Inspection Reports for Gifts of Grace Assisted Living Homes I
2866 East Cotton Court, Gilbert, AZ 85234, AZ, 85234
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Inspection Report
Annual Inspection
Capacity: 9
Deficiencies: 14
Apr 15, 2025
Visit Reason
State-compiled facility profile showing 2 inspections from 2023-07 to 2025-04 with deficiency history
Findings
Across two inspections, multiple deficiencies were identified including lack of policies and procedures, inadequate staff verification and training, environmental safety issues, and resident rights violations. Deficiencies posed risks to resident health, safety, dignity, and privacy.
Complaint Details
Complaint #AZ00195420 investigated during the July 27, 2023 inspection, revealing multiple deficiencies related to staff qualifications, resident care, and facility safety.
Deficiencies (14)
| Description |
|---|
| R9-10-803.C.1.a-w. Administration: Failed to ensure policies and procedures cover methods by which the assisted living facility is aware of the general or specific whereabouts of a resident. |
| R9-10-815.E.1-2. Directed Care Services: Failed to ensure a bell, intercom, or other mechanical means to alert employees to a resident's needs or emergencies is available in a bedroom for three of nine residents. |
| R9-10-815.F.2.a-c. Directed Care Services: Failed to ensure means of exiting the facility that control or alert employees of resident egress for four doors; alarms were turned off or batteries not functioning. |
| R9-10-819.A.10. Environmental Standards: Failed to ensure oxygen containers were secured in an upright position. |
| 36-420.01. Health care institutions; fall prevention and fall recovery; training programs: Failed to develop and administer a training program for all staff regarding fall prevention and fall recovery. |
| A. A manager shall ensure that: 4. A caregiver's or assistant caregiver's skills and knowledge are verified and documented before providing physical health services: Failed to verify and document skills and knowledge of an unregistered caregiver (E4) who administered medication and provided care. |
| A. A manager shall ensure that: 5. Assisted living facility has qualified caregivers: Failed to ensure caregiver (E4) had qualifications, experience, skills, and knowledge necessary to provide assisted living services. |
| C. A manager shall ensure personnel records include required documentation: Failed to ensure personnel record was available for one employee (E4). |
| A. Except as required in subsection (B), a manager shall ensure resident has a written service plan signed and dated by required parties: Failed to ensure service plan for one resident was signed and dated by resident's representative, manager, and nurse or medical practitioner. |
| B. A manager shall ensure a resident is treated with dignity, respect, and consideration: Failed to ensure resident was treated with dignity and respect; incidents of harsh treatment and disrespectful comments by staff were reported. |
| C. A resident has the right to privacy in care for personal needs: Failed to ensure resident received privacy during personal care; doors were left open and assistance to maintain privacy was refused. |
| B. If medication administration is provided, a manager shall ensure medication is administered by an individual under direction of a medical practitioner: Failed to ensure medication was administered under direction of a medical practitioner by an unregistered caregiver (E4). |
| A. A manager shall ensure poisonous or toxic materials are maintained in locked area inaccessible to residents: Failed to ensure poisonous materials were stored in a locked area; toxins were found in unlocked cabinet accessible to residents. |
| B. A manager shall ensure at least one common bathroom contains paper towels in dispenser or mechanical air hand dryer: Failed to ensure common bathroom contained paper towels or mechanical air hand dryer. |
Report Facts
Inspections on page: 2
Total deficiencies: 14
Complaint inspections: 1
Total capacity: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lin Lee | Facility Manager/ Owner | Named as person responsible for deficiencies in policies, procedures, and environmental safety |
| E4 | Unregistered caregiver | Referenced in multiple deficiencies related to unverified skills, medication administration, and lack of personnel records |
| E1 | Interviewed multiple times acknowledging deficiencies and incidents |
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