Inspection Report
Complaint Investigation
Capacity: 111
Deficiencies: 3
Oct 28, 2024
Visit Reason
State-compiled facility profile showing 5 inspections from 2023-03-08 to 2024-10-28 with deficiency history and complaint investigations.
Findings
Across five inspections, three deficiencies were cited during the most recent complaint investigation on 10/28/2024 related to staff training, caregiver skills verification, and documentation of incident prevention actions. The other four complaint inspections found no deficiencies.
Complaint Details
An on-site investigation of complaints AZ00217894 and AZ00211259 was conducted on October 28, 2024, resulting in three deficiencies cited. Other complaint investigations on 5/21/2024, 1/29/2024, and 8/8/2023 found no deficiencies.
Deficiencies (3)
| Description |
|---|
| 36-420.01. Health care institutions; fall prevention and fall recovery; training programs; definition - Failed to ensure the health care institution developed and administered a training program for all staff regarding fall prevention and fall recovery that included initial training and continued competency training. |
| 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 and according to policies and procedures - Failed to ensure a caregiver's skills and knowledge were verified and documented before providing physical health services. |
| D. When a resident has an accident, emergency, or injury that results in the resident needing medical services, a manager shall ensure that a caregiver or an assistant caregiver documents any action taken to prevent the accident, emergency, or injury from occurring in the future - Failed to ensure documentation of preventive actions after incidents requiring medical services. |
Report Facts
Inspections on page: 5
Total deficiencies: 3
Complaint inspections: 4
Total capacity: 111
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