Inspection Reports for Jubilee Care Assisted Living, LLC
4541 E Chuckwalla Canyon, Phoenix, AZ 85044, AZ, 85044
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Inspection Report
Complaint Investigation
Capacity: 10
Deficiencies: 21
Mar 18, 2025
Visit Reason
State-compiled facility profile showing 2 inspections from 2023-04-10 to 2025-03-18 with deficiency history
Findings
Across two inspections, multiple deficiencies were identified including incomplete personnel records, failure to document services and medication administration, inadequate emergency and safety measures, and environmental hazards. Several deficiencies were repeated from prior inspections, indicating ongoing compliance issues.
Complaint Details
The March 18, 2025 inspection included investigation of complaints 00105395 and 00108238.
Deficiencies (21)
| Description |
|---|
| R9-10-806.A.10. Personnel: Failed to ensure a caregiver provided current documentation of first aid and CPR training before providing assisted living services. |
| R9-10-806.C.1.a-c. Personnel: Failed to ensure a complete personnel record was available for one of four personnel sampled. |
| R9-10-808.C.1.a-g. Service Plans: Failed to ensure caregivers documented services provided to residents in medical records for two of three sampled residents. |
| R9-10-811.A.5. Medical Records: Failed to ensure resident medical records were protected from loss, damage, or unauthorized use. |
| R9-10-815.F.2.a-c. Directed Care Services: Failed to ensure means of exiting the facility controlled or alerted employees of resident egress. |
| R9-10-816.B.3.c. Medication Services: Failed to ensure medication administered to residents was documented in medical records for two of three residents sampled. |
| R9-10-818.A.2. Emergency and Safety Standards: Failed to ensure disaster plan was reviewed at least once every 12 months. |
| R9-10-819.A.1.b. Environmental Standards: Failed to ensure premises were free from conditions that may cause physical injury; unsecured garden hose created tripping hazard. |
| A.R.S. § 36-420.04.C. Emergency responders; patient information: Failed to maintain standardized emergency responder patient information forms for residents. |
| C. A manager shall ensure that policies and procedures are established to protect resident health and safety including termination of residency; bedrails used as restraint posed risk. |
| E. A manager shall ensure documentation required by Article 8 is provided to the Department within two hours after request; documentation was not timely provided. |
| C. A manager shall ensure personnel records include documentation of in-service education; documentation was missing for one employee. |
| B. A manager shall ensure individuals submit required documentation dated within 90 days before acceptance; missing for one resident. |
| A. A manager shall ensure resident written service plans are reviewed and updated at least every six months; missing for one resident. |
| A. A manager shall ensure resident service plans are signed and dated by resident/representative and manager when updated; missing for two residents. |
| B. A manager shall ensure residents are not subjected to restraint; bedrails used as restraint posed risk to one resident. |
| C. A manager shall ensure resident medical records contain documentation of freedom from infectious tuberculosis; missing for two residents. |
| C. A manager shall ensure resident medical records contain documentation of assisted living services provided; missing for three residents. |
| B. A manager shall ensure medication administration is documented in resident medical records; missing documentation for one resident. |
| A. A manager shall ensure disaster drills for employees are conducted on each shift at least once every three months and documented; documentation was incomplete. |
| A. A manager shall ensure premises and equipment are free from conditions causing physical injury; bedrails posed injury risk to one resident. |
Report Facts
Inspections on page: 2
Total deficiencies: 21
Complaint inspections: 1
Total capacity: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Antonio Camillo | Facility Manager | Named as person responsible for deficiencies in both inspections |
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