Inspection Reports for Southwest Comfort Care

8608 E Roanoke Ave, Scottsdale, AZ 85257, United States, AZ, 85257

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Deficiencies per Year

8 6 4 2 0
2023
2024
Unclassified
Inspection Report Complaint Investigation Capacity: 10 Deficiencies: 7 Oct 15, 2024
Visit Reason
On-site review of plan of correction with seven deficiencies cited related to policies, personnel records, caregiver services, facility egress, and medication administration.
Findings
On-site review of plan of correction with seven deficiencies cited related to policies, personnel records, caregiver services, facility egress, and medication administration.
Deficiencies (7)
Description
C. A manager shall ensure that policies and procedures are established, documented, and implemented to protect the health and safety of a resident
C. A manager shall ensure that a personnel record for each employee or volunteer includes required information
C. A manager shall not accept or retain an individual if the primary condition is a behavioral health issue
C. A manager shall ensure that a caregiver or assistant caregiver provides services per the resident's service plan
F. A manager shall ensure there is a means of exiting the facility for residents
B. Medication administration must comply with orders
B. Medication administration must be documented in the resident's medical record
Inspection Report Complaint Investigation Capacity: 10 Deficiencies: 7 Feb 8, 2024
Visit Reason
On-site investigation of complaints AZ00204106 and AZ00206086 with seven deficiencies cited related to policies, personnel records, caregiver services, facility egress, and medication administration.
Findings
On-site investigation of complaints AZ00204106 and AZ00206086 with seven deficiencies cited related to policies, personnel records, caregiver services, facility egress, and medication administration.
Deficiencies (7)
Description
C. A manager shall ensure that policies and procedures are established, documented, and implemented to protect the health and safety of a resident
C. A manager shall ensure that a personnel record for each employee or volunteer includes required information
C. A manager shall not accept or retain an individual if the primary condition is a behavioral health issue
C. A manager shall ensure that a caregiver or assistant caregiver provides services per the resident's service plan
F. A manager shall ensure there is a means of exiting the facility for residents
B. Medication administration must comply with orders
B. Medication administration must be documented in the resident's medical record
Inspection Report Annual Inspection Capacity: 10 Deficiencies: 8 May 15, 2023
Visit Reason
On-site compliance inspection found nine deficiencies including fall prevention training, documentation submission, caregiver training, personnel records, resident acceptance documentation, service plans, and facility egress.
Findings
On-site compliance inspection found nine deficiencies including fall prevention training, documentation submission, caregiver training, personnel records, resident acceptance documentation, service plans, and facility egress.
Deficiencies (8)
Description
36-420.01. Health care institutions; fall prevention and fall recovery; training programs; definition
E. A manager shall ensure documentation required by this Article is provided to the Department within two hours after a Department request
A. A manager shall ensure that a caregiver provides documentation of completion of a caregiver training program approved by the Department
C. A manager shall ensure personnel records include documentation of qualifications and completed orientation
B. A manager shall ensure that before or at the time of acceptance of an individual, the individual submits documentation dated within 90 calendar days
A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan completed no later than 14 calendar days after acceptance
C. A manager shall ensure that a resident's medical record contains required resident information
F. A manager shall ensure there is a means of exiting the facility for residents

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