Inspection Reports for MD Home Health
7500 N Dreamy Draw Dr suite 200, Phoenix, AZ 85020, United States, AZ, 85020
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Inspection Report
Deficiencies: 8
Jul 18, 2025
Visit Reason
State-compiled facility profile showing 3 inspections from 2023-08 to 2025-07 with deficiency history and complaint investigation details.
Findings
Across three inspections, multiple deficiencies were identified including failures in emergency preparedness communication plans, personnel record documentation, patient rights posting, tuberculosis screening documentation, and notification of administrative changes. The complaint investigation found deficiencies related to administrative notification requirements.
Complaint Details
The following deficiency was found at the time of the on-site, unannounced State Licensure Complaint Investigation conducted on August 30, 31, 2023 with event #60E1D-H1, for complaint intakes #98212, and #99978.
Deficiencies (8)
| Description |
|---|
| §403.748(c)(1), §416.54(c)(1), §418.113(c)(1), §441.184(c)(1), §460.84(c)(1), §482.15(c)(1), §483.73(c)(1), §483.475(c)(1), §484.102(c)(1), §485.68(c)(1), §485.542(c)(1), §485.625(c)(1), §485.727(c)(1), §485.920(c)(1), §486.360(c)(1), §491.12(c)(1), §494.62(c)(1). [(c) The [facility must develop and maintain an emergency preparedness communication plan that complies with Federal, State and local laws and must be reviewed and updated at least every 2 years [annually for LTC facilities]. The communication plan must include all of the following:] (1) Names and contact information for the following: (i) Staff. (ii) Entities providing services under arrangement. (iii) Patients' physicians (iv) Other [facilities]. (v) Volunteers. *[For Hospitals at §482.15(c) and CAHs at §485.625(c)] The communication plan must include all of the following: (1) Names and contact information for the following: (i) Staff. (ii) Entities providing services under arrangement. (iii) Patients' physicians (iv) Other [hospitals and CAHs]. (v) Volunteers. *[For RNHCIs at §403.748(c):] The communication plan must include all of the following: (1) Names and contact information for the following: (i) Staff. (ii) Entities providing services under arrangement. (iii) Next of kin, guardian, or custodian. (iv) Other RNHCIs. (v) Volunteers. *[For ASCs at §416.45(c):] The communication plan must include all of the following: (1) Names and contact information for the following: (i) Staff. (ii) Entities providing services under arrangement. (iii) Patients' physicians. (iv) Volunteers. *[For Hospices at §418.113(c):] The communication plan must include all of the following: (1) Names and contact information for the following: (i) Hospice employees. (ii) Entities providing services under arrangement. (iii) Patients' physicians. (iv) Other hospices. *[For HHAs at §484.102(c):] The communication plan must include all of the following: (1) Names and contact information for the following: (i) Staff. (ii) Entities providing services under arrangement. (iii) Patients' physicians. (iv) Volunteers. *[For OPOs at §486.360(c):] The communication plan must include all of the following: (2) Names and contact information for the following: (i) Staff. (ii) Entities providing services under arrangement. (iii) Volunteers. (iv) Other OPOs. (v) Transplant and donor hospitals in the OPO's Donation Service Area (DSA). |
| Standard: Infection Prevention. The HHA must follow accepted standards of practice, including the use of standard precautions, to prevent the transmission of infections and communicable diseases. |
| R9-10-1206. Personnel B. An administrator shall ensure that a personnel record for each personnel member, employee, or volunteer: 1. Includes: c. Documentation of: i. The individual ' s qualifications, including skills and knowledge applicable to the individual's job duties; |
| R9-10-1206. Personnel B. An administrator shall ensure that a personnel record for each personnel member, employee, or volunteer: 1. Includes: c. Documentation of: iii. The individual ' s completed orientation and in-service education as required by policies and procedures; |
| R9-10-1208. Patient Rights A. An administrator shall ensure that: 3. Policies and procedures include: b. Where patient rights are posted as required in subsection (A)(1). |
| R9-10-113. Tuberculosis Screening B. A health care institution's chief administrative officer shall: 1. For an individual for whom baseline screening and documentation of freedom from infectious tuberculosis is required by an Article in this Chapter, as specified in subsection (A)(2)(a), obtain one of the following as evidence of freedom from infectious tuberculosis: a. Documentation of a negative Mantoux skin test or other tuberculosis screening test that: i. Is recommended by the U.S. Centers for Disease Control and Prevention (CDC), ii. Was administered within 12 months before the date the individual begins providing services at or on behalf of the health care institution or is admitted to the health care institution, and iii. Includes the date and the type of tuberculosis screening test; b. If the individual had a history of tuberculosis or documentation of latent tuberculosis infection, as defined in A.A.C. R9-6-1201, compliance with subsection (A)(2)(b); or c. If the individual had a positive Mantoux skin test or other tuberculosis screening test according to subsection (B)(1)(a) and does not have history of tuberculosis or documentation of latent tuberculosis infection, as defined in A.A.C. R9-6-1201, a written statement: i. That the individual is free from infectious tuberculosis, signed by a medical practitioner or local health agency, as defined in A.A.C. R9-6-101; and ii. Dated within 12 months before the date the individual begins providing services at or on behalf of the health care institution or is admitted to the health care institution; |
| R9-10-109.Changes Affecting a License C. A licensee shall ensure that the Department is notified in writing, according to A.R.S. § 36-425(I), of a change in the chief administrative officer of the health care institution. |
| No regulation code. The following deficiency was found at the time of the on-site, unannounced State Licensure Complaint Investigation conducted on August 30, 31, 2023 with event #60E1D-H1, for complaint intakes #98212, and #99978. |
Report Facts
Inspections on page: 3
Total Deficiencies: 8
Complaint Inspections: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Steve Schuman | Health Compliance Officer | Named in complaint investigation deficiency |
| Alisa Jeffcoat | Administrator | Named as facility administrator in relation to personnel record and tuberculosis screening deficiencies |
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