Inspection Report Summary
The most recent inspection on August 26, 2024, found one deficiency related to medication administration documentation. Earlier inspections showed a pattern of issues including caregiver designation, fall prevention training, policy implementation, and documentation, with enforcement actions in mid-2023 resulting in a $500 fine that was paid in full. Inspectors cited problems mainly with staffing accountability and procedural documentation. No complaint investigations were noted in the available reports. The facility appears to have addressed some prior concerns, but documentation and caregiver designation issues have recurred.
Deficiencies (last 2 years)
Deficiencies (over 2 years)
3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
19% better than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Annual Inspection
Capacity: 5
Deficiencies: 1
Date: Aug 26, 2024
Visit Reason
One deficiency found related to medication administration documentation.
Findings
One deficiency found related to medication administration documentation.
Deficiencies (1)
B. If an assisted living facility provides medication administration, a manager shall ensure that: 3. A medication administered to a resident: c. Is documented
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Date: Jul 8, 2023
Summary
The facility was found to be in violation of A.A.C. R9-10-803(B)(3)(a-b) for not designating a caregiver in writing to be present and accountable during the manager's absence, resulting in a civil fine.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Failure to designate in writing a caregiver who is present and accountable on the premises when the manager was not present. | — |
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Date: Jun 13, 2023
Summary
A fine of $500.00 was imposed and has been paid in full as part of the enforcement action.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Fine imposed as part of enforcement action | Paid |
Inspection Report
Annual Inspection
Capacity: 5
Deficiencies: 5
Date: Mar 16, 2023
Visit Reason
Five deficiencies found related to fall prevention training, caregiver designation, policy implementation, service assignment, and documentation.
Findings
Five deficiencies found related to fall prevention training, caregiver designation, policy implementation, service assignment, and documentation.
Deficiencies (5)
36-420.01. Health care institutions; fall prevention and fall recovery; training programs; definition
B. A manager: 3. Except as provided in subsection (A)(6), designates, in writing, a caregiver who is: a. At least 21 years of age, and b. Present on the premises
C. A manager shall ensure that policies and procedures are: 1. Established, documented, and implemented to protect the health and safety of a resident
C. A manager shall ensure that: 1. A caregiver or an assistant caregiver: b. Is only assigned to provide the assisted living services the caregiver or assistant caregiver has documented skills for
C. A manager shall ensure that: 1. A caregiver or an assistant caregiver: g. Documents the services provided in the resident's medical record
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