Inspection Reports for Golden Times LLC
13387 West Fargo Drive Surprise, AZ 85374, AZ, 85374
Back to Facility ProfileDeficiencies per Year
12
9
6
3
0
Unclassified
Inspection Report
Annual Inspection
Capacity: 9
Deficiencies: 11
May 24, 2023
Visit Reason
Inspection history summary for GOLDEN TIMES LLC assisted living home
Findings
Multiple deficiencies were found during the on-site compliance inspection conducted on May 24, 2023, including failures in staff training, notification to the Department, compliance with regulations, personnel record documentation, residency agreements, service plans, activity calendar maintenance, resident acceptance criteria, and disaster plan documentation.
Deficiencies (11)
| Description |
|---|
| 36-420.01 — Health care institutions; fall prevention and fall recovery; training programs |
| A.R.S. § 36-425(I) — Notification to Department of changes in manager |
| A.R.S. § 36-411 — Compliance requirements for employees |
| Manager responsibilities — Personnel record documentation of freedom from infectious tuberculosis |
| Residency agreement requirements — Documentation of awake caregiver during nighttime hours |
| Residency agreement requirements — Documented residency agreement with assisted living facility |
| Written service plan requirements — Frequency of assisted living services provided |
| Written service plan requirements — Resident signature and updates |
| Activity calendar maintenance — Maintain calendar for at least 12 months after last scheduled activity |
| Resident acceptance criteria — Not accepting residents confined to bed or chair unable to ambulate |
| Disaster plan documentation — Documentation of disaster plan review including critique |
Report Facts
Total inspections: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| GLYN R MORSE | Administrator | Named as facility administrator in relation to findings |
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