Inspection Reports for Sherwood Heights Adult Living
5813 E Lewis Ave, Scottsdale, AZ 85257, AZ, 85257
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Inspection Report
Complaint Investigation
Capacity: 10
Deficiencies: 11
May 14, 2025
Visit Reason
State-compiled facility profile showing 2 inspections from 2025 with deficiency history including complaint investigations and compliance inspections.
Findings
Across two inspections conducted in 2025, multiple deficiencies were identified including failure to report a resident's death timely, inadequate staff training and documentation, incomplete personnel records, and missing documentation of medication administration and smoke detector testing.
Complaint Details
The May 14, 2025 inspection was conducted as an on-site investigation of complaints 00130574 and 00130600. The January 31, 2025 inspection included investigation of complaints AZ00205134 and AZ00221098 along with an annual compliance inspection.
Deficiencies (11)
| Description |
|---|
| R9-10-803.K.1-2. Administration: Failed to provide written notification to the Department of a resident's death within one working day as required. |
| 36-420.01. Health care institutions; fall prevention and fall recovery; training programs; definition: Failed to administer a training program for all staff regarding fall prevention and fall recovery including initial and continued competency training. |
| A. A governing authority shall: 9. Ensure compliance with A.R.S. § 36-411.: Failed to ensure compliance with fingerprint clearance and good faith efforts to contact previous employers for personnel. |
| C. A manager shall ensure that policies and procedures are: 3. Reviewed at least once every three years and updated as needed.: Failed to ensure policies and procedures were reviewed and updated as required. |
| 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 hours worked by caregivers. |
| C. A manager shall ensure that a personnel record for each employee or volunteer: 1. Includes: c. Documentation of: ii. The individual's education and experience applicable to the individual's job duties;: Failed to include documentation of education and experience for personnel. |
| C. A manager shall ensure that a personnel record for each employee or volunteer: 1. Includes: c. Documentation of: vii. Cardiopulmonary resuscitation training, if required for the individual in this Article or policies and procedures; viii. First aid training, if required for the individual in this Article or policies and procedures; and: Failed to include documentation of CPR and first aid training for personnel. |
| C. A manager shall ensure that: 1. A caregiver or an assistant caregiver: g. Documents the services provided in the resident's medical record; and: Failed to document services provided in residents' medical records. |
| 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: Retained a resident confined to a bed or chair without required documentation from primary care provider. |
| B. If an assisted living facility provides medication administration, a manager shall ensure that: 3. A medication administered to a resident: c. Is documented in the resident's medical record.: Failed to document medication administration in residents' medical records. |
| F. A manager of an assisted living home shall ensure that: 4. Except as provided in subsection (G): b. Documentation of the test required in subsection (F)(4)(a)(iv) is maintained for at least 12 months after the date of the test;: Failed to maintain documentation of monthly smoke detector tests for at least 12 months. |
Report Facts
Inspections on page: 2
Total deficiencies: 11
Complaint inspections: 2
Total capacity: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Clive Russell | Licensed Manager | Named as person responsible for deficiency related to failure to report resident death |
| Ray Michaels | Owner | Named as responsible party in permanent solution for death reporting deficiency |
| Amira Hamad | Customer Relations Manager | Named as responsible party in permanent solution for death reporting deficiency |
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