Inspection Reports for Legacy Assisted Living LLC

15364 W Aster Dr, Surprise, AZ 85379, AZ, 85379

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Inspection Report Summary

The most recent inspection on April 9, 2024, included enforcement action resulting in a fine that has been fully paid. Earlier inspections and complaint investigations found multiple deficiencies related to resident service plans, improper use of seclusion and restraints, and unsafe premises conditions. Enforcement actions in March 2024 involved civil fines totaling $1,000 for health and safety violations connected to seclusion and restraint practices. Complaint investigations on March 21, 2024, substantiated these issues, while no other complaints were noted. The inspection history shows ongoing challenges with resident care and safety, with enforcement actions occurring recently.

Deficiencies (last 1 years)

Deficiencies (over 1 years) 4 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

8% worse than Arizona average
Arizona average: 3.7 deficiencies/year

Deficiencies per year

4 3 2 1 0
2024

Enforcement Action

Enforcement
Fines: 1 Total: $1,000.00 Date: Apr 9, 2024

Summary
The enforcement resulted in a fine which has been fully paid as of the completion date.

Fines & Penalties (1)
AmountReasonStatus
$1,000.00Fine related to enforcement action against the facilityPaid

Enforcement Action

Enforcement
Fines: 2 Total: $1,000.00 Date: Mar 21, 2024

Summary
The enforcement resulted in civil fines totaling $1000 for health and safety violations where deficient practices posed risks of seclusion and psychological distress to residents.

Fines & Penalties (2)
AmountReasonStatus
$500.00The manager failed to ensure a resident was not subjected to seclusion, posing a risk if a resident or other individual could be locked in a bedroom.Pending
$500.00The manager failed to ensure a resident was not subjected to restraints, posing potential psychological distress and physical injury.Pending

Inspection Report

Complaint Investigation
Capacity: 10 Deficiencies: 4 Date: Mar 21, 2024

Visit Reason
Inspection history summary including complaint investigation and deficiencies

Complaint Details
An on-site investigation of complaints AZ00207766 and AZ00207913 was conducted on March 21, 2024.
Findings
Multiple deficiencies were found across inspections including failures in resident service plans, improper use of seclusion and restraints, and unsafe premises conditions.

Deficiencies (4)
A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 3. Includes the following: c. The amo...
B. A manager shall ensure that: 2. A resident is not subjected to: h. Seclusion;
B. A manager shall ensure that: 2. A resident is not subjected to: i. Restraint;
A. A manager shall ensure that: 1. The premises and equipment used at the assisted living facility are: b. Free from a condition or situation that may...
Report Facts
Total inspections: 1

Employees mentioned
NameTitleContext
ANDREI POPESCUAdministratorNamed as facility administrator in relation to findings

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