Inspection Reports for Silver Creek Inn – Mesa
6345 E Baseline Rd, Mesa, AZ 85206, United States, AZ, 85206
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Inspection Report
Complaint Investigation
Capacity: 67
Deficiencies: 12
Apr 11, 2025
Visit Reason
State-compiled facility profile showing 10 inspections from 2023-07-13 to 2025-04-11 with deficiency history and complaint investigations.
Findings
Across multiple complaint investigations and compliance inspections, deficiencies were found related to resident rights violations, incomplete employee training and documentation, failure to provide required documentation timely, improper medication storage, and failure to provide care according to service plans. Some inspections found no deficiencies.
Complaint Details
The page includes multiple complaint investigations, including complaint numbers AZ00217587, AZ00213801, AZ00210621, and others, with findings of deficiencies in resident care, documentation, and compliance.
Deficiencies (12)
| Description |
|---|
| R9-10-810.B.2.i. Resident Rights: A manager failed to ensure that a resident was not subjected to restraint, resulting in physical harm. |
| A. A manager shall ensure that: 10. Before providing assisted living services to a resident, a manager or caregiver provides current documentation of first aid training and cardiopulmonary resuscitation training certification specific to adults: Failed to ensure personnel records included CPR and first aid training documentation for one employee. |
| E. A manager shall ensure that, unless otherwise stated: 1. Documentation required by this Article is provided to the Department within two hours after a Department request: Failed to provide required documentation within two hours after request. |
| A. A manager shall ensure that: 8. A manager, a caregiver, and an assistant caregiver, or an employee or a volunteer who has or is expected to have more than eight hours per week of direct interaction with residents, provides evidence of freedom from infectious tuberculosis: Failed to ensure documentation of freedom from infectious tuberculosis for two employees. |
| B. If an assisted living facility provides medication administration, a manager shall ensure that: 1. Medication is stored by the assisted living facility: Failed to ensure medication was stored by the facility for one resident. |
| A. A manager shall ensure that: 4. A disaster drill for employees is conducted on each shift at least once every three months and documented: Failed to ensure disaster drills were accurately documented; some drills had future dates. |
| 36-420.01. Health care institutions; fall prevention and fall recovery; training programs; definition: Failed to develop and administer a fall prevention and recovery training program for all staff. |
| A. A governing authority shall: 9. Ensure compliance with A.R.S. § 36-411: Failed to ensure documentation of compliance with A.R.S. § 36-411 for two employees. |
| A. A manager shall ensure that: 1. A caregiver: b. Provides documentation of: i. Completion of a caregiver training program approved by the Department or the Board of Examiners for Nursing Care Institution Administrators and Assisted Living Facility Managers: Failed to ensure two caregivers provided documentation of completion of approved caregiver training. |
| A. A manager shall ensure that: 9. Before providing assisted living services to a resident, a caregiver or an assistant caregiver receives orientation that is specific to the duties to be performed by the caregiver or assistant caregiver: Failed to ensure one caregiver received orientation specific to duties before providing services. |
| A. A manager shall ensure that: 10. Before providing assisted living services to a resident, a manager or caregiver provides current documentation of first aid training and cardiopulmonary resuscitation training certification specific to adults: Failed to ensure two caregivers provided current CPR and first aid training documentation. |
| C. A manager shall ensure that: 1. A caregiver or an assistant caregiver: c. Provides assistance with activities of daily living according to the resident's service plan: Failed to ensure caregivers provided assistance with activities of daily living according to service plans for three residents. |
Report Facts
Inspections on page: 10
Total deficiencies: 14
Complaint inspections: 10
Total capacity: 67
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E1 | Named in multiple findings related to documentation, interviews, and acknowledgment of deficiencies | |
| E2 | Named in findings related to restraint incident, caregiver training, CPR and first aid certification, and medication storage | |
| E3 | Named in findings related to caregiver training, dignity and respect violations, and orientation | |
| E4 | Named in findings related to caregiver training and CPR and first aid certification | |
| E5 | Named in interviews acknowledging documentation issues | |
| E6 | Mentioned in personnel records review for fall prevention training |
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