Inspection Reports for Living Waters Assisted Living Home
5601 W Winnwood Ave, Glendale, AZ 85304, United States, AZ, 85304
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Inspection Report
Complaint Investigation
Capacity: 10
Deficiencies: 9
Sep 12, 2023
Visit Reason
State-compiled facility profile showing 1 inspection from 2023 with deficiency history related to a complaint investigation and annual compliance inspection.
Findings
The inspection found 9 deficiencies related to failure to notify the department of changes in controlling persons and management, inadequate documentation of caregiver work hours, incomplete resident tuberculosis screening, incomplete service plans, lack of documentation of services provided, medication order and administration discrepancies, and incomplete incident documentation.
Complaint Details
Inspection and investigation of complaint AZ00194380 conducted on September 12, 2023.
Deficiencies (9)
| Description |
|---|
| 36-422. Application for license; notification of proposed change in status; joint licenses; definitions - Failed to notify the department within thirty days after any change regarding a controlling person and provide required information. |
| A. A governing authority shall: 7. Except as provided in subsection (A)(6), notify the Department according to A.R.S. § 36-425(I) when there is a change in the manager and identify the name and qualifications of the new manager; - Failed to notify the Department of a change in the facility's manager. |
| A. A manager shall ensure that: 7. Documentation is maintained for at least 12 months after the last date on the documentation of the caregivers and assistant caregivers working each day, including the hours worked by each; - Failed to maintain documentation of caregivers and assistant caregivers working each day including hours worked. |
| A. Except as provided in R9-10-808(B)(2), a manager shall ensure that a resident provides evidence of freedom from infectious tuberculosis: 1. Before or within seven calendar days after the resident's date of occupancy, and 2. As specified in R9-10-113. - Failed to ensure residents provided evidence of freedom from infectious tuberculosis. |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 3.c. The amount, type, and frequency of assisted living services being provided to the resident, including medication administration or assistance in the self-administration of medication; - Failed to include amount and frequency of assisted living services in resident's service plan. |
| C. A manager shall ensure that: 1.g. Documents the services provided in the resident's medical record; and - Failed to ensure caregiver documented services provided in resident's medical record. |
| C. A manager shall ensure that a resident's medical record contains: 12. A medication order from a medical practitioner for each medication that is administered to the resident or for which the resident receives assistance in the self-administration of the medication; - Failed to ensure resident's medical record contained a medication order for administered medication. |
| B. If an assisted living facility provides medication administration, a manager shall ensure that: 3.b. A medication administered to a resident: Is administered in compliance with a medication order, and - Failed to ensure medication was administered in compliance with a medication order. |
| 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: 2.a-f. Documents date/time, description, observers, actions taken, notifications, and prevention actions; - Failed to ensure documentation of incident details and prevention actions in resident's medical record. |
Report Facts
Inspections on page: 1
Total deficiencies: 9
Complaint inspections: 1
Total capacity: 10
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