Inspection Reports for
Golden Times LLC

13387 West Fargo Drive, Surprise, AZ 85374, Surprise, AZ, 85374

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Deficiencies (last 1 years)

Deficiencies (over 1 years) 11 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

197% worse than Arizona average
Arizona average: 3.7 deficiencies/year

Deficiencies per year

12 9 6 3 0
2023

Inspection Report

Annual Inspection
Capacity: 9 Deficiencies: 11 Date: 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)
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
NameTitleContext
GLYN R MORSEAdministratorNamed as facility administrator in relation to findings

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