Deficiencies per Year
12
9
6
3
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 10
Jan 14, 2025
Visit Reason
State-compiled facility profile showing 6 inspections from 2023-08-09 to 2025-01-14 with deficiency history and complaint investigations.
Findings
Across all inspections, multiple deficiencies were identified primarily related to failure in ensuring proper resident care, documentation, and notification procedures. Several complaint investigations found no deficiencies, while two inspections found a total of 10 deficiencies involving service plan compliance, notification delays, and policy documentation.
Complaint Details
The page includes complaint investigations for complaints AZ00221645, AZ00221675, AZ00217000, AZ00216335, AZ00214358, AZ00214415, AZ00207530, AZ00204904, and AZ00198001 with findings detailed for some complaints and no deficiencies for others.
Deficiencies (10)
| Description |
|---|
| C. A manager shall ensure that: 1. A caregiver or an assistant caregiver: a. Provides a resident with the assisted living services in the resident's service plan; |
| E. A manager shall ensure that: 1. A bell, intercom, or other mechanical means to alert employees to a resident's needs or emergencies is available in a bedroom being used by a resident receiving directed care 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: 1. Immediately notifies the resident's emergency contact and primary care provider; and |
| A manager shall ensure that: 2. A documented report is submitted to the governing authority that includes: a. An identification of each concern about the delivery of services related to resident care, and b. Any change made or action taken as a result of the identification of a concern about the delivery of services related to resident care; |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 3. Includes the following: f. For a resident who will be storing medication in the resident's bedroom or residential unit, how the medication will be stored and controlled; |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 5. When initially developed and when updated, is signed and dated by: c. If a review is required in subsection (A)(3)(d), the nurse or medical practitioner who reviewed the service plan; |
| C. A manager shall ensure that a resident's medical record contains: 17. Documentation of notification of the resident of the availability of vaccination for influenza and pneumonia, according to A.R.S. § 36-406(1)(d); |
| B. A manager of an assisted living facility authorized to provide directed care services shall not accept or retain a resident who, except as provided in R9-10-814(B)(2): 1. Is confined to a bed or chair because of an inability to ambulate even with assistance; or |
| B. If an assisted living facility provides medication administration, a manager shall ensure that: 2. Policies and procedures for medication administration: a. Are reviewed and approved by a medical practitioner, registered nurse, or pharmacist; |
| A. A manager shall ensure that: 2. Meals and snacks provided by the assisted living facility are served according to posted menus; |
Report Facts
Inspections on page: 6
Total deficiencies: 10
Complaint Inspections: 6
Total capacity: 92
Inspection Report
Enforcement
Deficiencies: 0
Sep 5, 2023
Visit Reason
State-compiled enforcement action report for Sedona Winds detailing enforcement action #00112574 with payment and completion status.
Findings
The enforcement action was completed with a penalty amount of $250.00 paid in full by November 3, 2023.
Report Facts
Total fines: 250
Inspection Report
Enforcement
Deficiencies: 1
Aug 9, 2023
Visit Reason
Inspection conducted on August 9, 2023, to address a repeat deficiency regarding a resident's service plan not including how medication would be stored and controlled in the resident's room.
Findings
The inspection found a repeat deficiency where one resident's service plan did not specify how medication would be stored and controlled in the resident's bedroom, resulting in a civil fine.
Deficiencies (1)
| Description |
|---|
| The service plan for one resident who was storing medication in the resident's bedroom did not include how the medication would be stored and controlled. |
Report Facts
Civil fine amount: 250
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tonya L. Glem | Manager | Licensee/Director/Provider signing enforcement agreement |
| Tiffany Slater | Bureau Chief | Attendee on enforcement agreement form |
| Thomas Salow | Assistant Director | Attendee on enforcement agreement form |
| Cindy Graham | Deputy Bureau Chief | Attendee on enforcement agreement form |
| James Tiffany | Compliance Officer Supervisor | Attendee on enforcement agreement form |
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