 2024-09-24 with deficiency history including complaint and annual compliance inspections.
Findings
Across three inspections, multiple deficiencies were identified including failures in documentation of residency agreements, service plans, medication administration, infection control training, and safety measures such as exit alarms and medication storage.
Complaint Details
An on-site investigation of complaint AZ00212303 was conducted on September 24, 2024, resulting in 5 deficiencies related to residency agreements, service plans, medical practitioner determinations, and emergency alert systems.
Deficiencies (13)
| Description |
|---|
| 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: 10. The manager's signature and date signed. - Manager failed to ensure the residency agreement was signed and dated by the manager for one resident. |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 1. Is completed no later than 14 calendar days after the resident's date of acceptance; - Manager failed to ensure a resident had a completed written service plan within 14 days. |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 4. Is reviewed and updated based on changes in the requirements in subsections (A)(3)(a) through (f): b. As follows: iii. At least once every three months for a resident receiving directed care services; and - Manager failed to ensure service plan was updated at least every three months for one resident. |
| B. A manager of an assisted living facility authorized to provide personal care services may accept or retain a resident who is confined to a bed or chair because of an inability to ambulate even with assistance if: 2. The following requirements are met at the onset of the condition or when the resident is accepted by the assisted living facility: b. The resident's primary care provider or other medical practitioner: i. Examines the resident at the onset of the condition, or within 30 calendar days before acceptance, and at least once every six months throughout the duration of the resident's condition; ii. Reviews the assisted living facility's scope of services; and iii. Signs and dates a determination stating that the resident's needs can be met by the assisted living facility within the assisted living facility's scope of services and, for retention of a resident, are being met by the assisted living facility; - Manager failed to ensure written determination from medical practitioner every six months for one non-ambulatory resident. |
| E. A manager shall ensure that: 1. A bell, intercom, or other mechanical means to alert employees to a resident's needs or emergencies is available in a bedroom being used by a resident receiving directed care services; or 2. An assisted living facility has implemented another means to alert a caregiver or assistant caregiver to a resident's needs or emergencies. - Manager failed to ensure call bells or other alert means were available in bedroom for residents receiving directed care. |
| 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 exit means controlled or alerted employees of resident egress; alarm missing or disabled. |
| 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; - Failed to provide annual TB training and education documentation for two 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; - Failed to provide annual assessment of TB exposure risk documentation. |
| C. A manager shall ensure that policies and procedures are: 1. Established, documented, and implemented to protect the health and safety of a resident that: e. Except as provided in subsection (M), cover cardiopulmonary resuscitation training for applicable employees and volunteers, including: i. The method and content of cardiopulmonary resuscitation training, which includes a demonstration of the employee's or volunteer's ability to perform cardiopulmonary resuscitation; ii. The qualifications for an individual to provide cardiopulmonary resuscitation training; iii. The time-frame for renewal of cardiopulmonary resuscitation training; and iv. The documentation that verifies that the employee or volunteer has received cardiopulmonary resuscitation training; - Failed to ensure CPR training included demonstration of ability for one caregiver. |
| A. A manager shall ensure that: 4. A caregiver's or assistant caregiver's skills and knowledge are verified and documented: a. Before the caregiver or assistant caregiver provides physical health services or behavioral health services, and - Failed to document verification of skills and knowledge before providing physical health services for one caregiver. |
| 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 - Failed to ensure medication was administered in compliance with medication order for one resident. |
| 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; - Failed to ensure medications were stored in a separate locked area; kitchen cabinet unlocked and accessible. |
| A. A manager shall ensure that: 6. Hot water temperatures are maintained between 95º F and 120º F in areas of an assisted living facility used by residents; - Failed to maintain hot water temperature between 95ºF and 120ºF; measured 130.7ºF in shared bathroom. |
Report Facts
Inspections on page: 3
Total deficiencies: 14
Complaint inspections: 1
Total capacity: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E1 | Named in multiple findings including manager role acknowledgments in deficiencies | |
| E2 | Caregiver | Named in CPR training and skills verification deficiencies |
Inspection Report
Enforcement
Deficiencies: 0
May 21, 2024
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State-compiled enforcement action summary for FRANCES RESIDENTIAL CARE #1 including penalty and payment details.
Findings
The document details an enforcement action completed with a penalty payment of $750.00. No specific deficiencies or inspection findings are described.
Report Facts
Total fines: 750
Inspection Report
Enforcement
Deficiencies: 1
Apr 26, 2024
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The inspection was conducted to address enforcement concerns related to facility compliance, specifically regarding a repeat deficiency involving means of exiting the facility.
Findings
The facility was found to have failed to ensure a means of exiting that provided access to an outside area at least 30 feet away and controlled or alerted employees of a resident's egress. This deficiency was a repeat from a prior inspection on April 17, 2023.
Deficiencies (1)
| Description |
|---|
| The manager failed to ensure there was a means of exiting the facility that provided access to an outside area which allowed a resident to be at least 30 feet away from the facility and controlled or alerted employees of the egress of a resident from the facility. |
Report Facts
Civil fine amount: 750
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ramona Trujillo | Owner | Licensee/Director/Provider signing enforcement agreement |
| Dawn Butler | Bureau Chief | Signed enforcement agreement |
| Thomas Salow | Assistant Director | Signed enforcement agreement |
| Aaron Tellies | Deputy Bureau Chief | Signed enforcement agreement |
Inspection Report
Enforcement
Deficiencies: 0
Apr 25, 2023
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State-compiled enforcement action report for Frances Residential Care #1 detailing enforcement action and payment schedule.
Findings
The report documents an enforcement action completed with a penalty payment of $750.00. No specific deficiencies or inspection findings are detailed on this page.
Report Facts
Total fines: 750
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